Hysterosalpingography (HSG) findings after different treatment modalities of tubal ectopic pregnancy.

Ramadan, Ahmed Mohammed; Ali, Essam Ibrahim; ABDELMALEK, AHMAD; Mohamed, Mohamed Ahmed; Elkhateeb, Reham

doi:10.21608/mjmr.2025.355564.1891

Hysterosalpingography (HSG) findings after different treatment modalities of tubal ectopic pregnancy.

Articles in Press

Document Type : Original Article

Authors

¹ department of obstetrics and gynecology, faculty of medicine, Minia university, Egypt

² Department of Obstetrics and Gynecology, Faculty of Medicine, Minia University, Egypt

³ Obstetrics and Gynecology, faculty of medicine, Minia university, Minia, Egypt

⁴ Obstetrics and Gynecology, Faculty of Medicine – Minia University, Egypt

⁵ Obstetrics and Gynecology, Faculty of medicine, Minia university

10.21608/mjmr.2025.355564.1891

Abstract

ABSTRACT

Objective: to assess Hysterosalpingography findings after different management modalities of tubal ectopic pregnancy (EP).

Methods: the current study involved 159 patients known as cases of tubal EP between December 2020 and November 2021 and actively planned to conceive following the EP. They were divided into three groups according to type of treatment: Group A (81 cases), treated surgically; Group B (34 cases), medically managed; and Group C (44 cases), observational treatment. All patients failed to conceive subsequently subjected to hormonal profile and hysterosalpingeography (HSG).

Results: Among 159 patients, 81cases (50.94%) had surgical treatment, 44 cases (27.67%) had expectant management, 34 cases (21.38%) had medical treatment. Regarding hysterosalpingography findings, the highest incidence of tubal damage was in the surgical group in the form of adhesions or block.

Conclusions: The risk of tubal damage was higher in the surgically treated patients compared to other treated groups and more susceptible to tubal complications.

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