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Transvaginal intratubal insemination, ectopic pregnancy and treatment by single-dose parenteral methotrexate
J Balasch1, J L Ballesca, F Fábregues
1Department of Obstetrics and Gynaecology, Faculty of Medicine, Hospital Clinic i Provincial, Barcelona, Spain.
Human Reproduction (Oxford, England)
|November 1, 1992
Abstract:
We report a case of a woman with ectopic pregnancy with fetal cardiac activity after ovulation induction and transvaginal intratubal insemination by tactile sensation. The patient was successfully treated by single-dose methotrexate (MTX) (77 mg or 50 mg/m2 given intramuscularly). Control hysterosalpingograms showed no tubal patency on the involved side. Potential advantages and hazards of transvaginal intratubal insemination and single-dose MTX for ectopic pregnancy are discussed.