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Ectopic Pregnancy Treatment | Consult Female Gynecologist

If you are diagnosed with ectopic pregnancy, get in touch with Pristyn Care to consult with expert obstetrics-gynecologists for effective and safe ectopic pregnancy treatment.

If you are diagnosed with ectopic pregnancy, get in touch with Pristyn Care ... Read More

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    Dr. Monika Dubey (L11rBuqCul)

    Dr. Monika Dubey

    MBBS, MS - Obstetrics & Gynaecology
    24 Yrs.Exp.

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    24 Years Experience

    location icon No G32, Tulsi Marg, G Block, Pocket G, Sector 27, Noida, Uttar Pradesh 201301
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    Dr. Kavita Abhishek Shir...

    MBBS, MS,DNB-Obs & Gyne
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    4.6/5

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    location icon 602, 6th floor, Signature Business Park, Postal Colony Rd, Postal Colony, Chembur, Mumbai, Maharashtra 400071
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    Dr. Samhitha Alukur

    MBBS, DGO, DNB, FRM, DMAS, FMAS
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    11 Years Experience

    location icon Plot no: 116, Lumbini Enclave Gachibowli, Hyderabad
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    Dr. Mala Fenn James Pitchai (LgKhxPdkjD)

    Dr. Mala Fenn James Pitc...

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Treatment for Ectopic Pregnancy

Ectopic pregnancy is the condition where a fertilized egg implants outside the uterus. The site of implantation can be fallopian tubes, ovaries, abdominal cavities, or other organs. Tubal pregnancy (fetus in fallopian tube) is the most common ectopic pregnancy type. 

Although it gets implanted, a fertilized egg cannot normally develop outside the uterus. In rare and severe cases, ectopic pregnancy may result in life-threatening complications, and thus it’s mandatory to remove the ectopic tissues as early as possible. Depending on how far along you have been in your pregnancy when the doctor has diagnosed extrauterine pregnancy and its associated, a gynecologist or an obstetrician-gynecologist may use medicines, abdominal surgery, or D&C or laparoscopic method to terminate the pregnancy.

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Diagnosis for Ectopic Pregnancy

An ectopic pregnancy is diagnosed during a regular visit to the Ob-Gyn clinic. However, to confirm if it’s an ectopic pregnancy, the gynecologist conducts the following tests, first to confirm the pregnancy and then to confirm if it is ectopic or extrauterine.

  • Urine test – The urine test is usually done at the doctor’s clinic. The gynecologist either takes a urine test strip or asks you to collect a urine sample in a cup. The pregnancy is confirmed if the urine has the hormone called human chorionic gonadotropin (HCG).
  • Blood test – The doctor will take your blood sample to check for hCG hormone. The pregnancy is confirmed if the doctors detect the presence of the hormone.
  • Ultrasound – Ultrasound is a standard imaging test that helps gynecologists to check if the fertilized egg has implanted within the uterine wall or outside. If the egg is implanted outside the uterus, your gynecologist will plan the right course of treatment. Ectopic pregnancy is an emergency condition and requires immediate treatment.

How to Prepare for Ectopic Pregnancy Treatment?

Follow these tips to be well-prepared for ectopic pregnancy treatment:

  • Discuss your ongoing medications, supplements, etc with your doctor during the consultation. 
  • Discontinue medicines such as ibuprofen, insulin, or blood thinners for a few days. This is because they can affect the surgery outcome and risk excessive bleeding during the procedure. 
  • Surgeons don’t go ahead with any surgery with blood pressure issues or sugar levels. So, these vitals must be within a normal range to proceed further with the ectopic pregnancy treatment.
  • Do not eat or drink at least 4-6 hours before the surgery. Otherwise, you may face anesthesia-related complications.
  • Carry a pair of loose cotton clothing to change into after your surgery. 
  • Carry a pack of soft sanitary pads to use for post-surgical vaginal bleeding. 

 

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Questions to Ask Your Doctor

Showing up well prepared for your doctor’s appointment gives a sense of ease and calm. So, here are some quick questions that you can ask your doctor for better clarity around ectopic pregnancy treatment:

 

  • What all tests will I need to undergo?
  • What are the suitable treatment options for ectopic pregnancy?
  • Can I have a healthy pregnancy in the future after my treatment?
  • Are there any specific precautions to follow next time while trying to conceive?
  • For how long should I wait before conceiving again?

Other than these prepared common questions, feel free to ask whatever comes to your mind while talking to the doctor. You can take your partner or a close one to your doctor’s visit. It offers you better emotional support and there may be able to retain some info which you may forget. 

What Should You Avoid After Ectopic Pregnancy Surgery?

After ectopic pregnancy surgery, the internals of the body become delicate. Hence, take it easy and make a note of post-surgery do’s and don’ts that your doctor tells you. Avoid anything that exerts pressure on the body. Generally, in the first few weeks after surgery:

  • Don’t lift heavy objects.
  • Avoid strenuous physical activity.
  • Take a break swimming until your surgical stitches heal completely.
  • Avoid running or walking over long distances. However, do move around slowly and gently to avoid blood clots. 
  • Do not eat spicy meals for at least a month.
  • Avoid intercourse until the doctor gives a heads up to resume

Long-term Effects of Ectopic Pregnancy Surgery

The journey after ectopic pregnancy treatment is unique for every woman. What happens after ectopic pregnancy termination differs for every individual. Every woman goes through different physical, mental, and emotional side effects after ectopic pregnancy surgery. Some long-term effects of ectopic pregnancy may include:

  • Psychological effects – Women often carry grief and guilt after ending the ectopic pregnancy. Common feelings include PTSD (post-traumatic stress disorder), anxiety, and depression, triggered due to the loss of the pregnancy. 
  • Fertility issues – Some cases of ectopic pregnancy treatment include the removal of the ovaries and the fallopian tubes. Around 65% of women who have an ectopic surgery go on to have a healthy, successful pregnancy within 18 months. Some studies show that this rises to around 85% within two years. This is a positive sign for future pregnancies. (Source: ectopic.org.uk)

Case Study

I lost my first fetus due to ectopic pregnancy, but fortunately I had the right doctor for help” – Shefali (name changed, 33 years)

Shefali is a resident of Delhi NCR, married for almost 4 years now. Due to her hectic lifestyle, Shefali had spent most of her life living an unhealthy lifestyle. A few weeks after she conceived, the doctor diagnosed that her pregnancy was ectopic.

“I had terrible abdominal cramps. At times, it was so bad that I would vomit in pain. One day suddenly, I saw blood clots oozing out of the vagina. Initially, I thought it was normal spotting. But when the bleeding did not stop, my husband rushed me to the gynecologist where it was confirmed that I had an ectopic pregnancy. The doctor recommended immediate surgery to get tissues removed. It was a very hard time for both of us. But, I am glad my gynecologist extended all possible help to make sure I was safe and healthy.”

Shefali has recovered now. She and her husband are planning for a second pregnancy. They have been consulting the same ob-gyn and looking forward to a brighter and healthier future.

FAQs around Ectopic Pregnancy

Is ectopic rupture surgery an emergency procedure?

Yes, ectopic rupture surgery is a medical emergency. If delayed, it can have life-threatening implications.

How to detect ectopic pregnancy early?

In most cases, an ectopic pregnancy is diagnosed during regular health check-ups. Other than that, an ectopic pregnancy can be diagnosed through a transvaginal ultrasound scan. The doctor inserts a tiny probe into the vagina to detect the exact location of the fetus implantation. This is a very simple procedure and does not require anesthesia.

How is methotrexate given?

Methotrexate is available only on a doctor prescription. The medicine can either be taken either orally or vaginally. If taken orally, it needs to be taken with water like any other medicine. Methotrexate can also be injected into the skin through pre-filled injection pens or syringes. The best way to take the medicine can be suggested by the doctor.

What is the cost of ectopic pregnancy treatment in India?

The average cost of surgical treatment for ectopic pregnancy in India is around INR to INR .

Are there any side effects and risks of taking methotrexate?

Methotrexate is usually safe to take, and the medicine does not cause any major side effects. However, typical side effects of the medicine may include blood in the urine or stools, black and tarry stools, rapid heartbeats, blood vomiting, abdominal cramps, sores in the mouth and around the lips, rashes, and itching in the skin, swelling of the eyelids, hands, and legs. These usually are not significant side effects and go away with proper medications.

What are the major reasons for ectopic pregnancy?

The main reasons for ectopic pregnancy can include these: 

 

  • Pelvic inflammatory diseases that cause damage to the fallopian tube
  • Previous surgery of fallopian tube, which raises the risks for ectopic pregnancy
  • Endometriosis- Tissues start growing outside the uterus and often hinder egg movement.
  • Tubal ligation- It is a type of permanent birth control method, where fallopian tubes are cut, tied, or sealed to avoid pregnancy.
  • Surgeries or injuries to the tubes can block or narrow them.

Can I take a shower or bath after ectopic pregnancy surgery?

Usually, you can take a shower after 24 hours of the operation. It is better to have someone around when you take a shower, in case you find it difficult or uncomfortable.

Which is better for removing ectopic pregnancy - medicines or surgery?

Both medicines and surgeries for ectopic pregnancy treatment are effective. If the ectopic pregnancy does not cause bleeding, it can safely be removed with medicines. But if the ectopic pregnancy causes heavy bleeding, it might require emergency surgery. This can be done either through an abdominal incision or laparoscopically.

How long does ectopic pregnancy surgery take?

On average, an ectopic pregnancy takes between 45-60 minutes. However, considering the time in preparation and post-surgery until the patient gains consciousness, the entire procedure may take around 2-4 hours.

When is surgery used to treat ectopic pregnancy?

Surgery is needed when the ectopic pregnancy causes heavy bleeding. The doctor may treat the condition with either abdominal or laparoscopic surgery.

Can I take a shower or bath after ectopic pregnancy surgery?

Usually, you can take a shower after 24 hours of the operation. It is a good idea to have someone around you when you take a shower, in case you find it difficult or uncomfortable.

When can I plan to conceive after undergoing surgery for ectopic pregnancy?

There is no confirmed time duration on how long a couple should wait before trying to conceive after having treatment for ectopic pregnancy. But, gynecologists suggest waiting for at least 3 months or two complete menstrual cycles before trying to conceive after ectopic pregnancy treatment.

How will I feel after ectopic pregnancy treatment?

After the ectopic pregnancy surgery, you may experience pain and discomfort for a few weeks. In the case of ectopic pregnancy treatment with medicines, you may experience episodes of abdominal cramps for a week or two. Other occasional side effects (affecting up to 15 percent of women) include nausea, vomiting, indigestion, mouth ulcers, sensitivity to light, or feelings of fatigue. The feeling of a pregnancy ending can also cause emotional outbursts in many women.

Is bleeding after ectopic pregnancy surgery normal?

Yes, bleeding after ectopic pregnancy surgery is a normal phenomenon. After the surgery, you may have vaginal bleeding similar to that of a period. It may last for about 7-10 days. But, if the bleeding continues for a longer period or is unusually heavy, you need to consult with your ob-gyn doctor at the earliest.

How long after ectopic pregnancy surgery will I get my period?

Every woman’s body reacts differently after ectopic pregnancy treatment. Hence, there is no specific time how soon after the ectopic pregnancy operation she can expect to get her periods. Usually, women get the next period within four to six weeks of the surgery. But, some women may take longer. The first period after ectopic pregnancy surgery is usually heavier and lasts longer. But, it should return to normal within two to four menstrual cycles.

How long is recovery from fallopian tube removal?

Most women recover within a few days after a laparoscopic salpingectomy (fallopian tube removal surgery). But, it is suggested that she takes enough rest and refrains from any physically strenuous work for at least 14 days after the surgery.

How much bleeding is normal after fallopian tube removal?

Bleeding for one month is normal after a fallopian tube removal surgery. But if the bleeding is too heavy and soaks multiple sanitary pads in a day, you need to check with your doctor.

What is the Ectopic Pregnancy Treatment Cost in India ?

The average cost of ectopic pregnancy treatment in India typically ranges between INR to INR .

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Medically Reviewed By
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Dr. Monika Dubey
24 Years Experience Overall
Last Updated : June 14, 2025

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Based on 1 Recommendations | Rated 5.0 Out of 5
  • YG

    Yashvi Gehlot

    verified
    5/5

    I cannot thank Pristyn Care enough for their outstanding care during my ectopic pregnancy treatment. The medical team's expertise and attentiveness were truly impressive. They promptly detected the ectopic pregnancy and provided the appropriate treatment. The nursing staff ensured my comfort and well-being, making my recovery smooth. Pristyn Care's commitment to patient satisfaction and their seamless services are commendable. I am thankful for the successful treatment and the emotional support they offered. I highly recommend Pristyn Care to anyone seeking specialized medical care for ectopic pregnancy.

    City : PUNE