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Tubal patency after clinical treatment of unruptured ectopic pregnancy
1Department of Obstetrics of the Escola Paulista de Medicina, Federal University of São Paulo, Rua Maria Carolina, 68, Jardim Paulistano CEP-01445-000, São Paulo, Brazil. elitojjr@hotmail.com
Objective:
To evaluate tubal patency using hysterosalpingography after clinical treatment of tubal pregnancy.
Method:
Of 80 patients who underwent hysterosalpingography after clinical treatment of tubal pregnancy from April 1994 to February 2002, 30 were treated with a single 50 mg/m(2) dose of methotrexate intramuscularly (n=30) and 50 were followed up expectantly.
Results:
Patency of the ipsilateral tube was 84% after methotrexate treatment and 78% after expectant management. In addition, contralateral tubal patency was 97% after methotrexate treatment and 92% after expectant management. There were no statistically significant differences between the groups.
Conclusion:
Findings from this study suggest similar tubal patency rates after methotrexate treatment and expectant management.
