What to do with vaginal bleeding in ectopic pregnancy

When it comes to ectopic pregnancy, we all feel nervous, because sometimes it cannot be handled in time, and it may even be life-threatening. Bleeding caused by ectopic pregnancy is also a common symptom. The most common and effective treatment is surgery.

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 pregnancy with unruptured fallopian tube or small rupture of fallopian tube, laparoscopic surgery is used to cut open the fallopian tube, remove the embryo, and then suture to maintain the function of the fallopian tube. This is the best treatment method for ectopic pregnancy advocated today.

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

The corpus luteum destruction procedure was invented by our hospital. It is a new procedure that uses a mechanical + drug method to destroy the corpus luteum of pregnancy, causing a sudden drop in the progesterone in the body that supports pregnancy, resulting in natural embryo 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.