Medical treatment of ectopic pregnancy

Methotrexate is an alternative to surgical treatment of unruptured tubal pregnancy. Among 39 women with the diagnosis of tubal pregnancy there were ten cases without rupture of the salpinx. Nine out of these were treated with methotrexate. In one case there was a tubal rupture immediately after the termination of the treatment. There were no major side effects from the treatment with methotrexate. Tubal patency was tested for laparoscopically three months after the treatment. There was patency of all previously affected tubes.