Abstract
Ectopic pregnancy is a polymorphic disorder, with difficult early diagnosis, and in late stages it determines serious complications, targeting obstetrical and vital prognosis of the patient. A precise and early diagnosis is supported on ultrasound and dosage of the b-hCG dynamics. The presence of b-hCG, the empty uterine cavity on ultrasound tests, the detection of a periuterine tumor mass leads to the diagnosis of ectopic pregnancy. The treatment of ectopic pregnancy is a medical and surgical one. The medical treatment is preferred by most clinicians when it is possible. Our study aims to diagnose and monitor the tubal ectopic pregnancy under methotrexate treatment through biochemical marker hormone b-hCG and progesterone dosing in dynamics. Success or failure rate of the conservatively treatment with methotrexate depends on the initial b-hCG value. The purpose to spare fertility of the young women who want to procreate has led us to avoid surgery and give more weight to curative therapeutic behavior.
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