History and Objectives: Due to the prevalence of ectopic pregnancy and various reports on the effect of different factors on the ectopic pregnancy, the present study was carried out on patients referred to the clinics of Shaheed Beheshti Medical University for the period of five years in 1995 and under went radical surgical operation and were willing to have new pregnancy. Materials and Methods: A descriptive study was conducted on patients with ectopic pregnancy and subsequent radical surgery. Personal record, gynecological data and factors influencing ectopic pregnancy were gathered. Rate of fertility, duration of fertility and factor involved in fertility were assessed among the patients groups and extrapolated to the population as a whole. Correlation of the date with outcome of fertility was analyzed by Choperov method. Results: In the patients under study (130) 70% fertility after ectopic pregnancy was observed. Time of fertility was 14.2±10.8 months 50% had normal term pregnancy. Past gynecological history, attachment and past pregnancy history have the most pronounce effect. Conclusion: Ectopic pregnancy is a risk factor for fertility. Past history of attachment increases the risk of ectopic pregnancy and special care is recommended to this type of patients. Further experimental and analytical studies are recommended to further the factor involved with fertility. |