I have been twice rupture ethopic pregnancy. May I...

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Regarding ectopic pregnancy

What is the chance to have ectopic pregnancy after 2 previous ectopic pregnancies ?

The chance to have ectopic pregnancy again is 25%

What is the rate of infertility after ectopic pregnancies and is it linked to type of treatment ?

the rate of infertility is 50% that means you still have 50% chance to get pregnant again and the outcome of youe pregnancy is not linked to the type of treatment you have recieved previously , either medical or surgical treatment

Signs and symptoms of ectopic pregnancy :

Abdominal pain
absent period
Vaginal bleeding
Dizziness or weakness
Fever
Vomiting

The presence of the following signs suggests a surgical emergency:

Abdominal rigidity
Severe pain on touching abdomen
increase heart rate
decreased blood pressure

Diagnosis

Serum β-HCG levels
In a normal pregnancy, the β-HCG level doubles every 48-72 hours until it reaches 10,000-20,000mIU/mL. In ectopic pregnancies, β-HCG levels usually increase less. Mean serum β-HCG levels are lower in ectopic pregnancies than in healthy pregnancies.
Ultrasonography is one of the most important tools for diagnosing an extrauterine pregnancy.
Laparoscopy is indicated for patients who are in pain or unstable.

tratment of ectopic pregnancy

Expectant management
Methotrexate
Surgery
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