Recurrent ectopic pregnancy: A case report

At first ectopic pregnancy, the tubes must be preserved, but after two ectopic pregnancies with tubal surgery, instead of conservative surgery, the patient must be directed to assisted reproductive technology, if required.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: To present a case with four recurrent ectopic pregnancies and discuss the relevant literature.

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Key Findings & Data:Conclusion: In every recurrent ectopic pregnancy, the rate of spontaneous conception drops.

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Conclusion & Impact:At first ectopic pregnancy, the tubes must be preserved, but after two ectopic pregnancies with tubal surgery, instead of conservative surgery, the patient must be directed to assisted reproductive technology, if required.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Objective: To present a case with four recurrent ectopic pregnancies and discuss the relevant literature. Institution: SSK Ankara Maternity and Health Teaching Hospital Case: A patient who had a history of four abortions and three ectopic pregnancies presented with the fourth ectopic pregnancy. Because there was no response to medical therapy with methotraxate, salpengectomy was performed to prepare the patient for assisted reproductive technology. The management of recurrent ectopic pregnancies and fertility outcome is discussed. Conclusion: In every recurrent ectopic pregnancy, the rate of spontaneous conception drops. At first ectopic pregnancy, the tubes must be preserved, but after two ectopic pregnancies with tubal surgery, instead of conservative surgery, the patient must be directed to assisted reproductive technology, if required.

Özet

Amaç: Dört kez ektopik gebelik geçiren bir olguyu sunarak, tekrarlayan ektopik gebelik olgularına yaklaşımla ilgili literatürü tartışmak. Çalışmanın Yapıldığı Yer: SSK Ankara Kadın Hastalıkları ve Doğum Eğitim Hastanesi Materyal ve Metod: Dört abortus, üç ektopik gebelik öyküsü olan hastaya dördüncü ektopik gebelikle başvurması sonrasında metotreksat tedavisi uygulandı, ancak tedaviye cevap olmaması nedeniyle takiben salpenjektomi uygulanarak yardımcı üreme teknikleri için hazırlandı. Rekürren ektopik gebelik olgularına yaklaşım ve ektopik gebelik sonrası fertilite sonuçları literatür bilgileri ışığında tartışıldı. Sonuçlar:Tekrarlayan ektopik gebeliklerdeki düşen canlı doğum oranı göz önüne alındığında fertilite arzusu olan bu kadınlarda mümkün olduğunca tubalar korunmalıdır, ancak iki ve üzerinde tubal cerrahi geçiren olgularda organ koruyucu müdahale yerine, yardımcı üreme teknikleri için hazırlık düşünülmelidir.

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Cite This Article

HABERAL, A., KARADENİZ, R. S., ÇİL, A. P., HALICI, F., ARABACI, İ. E., ATAY, M. M. (2022). Recurrent ectopic pregnancy: A case report. Türk Fertilite Dergisi, Cilt: 12 - Sayı: 2, 151–155. https://ajindex.com/articles/623350

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