Do I need surgery for an ectopic pregnancy that lasts more than a month?

Ectopic pregnancy generally refers to ectopic pregnancy. Ectopic pregnancy refers to the implantation and development of the fertilized egg outside the uterine cavity. The specific treatment method needs to be comprehensively judged according to the specific situation of the woman after the doctor's face-to-face consultation. Generally speaking, if the hormone level detected is relatively low and the mass is relatively small, conservative drug treatment can be used in this case, but in the opposite case, surgical treatment is required. The specific analysis is as follows:

1. Conservative drug treatment: If the human chorionic gonadotropin value is below 2000U/L, the maximum diameter of the pelvic mass is less than 3cm, there is no active intra-abdominal bleeding, and there is no fetal heart development, etc., you can choose conservative drug treatment. You can choose methotrexate tablets, mifepristone tablets, fluorouracil tablets and other drug treatments under the guidance of a doctor. You need to observe for several hours after taking the medicine. If there is no reaction, you need to take the medicine again and observe for several hours to see if the fetal sac is discharged. Bleeding may occur initially after taking the medicine, and after a period of time, a meatball-like, translucent or slightly sticky white substance will be discharged.

1. Conservative drug treatment: If the human chorionic gonadotropin value is below 2000U/L, the maximum diameter of the pelvic mass is less than 3cm, there is no active intra-abdominal bleeding, and there is no fetal heart development, etc., you can choose conservative drug treatment. You can choose methotrexate tablets, mifepristone tablets, fluorouracil tablets and other drug treatments under the guidance of a doctor. You need to observe for several hours after taking the medicine. If there is no reaction, you need to take the medicine again and observe for several hours to see if the fetal sac is discharged. Bleeding may occur initially after taking the medicine, and after a period of time, a meatball-like, translucent or slightly sticky white substance will be discharged.

2. Surgery is required: If the human chorionic gonadotropin value is 3000U/L or continues to rise, there is fetal heart beat, the adnexal mass is larger than 3cm, there are contraindications to drug treatment or drug treatment is ineffective, etc., surgical treatment can be adopted, such as laparoscopic or open salpingectomy or conservative surgery.