In nonemergency cases, mini-laparotomy or laparoscopy may be alternative surgical methods. Such alternatives have similar outcomes, however, they are less invasive and are available at a lower cost because they require minimal hospitalization or outpatient treatment. In such cases, methotrexate is administered with careful outpatient monitoring of the woman and serial quantitative HCGs and CBCs. Some women fail to become pregnant again, while others become pregnant and spontaneously abort during the first trimester. Rupture, with resulting hemorrhage leading to shock and possible death, is the most common complication.
Ectopic pregnancy can occur in any woman who is sexually active, regardless of contraceptive use.
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