ABSTRACT
To review and analyze the outcomes of various treatment modalities in women with ectopic pregnancy [EP] in a tertiary center between January 2006 and February 2011. Retrospective study. Duzce University Hospital, Turkey. The medical records of 116 women diagnosed with EP were reviewed retrospectively. Women were grouped based on the treatment modality: Expectant [Group I], Medical treatment with methotrexate [Group II] and Surgical [salpingostomy and salpingectomy] [Group III]. Demographic characteristics were analyzed and the success rates between the groups were compared. Success rates between groups based on treatment modality. Success rates for expectant, medical management with single dose of methotrexate, salpingostomy and salpingectomy were 66.7%, 79%, 92.7% and 100%, respectively. There was no difference between the success rates of laparoscopic salpingostomy and single dose methotrexate [p = 0.246]. Salpingectomy was more successful compared to expectant and medical managements [p = 0.003 and p = 0.040, respectively]. The highest success rate in EP was achieved by surgical treatment. However, expectant and medical treatment may eliminate the need for surgery in selected cases with low and / or decreasing initial beta-hCG levels