The fertility sparing therapy in ectopic pregnancy

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064211%3A_____%2F23%3AW0000045" target="_blank" >RIV/00064211:_____/23:W0000045 - isvavai.cz</a>

Result on the web

<a href="https://dx.doi.org/10.48095/cccg202320" target="_blank" >https://dx.doi.org/10.48095/cccg202320</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.48095/cccg202320" target="_blank" >10.48095/cccg202320</a>

Result language

angličtina

Original language name

The fertility sparing therapy in ectopic pregnancy

Original language description

Objective: A review of current knowledge on the possibilities of fertility sparing therapy in case of ectopic pregnancy. Methods and results: Ectopic pregnancy is defined as implantation of an embryo outside the endometrial cavity, most often in the fallopian tube. This dia gnosis is very common among young women. Ectopic pregnancies can be treated using the following three approaches, which can be combined: expectantly, pharmacologically or surgically. Fertility-sparing salpingostomy may be performed during surgical treatment. Medical (pharmacological) treatment consists in the application of methotrexate with a success rate of 75-96%, depending on the initial level of the free beta subunit of human chorionic gonadotropin (13-hCG). This is a safe treatment with minimal side effects. There is no standardization of the blood 13-hCG level limits or of the size of the ectopic pregnancy mass for choosing expectant, surgical or medical treatment. A considerable increase in the rate of Cesarean sections over the last decades has led to an increase in the occurrence of the implantation of the gestational sac in the hysterotomy scar. There are several options to address this dia gnosis, but none is clearly preferred. This issue is also discussed in the article. Conclusion: The goal of ectopic pregnancy treatment is to choose a safe and effective therapy with a low incidence of side effects and maintaining the maximum fertility of women. Properly set indication criteria are most important when choosing the right option.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30214 - Obstetrics and gynaecology

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

CESKA GYNEKOLOGIE-CZECH GYNAECOLOGY

ISSN

1210-7832

e-ISSN

1805-4455

Volume of the periodical

88

Issue of the periodical within the volume

1

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

7

Pages from-to

20-26

UT code for WoS article

000988857100001

EID of the result in the Scopus database

2-s2.0-85149427719