Balasch J, Ballesca J L, Fábregues F, Puerto B, Casamitjana R, Vanrell J A
Department of Obstetrics and Gynaecology, Faculty of Medicine, Hospital Clinic i Provincial, Barcelona, Spain.
Hum Reprod. 1992 Nov;7(10):1457-60. doi: 10.1093/oxfordjournals.humrep.a137594.
We report a case of a woman with ectopic pregnancy with fetal cardiac activity after ovulation induction and transvaginal intratubal insemination by tactile sensation. The patient was successfully treated by single-dose methotrexate (MTX) (77 mg or 50 mg/m2 given intramuscularly). Control hysterosalpingograms showed no tubal patency on the involved side. Potential advantages and hazards of transvaginal intratubal insemination and single-dose MTX for ectopic pregnancy are discussed.
