ABSTRACT

Ectopic pregnancy occurs in approximately 0.5%–1.0% of all pregnancies, but this gure rises to approximately 5% after assisted conception therapies and to 20%– 30% in women with tubal damage after tubal surgery or a past history of ectopic pregnancy. A past history of pelvic infection accounts for approximately 40% of ectopic pregnancies. It has been argued that women with signicant tubal damage should be sterilised before they commence in vitro fertilisation (IVF) (see below). It is therefore important to understand the modern management of ectopic pregnancy to minimise any compromise of future fertility.