From β-hCG values to counseling in tubal pregnancy: what do women want?

Lorenzo Sabbioni, Emanuela Carossino, Filiberto Maria Severi, Stefano Luisi

Research output: Contribution to journalReview articlepeer-review

Abstract

Tubal pregnancy represents an entity that every gynecologist will encounter during professional life. Because of the high prevalence among the pregnant population, standardized protocols are needed in order to choose the optimal strategy for each case. Accurate ultrasound pictures are supporting a more precise diagnosis of ectopic tubal pregnancy, the evolution of which should be closely monitored in follow-up with serial β-hCG values. Laparoscopy, intramuscular methotrexate, and active expectant management are all involved, however, tailoring the best treatment to the patient’s needs is the challenge to focus on. This manuscript describes how in routinary practice an evidence-based diagnostic process should be the key factor to go for the best possible management. When possible, a longsighted less invasive approach should be preferred, aiming to preserve the patient’s fertility for years to come. An optimal choice of the management should involve the patient or the couple in the decision-making process to reach the ultimate goal of compliance.

Original languageEnglish
Pages (from-to)1021-1026
Number of pages6
JournalGynecological Endocrinology
Volume35
Issue number12
DOIs
Publication statusPublished - Dec 2 2019
Externally publishedYes

Keywords

  • Counseling
  • laparoscopy
  • methotrexate
  • transvaginal ultrasound
  • tubal pregnancy
  • β-hCG

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology
  • Obstetrics and Gynaecology

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