How many hCG levels can ectopic pregnancy be treated conservatively?

Patient's question:

Unfortunately, I have an ectopic pregnancy. How many hCG levels can be considered for aggressive treatment in ectopic pregnancy? How can I prevent another ectopic pregnancy in the future?

Doctor's answer:

The indication for rigorous treatment in ectopic pregnancy is when the blood hCG value is higher than 2,000, in which case rigorous treatment can be initiated first. The recurrence of ectopic pregnancy is related to factors such as tubal patency, chronic tubal inflammation, and developmental abnormalities of the fallopian tubes. During the next pregnancy preparation period, it is advisable to undergo a tubal contrast examination or tubal fluid infusion at a hospital three to seven days after menstruation to verify the patency of the fallopian tubes and prevent the recurrence of ectopic pregnancy.

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