Advice on ectopic pregnancy

The first randomised trial large enough to detect a difference in outcomes depending on whether patients had medical or surgical treatments should give women confidence about their future fertility, the authors suggested.

In the trial of 406 women in France, about half had less active EP (defined by Fernandez’s score) and were randomised to treatment with methotrexate injection alone or methotrexate plus salpingostomy.

Patients with active EP were put in a second arm of the trial and randomised to either a