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Practice Guideline
. 2013 Sep;100(3):638-44.
doi: 10.1016/j.fertnstert.2013.06.013. Epub 2013 Jul 10.

Medical treatment of ectopic pregnancy: a committee opinion

Practice Committee of American Society for Reproductive Medicine
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Free article
Practice Guideline

Medical treatment of ectopic pregnancy: a committee opinion

Practice Committee of American Society for Reproductive Medicine. Fertil Steril. 2013 Sep.
Free article

Abstract

Methotrexate, a folic acid antagonist, is an effective treatment for early unruptured ectopic pregnancy. Several treatment regimens are available. Methotrexate is more effective when used to treat ectopic pregnancies with lower human chorionic gonadotropin (hCG) levels. However, there is no consensus on a threshold value that best predicts success or failure. Methotrexate can be used to treat ectopic pregnancies that occur in cornual, cervical, and cesarean scar locations, and it does not adversely affect ovarian reserve or subsequent fertility. This document replaces the previous document of the same name, last published in 2008 (Fertil Steril 2008;90:S206-12).

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Comment in

  • Medical treatment of ectopic pregnancy.
    Infante F, Menakaya U, Condous G. Infante F, et al. Fertil Steril. 2014 Mar;101(3):e16. doi: 10.1016/j.fertnstert.2013.12.013. Epub 2014 Jan 11. Fertil Steril. 2014. PMID: 24424361 No abstract available.
  • Reply of the authors.
    Practice Committee; Pfeifer S. Practice Committee, et al. Fertil Steril. 2014 Mar;101(3):e17. doi: 10.1016/j.fertnstert.2013.12.014. Epub 2014 Jan 11. Fertil Steril. 2014. PMID: 24424362 No abstract available.

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