Patient's question:
I am 28 years old this year, and I am very sleepy now, a bit picky about food, but there is some bleeding below, and my lower abdomen also hurts a bit. Please ask: How is ectopic pregnancy treated well?Doctor's answer:
There is a history of amenorrhea, abdominal pain, and vaginal bleeding. A thorough examination using color Doppler ultrasound and hCG value diagnosis is required. The timing of symptom recurrence varies depending on the location of pregnancy. Some patients may not experience abdominal pain or vaginal bleeding. For ectopic pregnancy treatment, there are conservative and surgical options. If the blood hCG level is higher than 2000 u/L; the diameter of the tubal pregnancy mass is greater than 4 cm; there are no signs of sudden severe abdominal pain or vaginal bleeding (mass rupture), and there are no contraindications to medication, then conservative treatment with medication can be decided. However, medication-based conservative treatment requires a longer duration, approximately half a month. During the conservative process, if the mass suddenly ruptures or the medication is ineffective, emergency surgical treatment in the emergency department is necessary. Alternatively, you can directly choose surgical treatment, such as laparoscopic minimally invasive surgery or traditional open abdominal surgery.