title: Reproductive outcomes after medical and surgical management of ectopic pregnancy.
abstract: Ectopic pregnancies have a negative impact on future fertility. Prompt diagnosis is paramount to preserve tubal function and reproductive potential. Expectant, medical, and surgical management of ectopic pregnancies have similar efficacy in properly selected patients. Medical management has emerged as a safe alternative to surgery and holds promise for preservation of future fertility. Laparoscopic salpingostomy or salpingectomy remains the preferred means of surgical removal of ectopic pregnancies. The most predictive factor of future fertility is the health of the contralateral tube.
authors.affiliation: Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
authors.forename: Caroline
authors.initials: C
authors.lastname: Juneau
authors.forename: Gordon Wright
authors.initials: GW
authors.lastname: Bates
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000627:therapeutic use; D005260:Female; D059247:Fertility Preservation; D006801:Humans; D010535:Laparoscopy; D008727:Methotrexate / Q000627:therapeutic use; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000628:therapy*; D058994:Salpingectomy; D012489:Salpingostomy
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate