Ectopic pregnancies can be ended by administration of a drug, methotrexate; conservative surgery that preserves the fallopian tube; or radical surgery that removes it. Methotrexate may be used alone or combined with surgery....
....Within two years [of undergoing one of the three treatments], 67 percent of the women who had the drug alone became pregnant again, compared with 71 percent of those who had the medicine and conservative surgery. In the other group, pregnancy rates were 70 percent after conservative surgery with methotrexate, compared with 64 percent after radical surgery. None of these differences was statistically significant.
"The message is that women should be reassured that removing the fallopian tube does not affect future fertility," said an author of the study, Dr. Perrine Capmas, an obstetrician at Bicíªtre Hospital in Le Kremlin-Bicíªtre, near Paris. "It's important to take into account other factors — the woman's preference, for example — because fertility will be the same whatever treatment is used."
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