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| Titel: |
Ectopic Pregnancy In Previously Infertile Women Subsequent Pregnancy Outcome After Laparoscopic Management |
| Auteur: |
Siddhartha Chatterjee Sandip Dey Rajib Gon Chowdhury |
| Verschenen in: |
Al Ameen journal of medical sciences |
| Paginering: | Jaargang 02 (2009) nr. 01 pagina's 67-72 |
| Jaar: |
2009 |
| Inhoud: |
Ectopic tubal pregnancy (ETP) is a major event in a woman's reproductive life particularly if it happens after treatment of infertility. It complicates infertility treatment and must be recognized early to simplify the treatment strategy, which must always be directed towards optimizing subsequent fertility. All the treatment trials and the Cochrane database meta-analysis show that medical treatment with methotrexate, preferably multi-dose, is equivalent in efficacy to conservative treatment with laparoscopy in the populations studied. The prolonged follow up and repeated estimation of costly beta subunit of human chorionic gonadotropin (hCG) hormone required in medical treatment become inconvenient for patients in this country. Hence people here prefer onetime surgical treatment with short stay in hospital. Occurring during infertility treatment, it marks a reproductive failure, which always results in psychological setback. Amongst 1119 patients conceived after treatment of infertilities in a five year period between ‘02 & ’07 sixty-eight ETP were detected. More than 50% of them resulted in intrauterine pregnancy (IUP) spontaneously or after ovulation induction within a period of one to one & half year following the occurrence of ETP. Regardless of the treatment strategy, a successful outcome requires a subsequent ongoing IUP, the ultimate goal of fertility treatment. Nonetheless ETP resulting from fertility treatment is a specific entity, and better knowledge of it should help to improve diagnosis and prognosis, simplify treatment, and optimize subsequent pregnancy outcome. |
| Uitgever: |
Dr.B.S.Patil (provided by DOAJ) |
| Bronbestand: |
Elektronische Wetenschappelijke Tijdschriften |
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