Early recognition of pregnancies in the last 20-30 years has reduced surgical intervention and maternal mortality due to ectopic pregnancy. Modern views in the management of ectopic pregnancy have led to a shift from surgery to medical treatment and even to the watch-see-only method in appropriate cases. However, this current point of view has brought with it some problems, which are; Complications of ultrasonography errors, misinterpretation of serial human chorionic gonadotropin hormone measurements and inappropriate methotrexate use. The aim of this study is to underline some important points in the diagnosis and treatment of early pregnancies and to help prevent possible iatrogenic errors.
In the last 20 to 30 years, early diagnosis of pregnancy has markedly decreased ectopic pregnancy-related maternal mortality, and the necessity for surgical treatment. With modern approaches in the treatment of ectopic pregnancy, surgical therapy has been replaced by medical therapy and medical treatment by spontaneous follow-up in appropriate cases. However, this current trend has led to some problems, including the maximization of ultrasonographic interpretations, misunderstandings in serial human chorionic gonadotropin hormone measurements, and complications due to inappropriate methotrexate use. The aim of the present study was to review the literature relating