Introduction: Ectopic pregnancy (EP) is one of the common complications in obstetrics and its appropriate diagnosis and treatment is remarkably important for maintaining the fertility ability and reducing the prevalence of repetitive EP. The present study was performed to determine the fertility outcome following surgical management of ectopic pregnancy.

Methods: One hundred patients with ectopic pregnancy who had been managed with surgical methods were assessed in a retrospective descriptive-analytic study. All the patients had undergone laparatomy. The consequences of the subsequent fertility in these patients were assessed as well as other variables such as age, parity, history of infertility, use of contraceptive methods, hemoperitoneum, cigarette smoking, presence of intra-abdominal adhesions, and history of pervious ectopic pregnancy.

Results: Seventy four percent (74 patients) had subsequent intrauterine pregnancy after the surgery. These patients had 88 pregnancies (14 patients had two pregnancies during the study period). Eighteen percent of patients had become infertile and 8% had a repetitive EP after the surgery.

Conclusion: There was a considerable relation between the previous history of EP (occurring before the surgical management) and the subsequent pregnancy outcome.

 Hakim Research Journal 2008 11(1): 9- 13.