How is ectopic pregnancy treated, does it affect future fertility?

Patient's question:

Doctor. I had an ectopic pregnancy in 2014, and it miscarried. I didn't take any medication. I didn't undergo any treatment. It was just a thorough examination. However, until a few days ago, after my period ended and was clean for two days, I had vaginal bleeding with a feeling of lower abdominal heaviness. I went for a thorough examination, and it highly suspected an ectopic pregnancy. Over the past two years, I have been trying to get pregnant but haven't been able to. However, after the examination, the result was an ectopic pregnancy. What does the doctor recommend—aggressive treatment or minimally invasive treatment? What will be the impact on my future fertility?

Doctor's answer:

According to the situation you mentioned, you can start with aggressive treatment. Aggressive treatment has minimal interference on future fertility. Minimally invasive treatment involves removing one fallopian tube, and it is only possible to conceive after the other side goes through menopause. I recommend you to be hospitalized for aggressive treatment, pay attention to rest, avoid overexertion, relax your mind, and do a fallopian tube patency test before trying to get pregnant next time. Also, prepare for pre-pregnancy tests. The above suggestions are for the question "How should ectopic pregnancy be treated, and will it affect future fertility?" I hope it helps you. Wishing you good health!

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