Ectopic Pregnancy

2-3% of all pregnancies occur outside of the uterus, and are called ectopic pregnancies. The majority of these occur in the Fallopian tubes, and can be life threatening if not treated. Traditional treatment included removal of the entire fallopian tube. More recently, these tubal pregnancies have been managed conservatively, either by laparoscopic surgery or by medical treatment (Methotrexate). Any infertility patient with abnormal bleeding and pelvic pain should consider ectopic pregnancy as a real possibility, and should have a pregnancy test performed.