The management of ectopic pregnancy

The methods used for the diagnosis and management of ectopic pregnancy have developed over the past 10 years. Improved ultrasound and rapid access to serum human chorionic gonadotrophin monitoring have increased the accuracy of diagnosis. Laparoscopic surgery, rather than open surgery, is now the main method of treatment. The medical treatment of ectopic pregnancy in the form of methotrexate therapy is popular in a number of centres. The effects on future fertility and the recurrence rate of ectopic pregnancies will alter patients' preference for treatment.