What are the treatments for ectopic pregnancy?

If a woman has an ectopic pregnancy, she will experience amenorrhea just like a normal pregnancy. In addition, it is often accompanied by vaginal bleeding. As time goes by, the harm of ectopic pregnancy will become more and more serious. Women may experience fainting or even shock. Therefore, ectopic pregnancy is very harmful to women and needs to be resolved in time, such as through surgery.

Treatment of ectopic pregnancy:

There are many options for the treatment of ectopic pregnancy, which depends on the desire for fertility, the size and location of the ectopic pregnancy and the patient's physical condition. For those who are unable to have children, the fertility can be preserved to the greatest extent possible while saving the patient's life.

Treatments for ectopic pregnancy include: laparoscopic surgery, drug therapy, and open surgery.

Take tubal pregnancy as an example:

1. Conservative treatment with drugs

If an ectopic pregnancy can be diagnosed in its early stages, before the fallopian tube ruptures, and the patient has no desire to have children, drug therapy is the best option, as it causes less harm to the patient and the body can recover more easily. However, it cannot be used for those who want to have children, because the killed embryos polarize in situ, often causing blockage of the fallopian tube.

2. Fallopian tube fenestration and suture

For ectopic pregnancies where the fallopian tubes are not ruptured or the rupture is not large, laparoscopic surgery is used to cut the fallopian tubes, remove the embryo, and then suture them to maintain the function of the fallopian tubes. This is one of the current treatment methods for ectopic pregnancies.

3. Salpingectomy

For patients with severe fallopian tube rupture that is difficult to repair and accompanied by hemorrhagic shock, the affected fallopian tube can only be removed laparoscopically or openly, and blood transfusion may be required.

4. Corpus luteum destruction during pregnancy

Corpus luteum destruction surgery is a new surgical procedure that uses mechanical and drug methods to destroy the corpus luteum of pregnancy, causing a sudden drop in progesterone in the body that supports pregnancy, resulting in natural fetal death.

The indications are: unruptured ectopic pregnancy, it is difficult to find the site of pregnancy, or the site of pregnancy is not conducive to surgical resection (cornual pregnancy and cervical pregnancy).

The advantage is that the pregnancy site is not touched and intraoperative bleeding will not occur.

(1) Laparoscopic method: After informed consent, the patient takes 250 mg of mifepristone orally before the operation. Under reliable anesthesia, the location of pregnancy is confirmed under laparoscopy. If there is no rupture, the corpus luteum can be found, separated and removed, and bleeding can be stopped reliably. If there is rupture or is close to rupture, fenestration and suture are performed. Monitor HCG and progesterone levels daily after surgery.

(2) Vaginal B-ultrasound intervention: After informed consent, the patient takes 250 mg of mifepristone orally before the operation. Under reliable anesthesia, the corpus luteum of pregnancy is removed by vaginal B-ultrasound puncture, and then 5-10 ml of anhydrous alcohol is injected. Monitor HCG and progesterone levels daily after surgery.