Patient's question:
Patient: Female, 24 years old, previously had average physical health1. On March 11th, she underwent medication-induced abortion. Her period arrived on April 21st and lasted for 7 days. On May 30th, her period returned again, but the blood color was dark and the flow was light—pads were sufficient. The last two days, the blood color turned red, and she was unsure if it was her period. It lasted for 7 days. During the bleeding, she used a pregnancy test, which showed a faint positive (the second line was barely visible if not looked closely). On June 26th, she used another test, which also showed a faint positive, but the second line was more distinct than the previous one.
2. Recently, she has been experiencing lower abdominal pain, frequent nighttime urination, general weakness, lower back pain, and pain when pressing the left breast near the heart.
3. Her periods were previously irregular and accompanied by menstrual cramps.
Doctor's answer:
Ectopic pregnancy conservative treatment is suitable for young women with fertility requirements, especially those who have had the contralateral fallopian tube removed or have significant lesions. In recent years, due to advancements in diagnostic techniques, tubal pregnancy has been more frequently diagnosed before it results in miscarriage or rupture, leading to a significant increase in the use of conservative surgery compared to the past. The surgical approach is selected based on the site of fertilized egg implantation and the condition of the fallopian tube lesions. If the pregnancy is located in the fimbriae, the products of conception can be squeezed out; for ampullary pregnancy, the fallopian tube is incised to remove the embryo, followed by suture. For isthmic pregnancy, the diseased segment is resected and anastomosed end-to-end. If microsurgical techniques are employed, the subsequent pregnancy rate can be improved.