How is ectopic pregnancy treated?

Patient's question:

Patient, doctor, I went to the hospital on the 14th of this month for a thorough examination and found out I was pregnant. At that time, I had been amenorrheic for 37 days! However, since it was too early in the month, the doctor didn't allow me to have an ultrasound and just told me to wait another week. But on the 16th, I started experiencing bleeding similar to my menstrual period and immediately went to the hospital for a consultation. That night, the urine HCG test was still positive, and the gynecological examination showed nothing unusual. The doctor suspected it was threatened miscarriage, and that night, he wanted to perform a D&C. I was afraid of the pain and wanted to have a painless procedure the next day, so the doctor gave me anesthesia to support the pregnancy. By that evening, the bleeding had reduced. The next morning, I went for a follow-up examination with a transvaginal ultrasound, which revealed a shadow in the uterine cavity but no gestational sac was found. Additionally, it was discovered that my right ovary was enlarged. The blood HCG level was 1035. The doctor suggested I have surgery to examine the tissue removed to check for villi. However, after the surgery, no villi were found, only decidua and blood clots. The doctor recommended sending the tissue for pathology, saying that the pathology report could help determine

Doctor's answer:

If after your miscarriage surgery, you don't see clear fetal villi, you need to pay attention, because the absence of villi indicates that the abortion surgery was not successful. I think you should also go to the hospital for a check-up to properly examine your ovaries. You mentioned that one of your ovaries is swollen, and ectopic pregnancy can potentially occur in the ovaries. Ectopic pregnancy is a serious condition, and it is recommended that patients receive immediate treatment and follow the doctor's advice for symptomatic treatment. At the same time, pay attention to dietary issues and avoid spicy and irritating foods to prevent worsening the condition.