Sexual Health
Do ectopic pregnancies require removal of the fallopian tubes? Doctor: Not necessarily
Post Date June, 03 2023
Ectopic pregnancy is often a tubal pregnancy, must blocked fallopian tubes be removed? Can you use medication for treatment? When does medication require surgical treatment? Dr. Long Tengfei from the Department of Gynecology at Sun Yat sen Memorial Hospital of Sun Yat sen University stated that medication treatment should meet the following conditions:
1. The primary condition for drug treatment is that the ectopic pregnancy mass is not ruptured, bleeding after rupture, and is not suitable
2. The size of the block also has requirements, requiring a minimum of 4 centimeters
3. Blood HCG measured below 2000 units per liter
4. Patient is not allergic to medication or has normal liver and kidney function
After meeting the above four conditions, we will sign whether to undergo medication treatment based on her personal situation and willingness.
Surgical treatment includes conservative fallopian tube preservation and radical fallopian tube resection, regardless of which option is chosen, depending on the patient's specific situation.
Conservative surgery is suitable for young women with fertility requirements, especially those who have their fallopian tubes removed or have obvious lesions. According to the implantation site of the zygote and the pathological changes of the fallopian tube, the operation mode is selected. The ampullary pregnancy of the fimbria pregnancy can extrude the pregnancy product. The isthmus pregnancy pathological changes are sectionally removed and end anastomosed after the oviduct is cut and the embryo is taken out. The use of microsurgical techniques in surgery can improve future pregnancy rates. Conservative surgery can also be performed using laparoscopy in addition to opening the abdomen.
When will the radical surgery be performed? If the patient's fallopian tube ruptures, abdominal bleeding, or hydrosalpinx blockage, or other causes of disease, the function of the fallopian tube is lost, and the disadvantages of preserving the fallopian tube outweigh the advantages. The risk of ectopic pregnancy in the patient is 5-7 times higher than in the general population. Therefore, in this case, it is recommended to remove the fallopian tubes.
How to get pregnant after salpingectomy?
Removing one fallopian tube does indeed reduce fertility by half, but it is still possible to conceive naturally if the other fallopian tube is unobstructed. However, some women are not so lucky. How can you conceive if another fallopian tube adheres, twists, or deforms? That can only help with assisted reproduction.
