Reproductive Outcome After Intramuscular Methotrexate Treatment of Ectopic Pregnancy

Kim, J N; Oh, S K; Roh, K Y; Kim, Y C; Kim, K J; Lee, C M; Choi, S H; Choi, Y D

Abstract

Methotrexate is known as one of the most useful drugs in the treatment of unruptured ectopic pregnancy, But little is known on the effect of the later fecundability. So, we had clinical observation on the reproductive outcome of the 97 ectopic pregnancies after MTX treatmrnt at Gill Medical Center Hospital from the period of July 1993 to January 1997, retrospectively. The results were as follows : 1. Overall pregnancy rate was 87.6% with 85 pregnancies among 97patients, spontaneous abortion rate was 9.4%, ectopic pregnancy rate was 3.5%. 2. Overall fallopian tubal patency rate was 90.8% with 173 tubes of 97 patients. 154 tubes in 76 cases of bilateral tubal group patency rate was 92.1%. 21 tubes in 21 cases of unilateral tubal group patency rate was 81.0%. 3. In 61 patients of HSG group, 55 pregnancies was noticed with 90.2% of pregnancy rate. 4. In 24 patients of nonHSG group, 19 pregnancies was noticed with 79.2% of pregnancy rate. 5. In 68 patients of bilateral tubal group, 60 pregnancies were revealed with 88.2% pregnancy rate. 6. In 17 patients of unilateral tubal group, 14 preganacies were revealed with 82.3% pregnancy rate.