Hysterosalpingography After Methotrexate Treatment for Ectopic Pregnancy
Author Information
Author(s): Emma Garcia Grau, Miguel Ángel Checa Vizcaíno, Mário Oliveira, Judith Lleberia Juanós, Ramon Carreras Collado, Yolanda Canet Estevez
Primary Institution: Corporació Sanitària Parc Taulí
Hypothesis
What is the usefulness of hysterosalpingography (HSG) after medical treatment for ectopic pregnancy in counseling women about future pregnancies?
Conclusion
Routine HSG following medical treatment for an ectopic pregnancy does not seem necessary, as it does not change the initial management in 97.2% of cases.
Supporting Evidence
- 72.2% of HSG results were normal.
- 91% of initial treatments were effective.
- 83.5% of women achieved a subsequent pregnancy.
- Only 2.8% of women with bilateral obstruction would benefit from HSG.
Takeaway
After treating an ectopic pregnancy, most women don't need a special test called HSG to check their tubes, but it can help some women who might need extra help to get pregnant.
Methodology
An observational retrospective study was performed, including women who underwent HSG after medical treatment for ectopic pregnancy.
Potential Biases
Potential selection bias due to the retrospective nature of the study.
Limitations
The study is retrospective, which may introduce bias, and only a small percentage of women may benefit from HSG.
Participant Demographics
Average age of participants was 30.27 years, with a range of 16 to 40 years.
Statistical Information
P-Value
0.025
Confidence Interval
95% CI 0.5–0.78
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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