ABSTRACT
A 33-year-old woman with a history of tubal sterilisation, presented to our gynaecological emergency unit with acute abdominal pain and signs of peritonism. The first day of her last menstruation occurred 4 weeks and 4 days before. Urine pregnancy test was positive and transvaginal ultrasound revealed an empty uterus with a heterogeneous mass below the right ovary. We performed a laparoscopy, which confirmed a previous isthmic partial salpingectomy and the presence of an ectopic pregnancy in the right distal remnant tube. Total salpingectomy of the remnant parts of the tube was performed and the postoperative course was uneventful.
Subject(s)
Pregnancy, Tubal/surgery , Salpingectomy , Sterilization, Tubal , Adult , Female , Humans , PregnancyABSTRACT
Women rely on complete and precise information given by doctors and family planning consultants for choosing a suitable contraceptive. Available hormonal contraceptives in Switzerland are presented. Personal and family history are essential for evaluating medical contraindications to combined hormonal methods. Combined pills, vaginal hormonal rings and combined patches share the same contraceptive effects, contraindications and overall cardiovascular risks. Prescribers should prefer second generation pills because of lower risks of venous thromboembolic disease. Non oral methods are generally associated with improved compliance and in the case of vaginal rings, with fewer side effects. Progestogen only contraceptives (pills, implants and intrauterine devices) can be used in patients with known intolerance and/or contraindications to estrogens.
