Patient's question:
Female, 28 years old. I am not married, but I found out I am pregnant. What's worse is that a hospital check revealed it to be an ectopic pregnancy. I was never planning on having this child, but now the test shows it's an ectopic pregnancy. I've heard that ectopic pregnancies can affect future fertility and can even be fatal. I'm really scared. Please ask: Is surgery mandatory if there are symptoms of an ectopic pregnancy?Doctor's answer:
Ectopic pregnancy is a relatively common disease now. Most ectopic pregnancies require surgery as they can cause intra-abdominal bleeding. However, some ectopic pregnancies do not need surgery, and there are medical indicators for this. For example, if the HCG level is below 2,000 and the nearby mass is less than 2 centimeters, conservative treatment can be used. This treatment typically involves MTX, which is an embryo-killing therapy. During this treatment, a small portion of patients may experience intra-abdominal bleeding or a significant reduction in the ectopic pregnancy mass, requiring surgery.