How to treat ectopic pregnancy with conservative treatment after 50 days of amenorrhea

Patient's question:

Ectopic pregnancy, severe treatment, 50 days of amenorrhea, hospitalized for a week, blood hCG 230, pelvic effusion 25x25mm, free fluid, right ovary shows a heterogeneous mixed echo mass approximately 20x15mm, intrauterine cavity shows a liquid dark area with a width of about 3mm, endometrium is about 3mm thick in a single layer. Should I endure the severity or seek surgery? The doctor only gave me Mifepristone for 7 days.

Doctor's answer:

Generally speaking, if it's an ectopic pregnancy, it's recommended that you can have a re-examination. If the hCG level drops very slowly, it's better to have surgery. Ectopic pregnancy patients can use dietary therapy as a supplementary treatment while understanding standard medical care. They should maintain a proper diet in daily life and avoid foods. At the same time, they should pay attention to rest and avoid overexertion. Reduce the frequency of overtime work and avoid high-risk jobs.

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