Is it necessary to remove one fallopian tube in the case of an ectopic pregnancy?

In general, whether ectopic pregnancy requires the removal of one fallopian tube depends on the severity of the condition. If the ectopic pregnancy has not ruptured and the gestational sac is small, surgical removal may not be necessary. However, if the ectopic pregnancy ruptures and causes heavy bleeding, removal may be required. If discomfort occurs, prompt medical attention is recommended. Detailed explanations are as follows:

If the ectopic pregnancy has not ruptured and the gestational sac is small, women who wish to preserve fertility can, under a doctor's guidance, use medications such as mifepristone tablets, misoprostol tablets, or carboprost tromethamine suppositories to terminate the pregnancy. These medications can cause the embryonic tissue to die and be absorbed, thus preserving the fallopian tube.

If the ectopic pregnancy ruptures, it can lead to significant internal bleeding and potentially cause hemorrhagic shock. In such cases, to control bleeding quickly and save the patient's life, removal of the affected fallopian tube is often necessary.

During treatment, women should follow their doctor's instructions, take medications as prescribed, and ensure adequate rest and recovery. Regular follow-up examinations are necessary after treatment.