Reproductive outcome after laparoscopic local methotrexate injection for tubal pregnancy.

OBJECTIVE

To evaluate reproductive outcome after laparoscopic local methotrexate (MTX) injection for tubal pregnancy.

DESIGN

Follow-up was performed after 77 women were treated with local MTX injection between January 1, 1987 and December 31, 1990.

SETTING

Department of Obstetrics and Gynecology in a university medical center.

MAIN OUTCOME MEASURES: Concise patient details about tubal patency in hysterosalpingography, pelvic findings at laparoscopy or laparotomy performed after the treatment, and the intrauterine and extrauterine pregnancy rates (PRs) are given.

RESULTS

Intrauterine PR of 67% and extrauterine PR of 13% were achieved.

CONCLUSION

Local MTX injection does not modify tubal or pelvic anatomy and does not impair subsequent reproductive performance.