Aa
Aa
A
A
A
Close
274158 tn?1276347187

Cornual Ectopic

Hi, I was wondering if you are diagnosed with a cornual ectopic pregnancy, can a d& e be performed to remove the pregnancy or is methotrexate & surgery the only option? With my cornual, I had to have surgery. I was just wondering andI can't find any info in the internet.Thank you for your time.
2 Responses
Sort by: Helpful Oldest Newest
603463 tn?1220626855
MEDICAL PROFESSIONAL
Hi!
Because of the location of the pregnancy, (way up in the corner of the uterus--think of the cavity as an inverted triangle--the bottom is the cervix, and the two cornua are the other two angles) it would be very technically difficult if not impossible, to do a d&c for that type of ectopic.
You have me intrigued about the possibility that it might be done under ultrasound guidance, but that would be an experimental procedure, and it would be extremely risky!  The two biggest risks would be uncontrollable bleeding and perforation ( a hole) in the uterus with the potential for bowel injury.
So, if you "got away with it" it would be great, but if something went wrong it would be a big mess.  The best bet is methotrexate and surgery.  I hope your other side is OK.
After you are all healed, if you want to try again, you should consider an HSG (hysterosalpingogram) to check the uterine cavity and the tube on the other side.

Sorry for your loss!
Good luck!
Dr B
Helpful - 1
274158 tn?1276347187
Thanks so much for your quick response and great information. Since my last surgery I had a baby girl with no problems! She is my miracle baby. Thanks again!
Helpful - 0

You are reading content posted in the Fertility / Infertility Forum

Popular Resources
Many couples are turning to acupuncture to treat infertility. But does it work? We take a closer look.
Does exercise really lower fertility? We take a look at 8 common myths about fertility.
Your guide to safely exercising throughout your 40 weeks.
Learn which foods aren't safe to eat when you're eating for two.
Is your biological clock sounding the alarm? Dr. Elaine Brown explains new advances in egg freezing.
A list of national and international resources and hotlines to help connect you to needed health and medical services.