Patient's question:
Female, 29 years old, I don't know if I'm pregnant or not. My period hasn't come for a while, and there has been irregular bleeding. The blood is very dark, and my lower abdomen always feels painful. Is this an ectopic pregnancy? If so, please ask: Do I need surgery for ectopic pregnancy?Doctor's answer:
Ectopic pregnancy refers to the implantation of a fertilized egg outside the endometrium, including tubal pregnancy, ovarian pregnancy, cervical pregnancy, and abdominal pregnancy. Tubal pregnancy is the most common type. In general, ectopic pregnancy can first be treated conservatively. Oral abortifacient drugs are ineffective for ectopic pregnancy, and chemotherapy drugs such as methotrexate are recommended. The mechanism of action is to promote cellular fibrosis, destroy the villi, and cause the embryonic tissue to necrose and shed, allowing it to be absorbed without the need for surgery. If successful treatment cannot be achieved, surgical intervention should be performed promptly to prevent severe bleeding due to rupture.