Gynecology Obstetrics & Reproductive Medicine (Apr 2016)

Beta-Human Chorionic Gonadotropin and Uterine Artery Doppler Measurements for the Prediction of Success of Single Dose Methotrexate Treatment in Tubal Ectopic Pregnancies

  • Kılıç Çiğdem,
  • Mehmet Metin Altay,
  • Tuğba Kınay,
  • Metin Kaplan,
  • Serap Fırtına Tuncer,
  • Enis Özkaya,
  • Ahmet Okyar Erol,
  • Orhan Gelişen

DOI
https://doi.org/10.21613/gorm.2016.90
Journal volume & issue
Vol. 22, no. 1

Abstract

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Objectives: To evaluate the impact of the uterine artery Doppler values and the change of β-Human chorionic gonadotropin (β-HCG) levels from day 0 to day 4 for prediction of the success of single dose methotrexate treatment in tubal pregnancy cases. Study Design: 50 patients with tubal pregnancy were included the prospective study. The location and size of ectopic pregnancy, bilateral uterine artery pulsed color doppler imaging was examined by ultrasonography and serum β-HCG levels were measured on day 0, 4, 7 of treatment. Success was defined as decrease of β-HCG level 15.04% on day 4, single-dose methotrexate therapy were 3.82 times more successful than the group without > 15.04% β-HCG decrease. However, no significant alteration of uterine artery Doppler measurements was determined on the same days. Conclusion: Reduction rate in the β-HCG level on day 4 of treatment can be used in determination the success of single-dose methotrexate therapy.

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