By Rozalynn S. Frazier, Oct 31, 2022
For more advanced ectopic pregnancies, in situations where a fallopian tube has ruptured, or for patients who have a preexisting condition that interferes with the use of methotrexate, surgery is typically needed, says Kecia Gaither, MD, and ob-gyn and the director of Perinatal Services and Maternal Fetal Medicine at NYC Health + Hospitals/Lincoln in the Bronx. In these cases, part or all of the fallopian tube may be removed; this can have consequences for future fertility, making it more difficult to get pregnant or necessitating in vitro fertilization. Ectopic pregnancies that occur outside of the fallopian tube, which have a higher risk of fatality than tubal pregnancies, may be treated medically or with surgery, depending on the location and progression, reports the journal Fertility Research and Practice.
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