Factors influencing fertility after ectopic pregnancy.
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.
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002369:Castration; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D005298:Fertility; D005500:Follow-Up Studies; D006801:Humans; D000292:Pelvic Inflammatory Disease / Q000150:complications; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000150:complications* / Q000209:etiology; D011272:Pregnancy, Multiple; D011274:Pregnancy, Tubal / Q000150:complications; D012008:Recurrence; D013997:Time Factors