Is there any conservative treatment for ectopic pregnancy?

Ectopic pregnancy is also called extrauterine pregnancy. There are many types of ectopic pregnancy, the most common of which is ovarian pregnancy. The ovaries are very important to us women. We release ovarian follicles every month. Many women go to beauty salons for ovarian maintenance when they get older. Now more and more women have ectopic pregnancies, and many of them have no choice but to have their ovaries removed. So is there any conservative treatment for ectopic pregnancy? Let me tell you.

The abnormal pregnancy process in which the fertilized egg implants and develops outside the uterine cavity is called ectopic pregnancy, also known as extrauterine pregnancy. The most common type of pregnancy is tubal pregnancy. The cause of the disease is often due to inflammation in the fallopian tube lumen or its surroundings, which causes poor patency of the lumen, hindering the normal operation of the fertilized egg, causing it to stay, implant, and develop in the fallopian tube, leading to miscarriage or rupture of the fallopian tube pregnancy.

In recent years, the rate of ectopic pregnancy has been on the rise both at home and abroad, and is gradually getting younger. The number of infertile patients has increased significantly, which has put forward new requirements for obstetricians and gynecologists. They must not only treat ectopic pregnancy, but also preserve the function of the affected fallopian tube as much as possible. Due to the popularization of diagnostic techniques such as quantitative determination of blood B-HCG and vaginal ultrasound examination, the early diagnosis rate of ectopic pregnancy has been improved, and the confirmed rate of ectopic pregnancy has been continuously improved, which provides an opportunity for the choice of conservative treatment. The following are some conservative treatment methods.

1. Expectant treatment: It means that patients with ectopic pregnancy are not given special treatment, but only closely followed up and observed until the fertilized egg of the ectopic pregnancy dies and is absorbed. Because ectopic pregnancy is caused by poor embryo implantation, the embryo dies in the early pregnancy due to insufficient blood supply, nutrition and hormones, and then disappears by itself. Therefore, such patients may recover on their own without treatment. According to literature reports, for patients with ectopic pregnancy whose initial progesterone level is less than 20.4mmol/L and whose blood B-HCG decreases by 5% per day, the success rate of expectant therapy can be as high as 97%.

2. Drug treatment: The drugs currently used throughout the world to treat ectopic pregnancy have strong anti-progestin activity, competing with endogenous progesterone for binding to progesterone receptors in the decidual tissue, thereby blocking the action of progesterone, causing decidual degeneration and decreased luteinizing hormone. Antimetabolites are anti-cytotoxic metabolic drugs, which cause tetrahydrofolate synthesis disorders and ultimately inhibit DNA synthesis, thereby inhibiting trophoblast proliferation, destroying villi, and causing embryonic tissue necrosis, shedding, and absorption.

Ectopic pregnancy in women can be prevented. First of all, if you plan to get pregnant, you must be in a good mood. However, if you do not plan to get pregnant in the short term, you must take protective measures in time to avoid pregnancy. In addition, you can have a blood test in the early stages of pregnancy, and B-ultrasound can also detect whether it is an ectopic pregnancy. If an ectopic pregnancy is discovered, the pregnancy must be terminated immediately to avoid danger.