Can methotrexate treat ectopic pregnancy?

Methotrexate can be used to treat early ectopic pregnancy, but it has certain side effects. Patients must go to the hospital for examination and treatment under the guidance of a doctor to avoid taking medication at will.

1. Main effects and side effects:

Methotrexate is a chemotherapy drug that can inhibit cell growth and terminate the growth of embryonic tissue. Patients with ectopic pregnancy can use methotrexate to kill embryonic cells attached to ectopic tissues, reduce HCG values, and achieve the effect of treating ectopic pregnancy. Since methotrexate is an anti-tumor drug, improper use can easily cause oral ulcers, leukopenia, thrombocytopenia, hair loss, dark skin pigmentation, nausea, vomiting, diarrhea and other digestive symptoms.

2. Usage:

Methotrexate can be injected systemically or directly into the gestational sac under ultrasound guidance. The specific dose should be determined based on the duration of embryonic development and the patient's weight. Methotrexate can also be combined with mifepristone for synergistic effects, which can shorten the course of treatment and reduce side effects.

3. Notes:

1. Conservative treatment of ectopic pregnancy has certain conditions. First, the general condition is good, and second, the HCG value is less than 2000miu/ml. Generally, conservative treatment needs to be carried out under the doctor's judgment and hospitalization conditions;

2. If the blood HCG continues to decrease or increase and the clinical manifestations do not improve, the treatment plan should be changed in time. Sometimes surgery is required in time to avoid rupture of ectopic pregnancy.