**8. Effect of cornual ectopic treatment on future fertility**

With regard future fertility, cornual ectopic is associated with higher risk of recurrent ectopic compared with other types of ectopic pregnancy. If the uterus is conserved, there is an increased incidence of uterine rupture at the surgical site in future pregnancies in the 2nd and 3rd trimesters especially in the cases where the sac excision leads to defective myometrium &/or the uterine cavity has been opened. However, the data about the absolute increase in such risk is still conflicting. (Lau S& Tulandi T, 1999; Weissman A& Fishman A, 1992)

There is a view about reinforcing the uterine wall with the use of round ligament especially if the cavity is opened. Again, no evidence yet has shown a proven benefit of such techniques.( Chatterjee J et al, 2009)

With regard the mood of delivery in subsequent pregnancy, caesarean section is recommended by many clinicians however, no evidence yet available to evaluate the safety of caesarean section versus vaginal delivery after cornual ectopic treatment. (Downey GP& Tuck S, 1994)
