Treatment Outline for Ectopic Pregnancy

In majority of the situations, treatment of ectopic pregnancy is usually dealt with on an urgent basis for avoiding rupture and acute bleeding. The assessment regarding the kind of treatment to be employed is based on how earlier on in the gestational term has the condition been identified and the woman’s general health condition. In case of an early ectopic pregnancy which is not causing blood loss, a woman would be given an alternative in-between the usage of medication or surgical intervention for terminating pregnancy.


The use of methotrexate for ending an ectopic pregnancy would spare the woman the need for being incised and anesthetized. However, methotrexate has been found to be causal to side-effects and could take a number of weeks of hormone blood level tests for ensuring the therapy has been a success. Methotrexate would in most likelihood be working optimally in case of the following scenarios.

  • In case the hCG (human chorionic gonadotropin) or pregnancy hormone levels are less or below five thousand.
  • In the initial six weeks of gestational term.
  • In case, the embryo is showing absence of cardiac activity.


In case a woman is having ectopic pregnancy which is the reason for appearance of acute-ranging symptoms, blood loss or elevated pregnancy hormone levels then surgical procedure would become necessary. This is due to medication not expected to work and rupture becoming is greater likelihood with passage of time. At whatever instance laparoscopic surgery would be possible, a tiny slit would be made. Urgent surgery would become mandatory in case of a ruptured ectopic pregnancy.

Expectant Management

Ectopic pregnancyIn case of an early ectopic pregnancy which seems to be proceeding towards an innate miscarriage (self-abortion) then a woman would not require therapy. The physician would do blood analysis tests on a regular basis for ensuring that the hCG levels are plummeting which is known as expectant management.

Ectopic pregnancy could exhibit resistance to therapy in case of the following scenarios.

  • In case hCG levels are not dropping or blood loss has not halted subsequent to the intake of methotrexate, the subsequent strategy would be surgical procedure.
  • In case one has undergone surgery then one might be given methotrexate treatment afterwards.

In case a woman’s blood group is Rhesus-negative (Rh-negative), Rh immunoglobulin is employed for protecting any imminent conceptions from Rhesus sensitization.

Surgery vs. Medication

  • Methotrexate is generally the preliminary line of therapy option for terminating early ectopic pregnancy. Standard follow up blood analysis testing is necessary for time periods (days till weeks on end) subsequent to the medication shot being administered.
  • There are varying forms of surgical procedure for treatment of a tubal ectopic pregnancy – when doable, merely an incision is done in the fallopian tube – salpinogostomy procedure instead of excising a part of the tube – salpingectomy procedure.
  • By and large, salpingostomy is equivalent to methotrexate in case of early ectopic pregnancy in regards to being effectual and sparing a female’s capability in conceiving in future.
  • Though surgery is a quicker therapy it could lead to scar tissue formation which could cause conception issues in future. Tubal surgery could have a damaging effect on the fallopian tube based on the location and size of the embryo and the kind of surgery required.

Surgery might be a woman’s sole therapy choice in case an ectopic pregnancy has progressed beyond six weeks or in case a woman is having internal bleeding.

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