What are the treatments for ectopic pregnancy?

What should we do when we discover an ectopic pregnancy? There are many options for the treatment of ectopic pregnancy, which depends on the fertility requirements, the size and location of the ectopic pregnancy and the health status of the patient, and on the preservation of fertility to the greatest extent possible for infertile women while saving the patient's life.

Treatment of ectopic pregnancy:

There are two ways to treat ectopic pregnancy: surgical treatment and conservative treatment. Although conservative treatment is more convenient and has better recovery than surgical treatment, not all situations can be treated conservatively.

Conservative treatment is generally carried out under the guidance of a doctor when the HCG value is low in the early stage of ectopic pregnancy and there is no abdominal pain or internal bleeding. If there are symptoms such as abdominal pain and bleeding during the treatment process, it means that the treatment has failed and surgical treatment should be carried out immediately.

What are the symptoms of ectopic pregnancy :

The main symptoms of ectopic pregnancy are amenorrhea, vaginal bleeding, fainting and shock. Some patients with ectopic pregnancy will not have a significant history of amenorrhea, or only have delayed menstruation. Only in the case of bilateral tubal interstitial pregnancy will the amenorrhea period be longer, about 6 to 8 weeks.

Patients with ectopic pregnancy will experience irregular vaginal bleeding after the death of the test tube embryo. The color is dark and lower than the amount of menstrual blood. However, there are also a very small number of patients with more blood. This type of bleeding generally also has decidual fragments discharged. Eventually, the patient may experience fainting or shock due to subacute capillary rupture or pain in the abdomen.

How does an ectopic pregnancy occur?

Salpingitis can be divided into bilateral tubal mucosal inflammation and bilateral perialsalpingitis, which can cause obstruction of both fallopian tubes and lead to tubal pregnancy.

Fallopian tube surgery generally refers to the recanalization or fistula of bilateral fallopian tubes after sterilization, or bilateral fallopian tube separation and adhesion surgery, bilateral fallopian tube repair, etc. performed due to infertility. The main symptoms of bilateral fallopian tube dysgenesis are excessively long fallopian tubes, poor development of the muscular layer or lack of mucosal microvilli. If the function is abnormal, it mainly refers to bilateral fallopian tube spasm and abnormal peristalsis caused by estrogen and progesterone metabolism disorders or other psychological factors. The meaning of sperm-egg migration is that the egg cell enters the other fallopian tube after fertilization in one fallopian tube. If this process is too long, the sperm-egg combination will grow larger and the embryo will implant in the other fallopian tube, resulting in tubal pregnancy.