Cuatro años de experiencia en tratamiento médico del embarazo ectópico en el departamento de Paysandú

Introduction: In recent years there has been a decrease in deaths related to ectopic pregnancy, thanks to progress made in early diagnosis, which in turn allowed for medical treatment with methotrexate in selected patients.The study’s first objective is to report the experience of methotrexate treatment in the Department of Paysandu and its secondary objective is to determine users’ satisfaction towards this treatment and find about their subsequent fertility.Method: a retrospective, observational study is presented of tubal ectopic pregnancies treated with methotrexate in Paysandu, from January 1, 2014 to December 31, 2017, during a 4-year period. Failure of medical treatment was defined as the cases requiring surgical treatment and subsequent fertility was defined as the time it took to achieve a spontaneous intrauterine gestation. Results: 67 ectopic pregnancies were recorded in four years, 13 of which received intramuscular methotrexate with a success rate of 69.2%. Subsequent fertility was found to be 25%. Conclusions: methotrexate has been used to treat ectopic pregnancies in Paysandu for almost a decade, with good results and acceptable rates of user satisfaction.