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. 1991 Jun;19(6):453-9.

[Fertility after ectopic pregnancy. III. The prognostic role of antecedents]

[Article in French]
J L Pouly, C Chapron, G Mage, M Canis, A Wattiez, H Manhes, M A Bruhat
  • PMID: 12343223

[Fertility after ectopic pregnancy. III. The prognostic role of antecedents]

[Article in French]
J L Pouly et al. Contracept Fertil Sex (Paris). 1991 Jun.

Abstract

PIP: Fertility after conservative laparoscopic treatment for ectopic pregnancy (EP) was studies in 223 patients based on the existence of either past EP, salpingitis, having a single tube, or sterility. These factors impact significantly on fertility rate. The global fertility rate is statistically much higher for patients who do not fit into any of these categories (group a-101 patients) compared to patients with 1 or more criteria (group B-122 patients). For each group, the compared intrauterine pregnancy rate is 90% (91 cases) for group A and 42.6% (52 cases) for group B (p001). The compared ectopic recurrence rate is 5% (5 cases) in group A and 18% (22 cases) in group B (0.001p0.01). The rate of sterility was only 5% (5 cases) in group A as compared to 39.4% (48 cases) in group b (p0.001). Moreover, the fertility rate for patients with 1 or more of the above mentioned criteria is significantly much lower that that of patients without any of the factors examined. This is a significant difference when intrauterine rate, ectopic recurrence rate, and sterility rate are each examined separately. A positive past history for these criteria also affects cumulative intrauterine pregnancy (IUP) rate. For all patients, cumulative IUP rate is 54.60% at 2 years. For patients in group A, this rate increased up to 75.70%. For patients with 1 of these factors, the cumulative IUP rate is only between 12.90% and 25.50%. Finally, these factors delay the onset of subsequent intrauterine pregnancy. Globally, 70% of all IUP occurred with 2 years after the conservative laparoscopic treatment for EP. This rate is 83.20% for patients without any of these factors and 50% for those with at least 1 factor. (author's modified)

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