Success rate of conservative treatment of ectopic pregnancy

Ectopic pregnancy is still very critical after it occurs. If the patient has not yet shown symptoms, he should take appropriate drug treatment. This conservative treatment can also achieve the effect of recovery, but if the patient has already shown symptoms, he can only undergo surgical treatment. Generally, as long as the operation is completed, his condition will be cured and no complications will occur.

1. Pregnancy and proper contraception

Choose a time when both parties are in a good mood and physical condition to get pregnant. If you are not considering becoming a mother for the time being, you must take good contraceptive measures. Good contraception fundamentally prevents the occurrence of ectopic pregnancy.

2. Timely treatment of reproductive system diseases

Inflammation is the main culprit for fallopian tube stenosis. Intrauterine operations such as artificial abortion increase the chance of inflammation and endometrium entering the fallopian tube, which in turn leads to adhesion and stenosis of the fallopian tube, increasing the possibility of ectopic pregnancy. Reproductive system diseases such as uterine fibroids and endometriosis may also change the morphology and function of the fallopian tubes. Timely treatment of these diseases can reduce the occurrence of ectopic pregnancy.

3. Try IVF

If you have had an ectopic pregnancy before, you can choose in vitro fertilization. After the sperm and egg successfully "get married" in vitro, the fertilized egg can be sent back to the mother's uterus for safe gestation.

Pay attention to hygiene during menstruation, delivery and postpartum period to prevent infection of the reproductive system. Determine the location of pregnancy as soon as possible after menopause to detect ectopic pregnancy in time.

1. Threatened abortion in early pregnancy

The abdominal pain of threatened abortion is generally mild, the size of the uterus is basically consistent with the month of pregnancy, the amount of vaginal bleeding is small, and there is no sign of internal bleeding. B-ultrasound can be used for identification.

2. Ovarian corpus luteum rupture and bleeding

Corpus luteum rupture often occurs during the luteal phase, or menstrual period. However, it is sometimes difficult to differentiate from ectopic pregnancy, especially in patients with no obvious history of amenorrhea and irregular vaginal bleeding. β-HCG is often required for diagnosis.

3. Ovarian cyst pedicle torsion

The patient has normal menstruation and no signs of internal bleeding. Generally, there is a history of adnexal mass and obvious tenderness at the cyst pedicle. The diagnosis can be confirmed by gynecological examination combined with B-ultrasound.

4. Rupture and bleeding of ovarian chocolate cyst

The patient has a history of endometriosis, which often occurs before or during menstruation. The pain is quite severe and may be accompanied by obvious anal swelling. The diagnosis can be confirmed by extracting chocolate-like fluid through puncture of the posterior vaginal fornix. If the rupture injures blood vessels, signs of internal bleeding may appear.

5. Acute pelvic inflammatory disease

In acute or subacute inflammation, there is generally no history of amenorrhea, abdominal pain is often accompanied by fever, blood count and erythrocyte sedimentation rate are often elevated, B-ultrasound can detect adnexal masses or pelvic effusion, and urine HCG can assist in diagnosis. Especially after anti-inflammatory treatment, inflammatory manifestations such as abdominal pain and fever can gradually alleviate or disappear.

6. Surgical conditions

Acute appendicitis often presents with obvious migratory right lower abdominal pain, often accompanied by fever, nausea, vomiting, and increased blood count. Ureteral stones cause colic pain on one side of the lower abdomen, accompanied by ipsilateral flank pain and hematuria. The diagnosis can be confirmed by combining ultrasound and X-ray examination.