Ectopic Pregnancy: Diagnosis and Management

Jennifer L Kulp; Kurt T Barnhart


Women's Health. 2008;4(1):79-87. 

In This Article


With the use of transvaginal ultrasound and serial ß-hCG levels, and in some cases uterine curretage, most ectopic pregnancies can be diagnosed and treated at an early stage. Medical treatment of ectopic pregnancy with methotrexate avoids surgery and, in properly selected patients, is highly successful and well tolerated. The optimal methotrexate protocol is the focus of ongoing research and initial data suggest that the two-dose methotrexate protocol is promising. Medical and surgical treatment of ectopic pregnancy have similar success rates. Future fertility is comparable in medically and surgically treated patients.


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