Menstrual regulating aspiration and risk of ectopic pregnancy

ABSTRACT

Menstrual regulating aspiration is a procedure to induce menstruation when the women have menstrual delay of suspected pregnancy. It is indicated when the menstruation has delayed less than 14 days. In the other hand, the incidence of ectopic pregnancy has increased by 2-3 times during past decade. In comparison of history of menstrual regulating aspiration and ectopic pregnancy between married childbearing women, ectopic pregnancy-operated women and the women with intrauterine pregnancy, including 10,177 deliveries, 5240 induced abortions, 6749 menstrual regulating aspirations and 359 ectopic pregnancies, it is found that there was strong relationship between menstrual regulating aspirations and ectopic pregnancy with odd ratio of 2-4 times. However, this finding should be confirmed. Other risk factors for ectopic pregnancy are history of induced abortion and IUD insertion. Menstrual aspiration should be indicated for pregnancy that was diagnosed by HCG test and ultrasound to reduce the number of menstrual regulating aspirations