Ectopic pregnancy and endometriosis

A Palatyński, J Gruszczynska-Walczak
In: Geburtshilfe und Frauenheilkunde · 2007 · vol. 67(09) · doi:10.1055/s-2007-989175 · W2725612006
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This study evaluated the reproductive outcomes of 66 women who underwent surgical treatment for ectopic pregnancy and concurrent external genital endometriosis. The patients, averaging 30 years old, received tubal surgery to address the pregnancy followed by thermocoagulation of visible endometriotic implants or ovarian reconstruction in one case. Postoperative hormonal therapy with Danazol, Decapeptyl, or Zoladex was administered for six months, resulting in a 75.1% pregnancy rate within one to three years of follow-up. Although ten spontaneous abortions occurred, only one recurrent ectopic pregnancy was observed in an unoperated tube, indicating generally favorable fertility preservation. This paper is centrally about endometriosis — specifically its co-occurrence with ectopic pregnancy and the impact of combined surgical and hormonal management on subsequent conception rates.

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Abstract

66 women were operated for tubal pregnancy in which endometriosis genitalia externa was diagnosed. Patients were average 30,0 year-old (from 22 to 36). In 32 patients tubal excision of partially damaged fallopian tube was carried out, and in remaining ones the pregnancy was removed by tubal incision or excision of damaged wall and end-to-end anastomosis. In all patients the thermocoagulation of all visible endometriotic implants was performed and in one woman ovarian endometriosis was excised and ovarian reconstruction performed. Hormonal treatment was carried out by use Danazol, Decapeptyl, Zoladex for half a year. During 1–3 year-follow-up 50 out of 66 women were pregnant, that is 75,1% of treated women. The spontaneous abortion appeared in 10 cases (15,1%) and one ectopic tubal pregnancy in unoperated fallopian tube was noted.
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Subscribe to RSS DOI: 10.1055/s-2007-989175 Ectopic pregnancy and endometriosis 66 women were operated for tubal pregnancy in which endometriosis genitalia externa was diagnosed. Patients were average 30,0 year-old (from 22 to 36). In 32 patients tubal excision of partially damaged fallopian tube was carried out, and in remaining ones the pregnancy was removed by tubal incision or excision of damaged wall and end-to-end anastomosis. In all patients the thermocoagulation of all visible endometriotic implants was performed and in one woman ovarian endometriosis was excised and ovarian reconstruction performed. Hormonal treatment was carried out by use Danazol, Decapeptyl, Zoladex for half a year. During 1–3 year-follow-up 50 out of 66 women were pregnant, that is 75,1% of treated women. The spontaneous abortion appeared in 10 cases (15,1%) and one ectopic tubal pregnancy in unoperated fallopian tube was noted.

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