REPRODUCTIVE OUTCOME AFTER LAPAROSCOPIC LOCAL METHOTREXATE INJECTION FOR TUBAL PREGNANCY

Objective: To evaluate reproductive outcome after laparoscopic local m ethotrexate (MTX) injection for tubal pregnancy. Design: Follow-up was performed after 77 women were treated with local MTX injection betwee n January 1, 1987 and December 31, 1990. Setting: Department of Obstet rics and Gynecology in a university medical center. Main Outcome Measu res: Concise patient details about tubal patency in hysterosalpingogra phy, pelvic findings at laparoscopy or laparotomy performed after the treatment, and the intrauterine and extrauterine pregnancy rates (PRs) are given. Results: Intrauterine PR of 67% and extrauterine PR of 13% were achieved. Conclusion: Local MTX injection does not modify tubal or pelvic anatomy and does not impair subsequent reproductive performa nce.