FERTILITY AFTER ECTOPIC PREGNANCY - FIRST RESULTS OF A POPULATION-BASED COHORT STUDY IN FRANCE

The purpose of this paper was to evaluate the reproductive outcome aft er ectopic pregnancy (EP) from a population-based register in the cent re of France. Since 1992, all the women aged 15-44 years, who permanen tly reside in the target area and who were treated either by surgical or medical procedures for an ectopic pregnancy in one of the area cent res, have been registered and prospectively followed until 45 years of age, The analysis presented was based on the 155 women registered bet ween January 1992 and March 1994 who were followed up for at least 6 m onths, and who were seeking a new pregnancy, The mean follow-up period was 16 months. A total of 102 women (66%) obtained a pregnancy. The f irst conception was intrauterine for 92 women, and 10 had a recurrence of ectopic pregnancy, Risk factors of recurrence were prior spontaneo us abortion and prior tubal damage, For those women who conceived, the mean time to obtain pregnancy ('time to pregnancy') was 4.8 months, T he 1 year cumulative intrauterine pregnancy rate (i.e. the probability of obtaining an intrauterine pregnancy within 1 year of seeking pregn ancy) was 70%, After multivariate analysis by a Cox regression, the fa ctors associated with higher fertility were age < 30 years, high educa tional level and no prior tubal damage.