Local danazol injection for treatment of unruptured tubal pregnancy (preliminary experience)

In: European Journal of Obstetrics & Gynecology and Reproductive Biology · 1993 · vol. 49(3) , pp. 137–141 · doi:10.1016/0028-2243(93)90261-a · PMID:7691665 · W2159113297
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This study reports preliminary experience with local danazol injection as a treatment for unruptured tubal pregnancy.

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Abstract

Fifteen women with unruptured tubal pregnancies diagnosed by laparoscopy and ultrasound were treated with danazol 400 mg, injected directly into the affected tube. Study inclusion criteria were (i) a rising or plateauing level of serum beta human chorionic gonadotropin (hCG), (ii) a tubal swelling less than 3 x 3 cm, (iii) an intact tubal serosa and (iv) no active bleeding. The women were monitored with serial measurements of beta-hCG. All women responded to a single danazol injection, no treatment failures were observed. After 3 months, hysterosalpinography revealed tubal pateny on the involved side in 14 patients and in 1 patient the tube was blocked. Within 1 year after danazol therapy patients were attempting to or had conceived. Of these, there were 3 intrauterine pregnancies and 2 recurrent contralateral pregnancies.

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