Conservative treatment of ectopic pregnancy with traditional Chinese medicine

We all know that the most obvious sign of a woman’s pregnancy is the cessation of menstruation. However, some women’s menstruation has stopped and they go to the hospital for a check-up, but they find that they are not pregnant. This is probably because of an ectopic pregnancy. Ectopic pregnancy is a relatively serious gynecological disease. It is a phenomenon in which the embryo implants outside the uterus. Surgery is required for treatment, but it is relatively dangerous. So what is the conservative treatment method of ectopic pregnancy with traditional Chinese medicine?

In a normal pregnancy, the fertilized egg should implant in the uterine cavity. When the fertilized egg implants outside the uterine cavity, it is called an ectopic pregnancy. In clinical practice, our department often sees many patients who have fertility requirements and indications for conservative treatment. Therefore, conservative treatment is given during treatment, which has achieved good clinical results. The patient acceptance rate is high, and conservative treatment protects patients from surgical trauma, resulting in less damage and retaining reproductive function. Because conservative treatment of ectopic pregnancy may cause rupture and bleeding at any time, hospitalization and observation are required.

1. Indications for conservative treatment: Mainly applicable to young patients with early ectopic pregnancy who wish to preserve their fertility. Generally, conservative treatment can be used for those who meet the following conditions: (1) The tubal pregnancy mass does not exceed 3 cm. (2) Tubal pregnancy without rupture or miscarriage. (3) No obvious internal bleeding. (4)β-HCG<2000u/L.

2. Laboratory tests required during conservative treatment: routine blood tests, coagulation tests, immune combination tests, biochemistry, electrocardiogram, chest X-ray, blood β-HCG, blood P, gynecological and obstetric color ultrasound, and pelvic CT examination when necessary. 3. Medication in conservative treatment:

(1) Mifepristone: Depending on the patient's blood HCG level, 25 mg or 50 mg, orally, Bid, usually 5-7 days.

(2) MTX (methotrexate): MTX 0.4 mg/(kg.d) is commonly used, injected intramuscularly, for 5 days as a course of treatment. Depending on the patient's condition, another course of treatment can be given after an interval of 5 days, for a total of 2 courses of treatment. It is also possible to directly inject the drug locally under the guidance of B-ultrasound.

(3) Application of Chinese medicine: Select Chinese medicine that has the effects of promoting blood circulation, removing blood stasis, eliminating symptoms and killing embryos for oral administration, and cooperate with Western medicine to achieve the purpose of killing embryos. After the patient's condition stabilizes, there are no signs of internal bleeding, and the blood β-HCG value has dropped to a lower level, Chinese medicine can be applied externally or enema can be given to promote necrosis and absorption of the pelvic mass.