Patient's question:
On April 18, the urine test showed a positive hCG, but there was nothing on the ultrasound. On April 23, the blood hCG was 176.12. On April 25, the hCG was 260.18. On April 28, the hCG was 114. Below is the ultrasound image. The doctor said it was an ectopic pregnancy with internal bleeding and that one fallopian tube needed to be removed. I want to ask, why would the fallopian tube be removed if the ultrasound shows a mass on the right side of the pelvis?Doctor's answer:
Hello, I saw the report you sent me. The blood hCG level was only 114 compared to the last time, showing an increasing trend. If there is no test error, it could be considered that the embryo is already dying. Even if it is an ectopic pregnancy, conservative treatment can be considered. It doesn't necessarily have to be surgery.Guidance suggestions: 95% of ectopic pregnancies are located in the fallopian tube. Therefore, if surgery is performed, there are two options: conservative surgery of the fallopian tube or removal of the fallopian tube. If there is a suggestion to conceive, the fallopian tube can be preserved, but there may be a risk of another ectopic pregnancy in the future with the preserved fallopian tube.
Currently, your blood hCG level is rising, so conservative treatment can also be considered. Medication can be used to terminate the pregnancy without surgery.