How should ectopic pregnancy be treated to be safe?

Patient's question:

I had an IUD inserted 3 years ago, and my menstrual cycle has always been very regular. However, this month, my period was delayed by a week, and I've been feeling nauseous and vomiting. After a check-up, it was found to be an ectopic pregnancy. How could this happen? Please advise: How should ectopic pregnancy be treated, and what are the causes of it?

Doctor's answer:

Hello, common reasons include:
1. Chronic tubal inflammation, chronic tubal inflammation can cause adhesion of the tubal mucosal folds, leading to narrowed lumen, mucosal destruction, and residual cilia of the epithelium, adhesion around the fallopian tubes, and complete distortion of the tube shape. These conditions interfere with the normal movement and passage of the fertilized egg in the fallopian tubes, making them the main cause of ectopic pregnancy.
2. Abnormal development or function of the fallopian tubes, abnormalities in the development of the fallopian tubes, such as excessively long tubes, poor muscle layer development, absence of mucosal cilia, double tubes, or additional fimbriae, can all be reasons for ectopic pregnancy.

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