Is ectopic pregnancy always treated by removing the fallopian tube?

Patient's question:

Today I was admitted to the hospital. I am prepared for surgery at any time. It's an ectopic pregnancy. Currently, my hCG is over 2000, and there are masses in the pelvic and abdominal cavity. The doctor said that with the rising hCG levels and the still-growing mass, surgery is scheduled for tomorrow. Either the affected fallopian tube will be removed, or if it's in the ovary, part of the ovary will be removed. I would like to ask if it's necessary to remove the fallopian tube?

Doctor's answer:

According to your description, it is an ectopic pregnancy. At this time, the procedure is a tubal surgery. If it is found that the fallopian tube can be preserved during the surgery, based on your age, the doctor will make the second decision to preserve it. If it is indeed impossible to preserve it, they will inform you. It is recommended that you rest and maintain good hygiene, and stay relaxed. Before the surgery, you should fast and follow the doctor's advice to improve preoperative examinations. If you feel any discomfort, contact the doctor immediately. If you experience abdominal pain or bleeding, inform the doctor promptly. For patients with fallopian tube issues, in addition to taking medication, it is also important to pay attention to self-care training. It is recommended that patients avoid sexual activity during the treatment period and pay close attention to hygiene.

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