Can ectopic pregnancy be treated conservatively after one month?

Patient's question:

I am a 46-year-old woman who suddenly felt unwell and, after a check-up, was diagnosed with this disease. Please ask: Can ectopic pregnancy be treated conservatively after one month?

Doctor's answer:

How to suspect ectopic pregnancy: Blood β-hCG rises slowly, a significant increase within 48 hours is often less than 66%, and progesterone P < 25 ng/ml (or < 78.0 nmol/L) suggests a high possibility of ectopic pregnancy. With a serum human chorionic gonadotropin value of 1678 mlu/ml not being high, conservative treatment can be considered after a diagnosis of ectopic pregnancy. Intramuscular injection of methotrexate for embryonic destruction can be combined with mifepristone and traditional Chinese medicine for promoting blood circulation and removing blood stasis.

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