Reproductive outcome after expectant management of ectopic pregnancy

Objective: To study fertility rates following expectant management of clinically stable ectopic pregnancies. Study design: Twenty of 33 patients with laparoscopically confirmed aborting tubal pregnancies managed expectantly were followed for a period of 1-5 years (mean 2.7 years). Excluded were the patients not desiring pregnancy, and patients with known impediments to fertility, such as age > 40 years and previous infertility, as well as patients lost to follow-up. Results: Successful pregnancies occurred in 16 patients (80%); one patient (5%) had a repeat ectopic pregnancy. Conclusions: Expectant management is associated with a favorable reproduction outcome.