An ectopic pregnancy occurs when the egg doesn’t make it to your uterus and ends up in your fallopian tube or elsewhere in the abdomen. This might occur due to a problem with the tube or with the egg, itself. If this happens, the pregnancy can’t progress and emergency treatment might be necessary to remove the ectopic tissue. Depending on your symptoms and when the ectopic pregnancy is discovered, this can happen using medication, laparoscopic surgery or abdominal surgery.
An early ectopic pregnancy is most often treated with an injection of methotrexate, which prohibits growth of the cell and dissolves the existing cells. Following the injection, you'll have another HCG test to determine if the treatment is working, and whether you need more medication. In a laparoscopic procedure, a small incision is made in the abdomen, near or in the navel. Your doctor uses a thin tube equipped with a camera lens and light (laparoscope) to view the tubal area. The ectopic pregnancy is removed and the tube is either repaired or removed.
Which procedure you have depends on levels of bleeding, damage and whether the tube has ruptured. In rare cases, you may require emergency abdominal surgery, particularly if the ectopic pregnancy is causing heavy bleeding. In some cases, the fallopian tube can be repaired, however, a ruptured tube generally must be removed.