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2-3% of all pregnancies occur outside of the uterus, and are called ectopic pregnancies.
The majority of these occur in the Fallopian tubes, and can be life threatening
if not treated. Traditional treatment included removal of the entire fallopian tube.
Tubal pregnancies are now managed conservatively, by laparoscopic surgery by linear
salpingostomy where in the tube is conserved. Only in cases where the tube is damaged
beyond repair, a salpingectomy is done. Methotrexate is given in some selected cases.
Any infertility patient with abnormal bleeding and pelvic pain should consider ectopic
pregnancy as a real possibility, and should have a pregnancy test performed
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