Does an ectopic pregnancy with 200 hcg require surgery?

Ectopic pregnancy is defined as a fertilized egg that is deposited outside the body cavity of the uterus. Ectopic pregnancy with blood HCG of 200 U/L requires surgery if there are signs of rupture of the gestational sac, abdominal bleeding, etc., and can be treated conservatively if such conditions do not exist. Surgery is usually required if the pregnant woman has unstable vital signs, signs of intra-abdominal bleeding; persistent progression of ectopic pregnancy such as persistent elevation of blood HCG, presence of fetal heartbeat, and large masses in the adnexal region; unreliable follow-up; contraindications to or ineffectiveness of medication; and persistent ectopic pregnancy. If the above conditions do not exist, drug treatment, such as methotrexate, can be chosen under the guidance of the doctor. Once ectopic pregnancy is detected in the examination of pregnant women, it is recommended to seek medical treatment in time, improve the relevant examination under the guidance of the doctor, and take appropriate treatment measures.