Does ectopic pregnancy require surgery?

Ectopic pregnancy surgery does not necessarily require surgery. Depending on the situation, you can choose drug treatment, minimally invasive surgery or traditional laparotomy. Ectopic pregnancy refers to the implantation of the fertilized egg outside the uterine cavity, usually in the fallopian tube. Different types and severity of ectopic pregnancy require different treatments. Choose the most appropriate plan based on the doctor's advice.

1. Drug treatment: For ectopic pregnancies with mild symptoms and early detection, drug treatment can be chosen. Commonly used drugs such as methotrexate, which inhibits rapidly dividing cells and helps terminate pregnancy. This method is less invasive, but regular follow-up is required to ensure that the treatment is adequate and has no side effects.

2. Minimally invasive surgery: Laparoscopic surgery is a common treatment method, suitable for patients with relatively stable conditions. This method inserts a laparoscope through a small incision, and the doctor removes the ectopic pregnancy tissue under video guidance. The advantages are small trauma, fast recovery, and less postoperative pain.

3. Traditional laparotomy: When the gestational sac is large or there is a significant risk of internal bleeding, laparotomy may be required. This method is high-risk and is suitable for complex cases that cannot be treated by other methods. The operation requires hospitalization and observation, and the recovery period is relatively long.

Once an ectopic pregnancy is diagnosed, medical treatment must be sought promptly to prevent serious complications such as fallopian tube rupture, which can be life-threatening. The appropriate treatment plan should be based on the diagnosis and advice of a professional doctor, combined with the patient's own situation. Proper treatment can not only relieve the pain, but also maintain the health of the reproductive system.