[Ectopic pregnancy: criteria to choose therapy]

Contracept Fertil Sex. 1995 Mar;23(3):192-8.
[Article in French]

Abstract

The ectopic pregnancy (EP) could be treated by spontaneous resolution, or medical treatment or laparoscopic treatment. Spontaneous resolution of EP with beta hCG < 1,000 mUl/ml, plasmatic progesterone < 5 ng/ml had 74% success rate. Methotrexate (MTX) injection is the common Medical treatment of EP with beta hCG < or = 5,000 mUl/ml and mean diameter of EP < or = 3 cm: a single dose of 50 mg/m2 or 1 mg/kg intramuscular injection had 93.4% success rate; local injection under sonographic control (1 mg/kg) had 80.2% success rate. The surgical conservative treatment by laparoscopy had 94% success rate.

Publication types

  • Review

MeSH terms

  • Chorionic Gonadotropin / blood
  • Chorionic Gonadotropin, beta Subunit, Human
  • Clinical Protocols
  • Female
  • Humans
  • Laparoscopy
  • Methotrexate / therapeutic use
  • Peptide Fragments / blood
  • Pregnancy
  • Pregnancy Outcome
  • Pregnancy, Ectopic / blood
  • Pregnancy, Ectopic / diagnostic imaging
  • Pregnancy, Ectopic / therapy*
  • Progesterone / blood
  • Ultrasonography

Substances

  • Chorionic Gonadotropin
  • Chorionic Gonadotropin, beta Subunit, Human
  • Peptide Fragments
  • Progesterone
  • Methotrexate