Resumption of ovulation after ectopic pregnancy
N M Spirtos, T W Spirtos, C Inouye, D R Mishell Jr
PMID: 3574824
Abstract
Forty-four patients with ectopic pregnancies were followed with serial serum progesterone determinations for up to 40 days after surgery. Seven patients (16%) failed to show luteal function during the study. Thirty-seven (84%) demonstrated luteal activity (serum progesterone at least 3 ng/mL): in six patients by days 17-19, in 50% by day 24, and in 72% by day 30. Because hormonal contraception delayed until the first postoperative office visit would miss the onset of folliculogenesis in approximately three-quarters of ectopic pregnancies, contraception should be begun immediately after surgery.
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MeSH terms
Adolescent
Adult
Chorionic Gonadotropin / analysis
Contraception
Female
Humans
Luteal Phase*
Postoperative Period
Pregnancy
Pregnancy, Tubal / surgery*
Progesterone / blood*
Time Factors
Substances
Chorionic Gonadotropin
Progesterone
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ovulation after ectopic pregnancy surgery?