000 03228nam a22005177a 4500
008 140821s20142014 xxu||||| |||| 00| 0 eng d
022 _a0015-0282
040 _aOvid MEDLINE(R)
099 _a24269042
245 _aOvarian reserve and subsequent assisted reproduction outcomes after methotrexate therapy for ectopic pregnancy or pregnancy of unknown location.
251 _aFertility & Sterility. 101(2):413-9, 2014 Feb.
252 _aFertil Steril. 101(2):413-9, 2014 Feb.
253 _aFertility and sterility
266 _d2014-08-21
501 _aAvailable online from MWHC library: 1997 - present, Available in print through MWHC library:1999-2007
520 _aCONCLUSION(S): Ovarian reserve and subsequent ART cycle outcomes were reassuring after methotrexate or surgical management of ectopic pregnancy. No adverse impact of methotrexate was detected in this large fertility cohort as has been previously described elsewhere. Published by Elsevier Inc.
520 _aDESIGN: Retrospective cohort study.
520 _aINTERVENTION(S): None.
520 _aMAIN OUTCOME MEASURE(S): Follicle-stimulating hormone (FSH), antral follicle count (AFC), and oocyte yield compared between women treated with methotrexate or surgery, with secondary outcomes of clinical pregnancy and live birth.
520 _aOBJECTIVE: To assess ovarian reserve after methotrexate treatment for ectopic pregnancy or pregnancy of unknown location after assisted reproductive technology (ART).
520 _aPATIENT(S): Women receiving methotrexate or surgery after ART.
520 _aRESULT(S): There were 153 patients in the methotrexate group and 36 patients in the surgery group. Neither group demonstrated differences in ovarian reserve or oocyte yield in a comparison of the before and after treatment values. The 20140821 in ovarian reserve and oocyte yield after treatment were similar between the two groups. The number of doses of methotrexate was not correlated with 140821s in ovarian reserve, indicating no dose-dependent effect. Time between treatment and repeat ART was not correlated with outcomes. Live birth in subsequent cycles was similar in the two groups.
520 _aSETTING: Large ART practice.
546 _aEnglish
650 _a*Methotrexate/tu [Therapeutic Use]
650 _a*Oocyte Retrieval/td [Trends]
650 _a*Pregnancy, Ectopic/dt [Drug Therapy]
650 _a*Pregnancy, Ectopic/su [Surgery]
650 _a*Reproductive Techniques, Assisted/td [Trends]
650 _aAdult
650 _aCohort Studies
650 _aFemale
650 _aHumans
650 _aPregnancy
650 _aPregnancy, Ectopic/di [Diagnosis]
650 _aRetrospective Studies
650 _aTreatment Outcome
651 _aMedStar Washington Hospital Center
656 _aObstetrics and Gynecology
657 _aJournal Article
657 _aResearch Support, N.I.H., Extramural
700 _aCooper, Janelle
790 _aAlford C, Cooper JC, DeCherney AH, Hill MJ, Katz CL, Levens ED, Levy G, Richter KS, Wolff EF
856 _uhttp://dx.doi.org/10.1016/j.fertnstert.2013.10.027
_zhttp://dx.doi.org/10.1016/j.fertnstert.2013.10.027
942 _cART
_dJournal article
999 _c12261
_d12261