GAMETE INTRAFALLOPIAN TRANSFER IN WOMEN WHO HAD ECTOPIC PREGNANCY PREVIOUSLY

Eighty-seven women who had previously had ectopic pregnancy underwent 111 gamete intrafallopian transfers (GIFT). Forty-one women had modera te or severe pelvic adhesions, eight had mild pelvic adhesions, and 18 had had the fallopian tubes surgically repaired. The remaining 20 wom en had no obvious pelvic abnormality except for the absence of one fal lopian tube. After stimulation of super-ovulation, between two and 22 oocytes were retrieved and two to four were transferred into the fallo pian tubes after careful assessment of their condition. Twenty-eight p regnancies were achieved (25.2% per cycle), with 23 live births (20.7% per cycle), four abortions (14.3% of all pregnancies), and one ectopi c pregnancy (3.6% of all pregnancies, 0.9% per cycle). This experience shows that GIFT can safely produce a reasonable pregnancy rate in car efully selected women who have had ectopic pregnancy.