In the United States, the annual incidence of ectopic pregnancyincreased from 0.37 percent of pregnancies in 1948 to 1.97 percentin 1992.1 Despite the continued increase in incidence, the rateof death from ectopic pregnancy declined almost 90 percent from1979 to 1992.2 This decrease is primarily the result of earlierdiagnosis, before tubal rupture. Earlier diagnosis is made possibleby the availability of sensitive and specific radioimmunoassaysfor human chorionic gonadotropin, serum progesterone screening,high-resolution transvaginal ultrasonography, and laparoscopy.The earlier diagnosis of unruptured ectopic pregnancy also allowsthe use of more conservative treatment options that preservethe . . . [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
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