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Previous Volume 329:1174-1181 October 14, 1993 Number 16 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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Ectopic pregnancy may be the only life-threatening disease in which prevalence has increased as mortality has declined¹. The most prominent theory to explain this phenomenon involves technological advances that allow the diagnosis of pregnancy before menses are missed, combined with a heightened awareness and aggressiveness on the physician's part in acting on increased suspicion. An estimated 88,400 ectopic pregnancies were diagnosed in the United States in 1989; thus, this is a problem commonly encountered by physicians caring for women of reproductive age¹. As diagnosis occurs earlier in gestation, the therapeutic alternatives are changing.

Laparotomy, once the standard of . . . [Full Text of this Article]

Early Diagnosis

Single Measurements of Serum Progesterone

Serial Serum -hCG Measurements

Transvaginal Ultrasound

Uterine Curettage

Surgical Treatment

Medical Treatment

Systemic Methotrexate

Methotrexate by Direct Injection

Methotrexate by Tubal Cannulation

Prostaglandins by Direct Injection

Expectant Management

The Benefits of Surgical and Medical Therapy

Conclusions

Source Information

From the Division of Reproductive Endrocrinology and Infertility, Department of Obstetrics and Gynecology, the University of Tennessee, Memphis, 956 Court Ave., Rm. D324, Memphis, TN 38163, where reprint requests should be addressed to Dr. Carson.

References

Related Letters:

Ectopic Pregnancy
Abbott J., Roe J., Budenholzer B., Scaletta T., Kaplan B. C., Salzberg M. R., Kendig J. W., Howard F. M., Janas J. S., Carson S. A., Buster J. E.
Extract | Full Text  
N Engl J Med 1994; 330:712-714, Mar 10, 1994. Correspondence

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• Abbott, J., Roe, J., Budenholzer, B., Scaletta, T., Kaplan, B. C., Salzberg, M. R., Kendig, J. W., Howard, F. M., Janas, J. S., Carson, S. A., Buster, J. E. (1994). Ectopic Pregnancy. NEJM 330: 712-714 [Full Text]