Is there any ectopic pregnancy without bleeding?

Nowadays, because there are more elderly pregnant women and patients with cervical inflammation, there are more cases of ectopic pregnancies. Many people's impression of ectopic pregnancy is heavy bleeding. In fact, the bleeding situation of ectopic pregnancy depends on the patient's condition, and not everyone will bleed. This article introduces the reasons why ectopic pregnancy does not bleed and the treatment methods of ectopic pregnancy. If you are interested, let’s take a look.

Not everyone will experience bleeding during an ectopic pregnancy. Generally, a large mass or high hormone levels will cause the uterine decidua to shed and bleed. However, a few people do not bleed and are only diagnosed with an ectopic pregnancy through B-ultrasound. Ectopic pregnancy is relatively dangerous, so once an ectopic pregnancy is confirmed, it is best to be hospitalized for treatment in a timely manner.

2. How to treat ectopic pregnancy

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).