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Factors influencing fertility after ectopic pregnancy
Abstract:
Seventy-one cases of ectopic pregnancies that had been treated by salpingectomy or salpingo-oophorectomy were evaluated. All patients were attempting pregnancy after the surgical procedure. During a follow-up that ranged from 3 to 13 years the overall conception rate was 62%. Excluding the ectopic pregnancies, the uterine pregnancy rate was 52%. The repeat ectopic pregnancy rate was 12.6%. The uterine pregnancy rate was higher for patients treated by salpingectomy (p less than 0.02). The repeat ectopic pregnancy rate was similar after salpingectomy and salpingo-oophorectomy. The uterine pregnancy rate in women with a previous history of pelvic inflammatory disease was poor (19%), and those patients had a high incidence of recurrent ectopic pregnancy (27%). The pregnancy rate was higher in women who were under age 25 at the time of the ectopic pregnancy. Parity did not have an effect on future fertility.
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