Reproductive outcome after laparoscopic local methotrexate injection for tubal pregnancy

To evaluate reproductive outcome after laparoscopic local methotrexate (MTX) injection for tubal pregnancy. Follow-up was performed after 77 women were treated with local MTX injection between January 1, 1987 and December 31, 1990. Department of Obstetrics and Gynecology in a university medical center. Concise patient details about tubal patency in hysterosalpingography, pelvic findings at laparoscopy or laparotomy performed after the treatment, and the intrauterine and extrauterine pregnancy rates (PRs) are given. Intrauterine PR of 67% and extrauterine PR of 13% were achieved. Local MTX injection does not modify tubal or pelvic anatomy and does not impair subsequent reproductive performance.