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Previous Volume 343:1325-1329 November 2, 2000 Number 18 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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In the United States, the annual incidence of ectopic pregnancy increased from 0.37 percent of pregnancies in 1948 to 1.97 percent in 1992.¹ Despite the continued increase in incidence, the rate of death from ectopic pregnancy declined almost 90 percent from 1979 to 1992.² This decrease is primarily the result of earlier diagnosis, before tubal rupture. Earlier diagnosis is made possible by the availability of sensitive and specific radioimmunoassays for human chorionic gonadotropin, serum progesterone screening, high-resolution transvaginal ultrasonography, and laparoscopy. The earlier diagnosis of unruptured ectopic pregnancy also allows the use of more conservative treatment options that preserve the . . . [Full Text of this Article]

Diagnosis

Chorionic Gonadotropin Levels

Serum Progesterone

Transvaginal Ultrasonography

Suction Curettage

Laparoscopy

Medical Therapy

Predictors of the Success of Therapy

Complications of Methotrexate Therapy

Pain

Formation of Hematomas

Conclusions

Source Information

From the Division of Gynecology, Department of Obstetrics and Gynecology, University of Tennessee, Memphis.

References

This article has been cited by other articles:

• Lin, E. P., Bhatt, S., Dogra, V. S. (2008). Diagnostic Clues to Ectopic Pregnancy1. RadioGraphics 28: 1661-1671 [Abstract] [Full Text]  
• Yin, A., Ng, E.H.Y., Zhang, X., He, Y., Wu, J., Leung, K.Y. (2007). Correlation of maternal plasma total cell-free DNA and fetal DNA levels with short term outcome of first-trimester vaginal bleeding. Hum Reprod 22: 1736-1743 [Abstract] [Full Text]  
• Chiang, G., Levine, D., Swire, M., McNamara, A., Mehta, T. (2004). The Intradecidual Sign: Is It Reliable for Diagnosis of Early Intrauterine Pregnancy?. Am. J. Roentgenol. 183: 725-731 [Abstract] [Full Text]  
• Cohen, H. L., Moore, W. H. (2004). History of Emergency Ultrasound. J Ultrasound Med 23: 451-458 [Full Text]  
• Doubilet, P. M., Benson, C. B., Frates, M. C., Ginsburg, E. (2004). Sonographically Guided Minimally Invasive Treatment of Unusual Ectopic Pregnancies. J Ultrasound Med 23: 359-370 [Abstract] [Full Text]  
• Coldwell, C. A. (2002). Transvaginal Sonographic Diagnosis of Unilateral Tubal Ectopic Pregnancy in Dichorionic Twins. Journal of Diagnostic Medical Sonography 18: 409-411 [Abstract]  
• Shalev, E., Ben-Shlomo, I., Lipscomb, G. H. (2001). Treatment of Ectopic Pregnancy. NEJM 344: 384-385 [Full Text]