H. Masuyama et al. / Open Journal of Obstetrics and Gynecology 3 (2013) 711-716 715
pregnancy can be considered among patients desiring
future childbearing, but further studies are needed to
elucidate the effect of UAE on pregnancy outcomes.
5. CONCLUSION
In conclusion, MTX therapy in combination with UAE
can be considered as an option before hysterectomy,
with counseling about the risk of loss of fertility in pa-
tients with cervical pregnancy. Careful observations of
GS size and hCG levels during MTX therapy might be
important for management. Because more cases are
being detected earlier with first-trimester ultrasono-
graphy and with the increased incidence with assisted
reproductive technology, cervical pregnancy is becom-
ing a more commonly encountered clinical situation.
The use of MTX in combination with UAE for the con-
servative management of a cervical pregnancy in pa-
tients desiring to preserve their fertility should be con-
sidered strongly.
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