Patient's question:
Female, 28 years old, my husband and I have been actively trying to conceive. Recently, I found out I was pregnant using a pregnancy test, and just like a normal pregnancy, my period stopped. However, my HCG levels are very low. The doctor suspects it might be an ectopic pregnancy. I am very worried now. Please ask: Is surgical treatment mandatory for ectopic pregnancy?Doctor's answer:
Ectopic pregnancy, if there is no significant internal bleeding, no rupture, the mass is small, and HCG levels are not high, can be treated conservatively. Abdominal pain is the main symptom for patients to follow up. The abdominal pain is caused by various factors such as the spindle shape of the fallopian tube, rupture, and blood stimulating the peritoneum. During rupture, patients suddenly feel sharp pain on one side of the lower abdomen, often accompanied by nausea and vomiting. Vaginal bleeding After the embryo dies, there is often irregular vaginal bleeding, which is dark brown in color, small in amount, generally not exceeding the amount of menstruation, but it drips and does not stop. Fainting and shock Due to acute bleeding in the abdomen, it can cause an increase in blood volume and severe abdominal pain. Mild cases often have fainting, while severe cases may develop shock. Therefore, if it is discovered, immediate surgery is required.