Is surgery the only option for ectopic pregnancy if conservative treatment fails?

If conservative treatment of ectopic pregnancy fails, surgical treatment is required. Ectopic pregnancy is when the embryo implants outside the uterine cavity. The pregnancy needs to be ended as soon as possible, because it may rupture and cause heavy bleeding at any time, endangering the life of the pregnant woman. Conservative treatment of ectopic pregnancy generally uses methotrexate tablets, mifepristone tablets and other drugs. If conservative treatment fails, surgical treatment is required. Laparoscopic surgery can be selected, including two surgical methods as follows:

1. Resection of the affected fallopian tube: The operation should be done from the outermost end of the fallopian tube close to the uterine cornu while coagulating and cutting. Generally, there is less bleeding and the operation time is shorter.

2. Preserve the fallopian tube and extract the embryo: Make an incision on the fallopian tube where the pregnancy is obvious, remove the gestational sac and embryonic tissue, rinse it clean, and suture it.

Ectopic pregnancy is a relatively minor gynecological operation. It is quick and safe and will not cause serious adhesions. As long as the fallopian tubes are completely normal, it generally does not affect normal fertility in the future. After the operation, pay attention to rest more and avoid excessive fatigue to help your body recover.