Ectopic pregnancy is the most common ectopic pregnancy in the clinic, and there are dozens of cases of ectopic pregnancy being treated in the hospital every day, and even the trainee doctors can memorize the principles of ectopic pregnancy treatment, but the treatment we can provide should be more personalized for each specific patient, so dear patients, please don’t look at the doula to discuss the treatment options with your doctor. I remember a patient who was found to have ectopic pregnancy and insisted on keeping her tubes because she had not given birth, but her preoperative evaluation showed tens of thousands of blood hcg and a 6cm adnexal mass, so she was advised to have her tubes removed, but she refused. As a result, intraoperative bleeding was very active and the fallopian tubes were cauterized because of the need to stop bleeding. Although the fallopian tube was eventually saved, the function was presumably lost. There are very good clinical comparative trials abroad that have found comparable success rates of postoperative re-pregnancy after tubectomy and a lower chance of another ectopic pregnancy compared to treatment with preservation of the fallopian tubes. In fact, this result is disruptive and shocking in the industry. Could it be that the oviducts we struggle to preserve daily are actually laying the groundwork for the next pregnancy. In our current practice, our treatment tends to be more of an affected tubal resection. This of course takes time and requires understanding from the patient and family. And as to which is better, medication or surgical treatment that preserves the fallopian tubes. The general concept may be that surgery is more thorough and more beneficial for the next pregnancy. In fact, the answer is: both are comparable. What does that mean? It means that if both treatments are successful, the chances of the next pregnancy are equal, whether it is successful or unsuccessful. Conversely, if you are able to avoid surgery, medication is also very good. If you already have a history of ectopic pregnancy, and you have a second or third ectopic pregnancy, I regret to tell you that for these patients who have won the jackpot, it is better to have the affected tube removed in order not to affect your next pregnancy. And for patients who have already had one tube removed, please don’t begrudge the other side either. In my last article I said that the only possible way to avoid ectopic pregnancy is to remove both fallopian tubes and then do IVF.