Follow-Up of Fertility Results after Ectopic Pregnancy Treatment According to the Type of Treatment

Abstract

Background: Ectopic pregnancy is a relatively common problem in women of reproductive age. This study was conducted with the aim of investigating the relationship between each of the treatment methods performed among women with a history of EP with their future fertility. Methods: This cross-sectional study was conducted in 2020. A total of 207 patients who were diagnosed with EP in Al-Zahra and Shahid Beheshti hospitals in Isfahan between 2016 and 2018 were included in the study. Demographic characteristics as well as the data about the type of treatment (pharmacological treatment, radical surgery and conservative surgery) that were performed for the patients with previous EP were extracted from their health files. Then, during a phone call with the patients, they were asked about their fertility status after the treatment, then the fertility results of these people in different treatment groups were investigated and compared. Findings: This study showed that women with past history of EP who were treated with medication had significantly more successful pregnancies than the surgical group. While the comparison between two types of radical and conservative surgical methods did not show a significant difference in pregnancy success. Conclusion: Successful pregnancy was seen more in patients with previous EP who were treated with medications compared to those who underwent surgery. According to this study, radical and conservative surgery methods had no effect on the success of the next pregnancy. © 2023 Isfahan University of Medical Sciences(IUMS). All rights reserved.