a report of three consecutive recurrent ectopic pregnancies in two patients

Introduction: ectopic pregnancy (ep) is a life-threatening pregnancy complication and can cause maternal morbidity and mortality and early fetal death with the incidence rate of approximately 2% of all pregnancies. the rate of recurrence of ep increases in patients with a past history of ep. we present here two cases that have had three consecutive recurrent eps during one year with different management. case presentation: case 1: a 27-year-old woman gravida 3 ep2 with 6 weeks gestational age was referred with abdominal pain. she had a history of two consecutive ectopic pregnancies 9 and 4 months ago that were treated with methotrexate (mtx) and right salpingectomy. transvaginal ultrasonography showed left tubal ectopic pregnancy with intra-abdominal bleeding. left salpingectomy was performed. case 2: a 34-year-old women gravid 3 with a history of 2 consecutive ep 11 and 6 months ago that were treated with left salpingectomy and mtx, was referred. she was treated with two doses of mtx. conclusions: the rate of recurrent ep considerably rises in patients with a history of the previous ep and considering this medical history is highly recommended in future pregnancies for early diagnosis.