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Research ArticleOriginal Article
Open Access

Factors affecting fertility following radical versus conservative surgical treatment for tubal pregnancy

Mumtaz Rashid, Samia H. Osman, Tariq Y. Khashoggi and Farouk A. Kamal
Saudi Medical Journal April 2001, 22 (4) 337-341;
Mumtaz Rashid
Department of Obstetrics & Gynecology, Security Forces Hospital, PO Box 3643, Riyadh 11481, Kingdom of Saudi Arabia. Tel. +966 (1) 4774480. Fax. +966 (1) 4764757.
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Samia H. Osman
Department of Obstetrics & Gynecology, Security Forces Hospital, Riyadh, Kingdom of Saudi Arabia.
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Tariq Y. Khashoggi
Department of Obstetrics & Gynecology, Security Forces Hospital, Riyadh, Kingdom of Saudi Arabia.
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Farouk A. Kamal
Department of Obstetrics & Gynecology, Security Forces Hospital, Riyadh, Kingdom of Saudi Arabia.
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Abstract

OBJECTIVE: The aim of this study was to analyze the fertility prognosis after conservative or radical surgery for ectopic pregnancy. Also, to identify any biological factors that may influence the fertility outcome after an ectopic pregnancy.

METHODS: A retrospective study which was carried out by collating information from the patient's hospital records was performed on 137 cases of confirmed ectopic pregnancy between January 1990 and December 1995 at the Security Forces Hospital Riyadh, Kingdom of Saudi Arabia. The outcome measure of term pregnancy rate and repeat ectopic pregnancy rate was analyzed up to 3 years after the diagnosis of index ectopic pregnancy.

RESULTS: Our results showed that the term pregnancy rates were not significantly different following radical or conservative surgical treatments for ectopic pregnancy, P >0.05, (50% in the conservative group compared with 56% in the radical group). But equally important, the risk of a further ectopic was not increased in the radical surgery group, P >0.05 (11% in the conservative group as compared to 8% in the radical group). The incidence of intrauterine pregnancy rate (term pregnancy + miscarriage) was also comparable in each group. Multivariate regression analysis showed that the factors associated with higher fertility were age 30 years or less, past history of term pregnancy and a negative history of infertility (P <0.05).

CONCLUSION: No significant difference in intrauterine pregnancy rates or repeat ectopic pregnancy rates were found after radical or conservative surgical treatment for tubal pregnancy. The patient's age, previous obstetric performance and a history of infertility significantly influenced fertility following the index ectopic pregnancy.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 22 (4)
Saudi Medical Journal
Vol. 22, Issue 4
1 Apr 2001
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Factors affecting fertility following radical versus conservative surgical treatment for tubal pregnancy
Mumtaz Rashid, Samia H. Osman, Tariq Y. Khashoggi, Farouk A. Kamal
Saudi Medical Journal Apr 2001, 22 (4) 337-341;

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Factors affecting fertility following radical versus conservative surgical treatment for tubal pregnancy
Mumtaz Rashid, Samia H. Osman, Tariq Y. Khashoggi, Farouk A. Kamal
Saudi Medical Journal Apr 2001, 22 (4) 337-341;
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© 2023 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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