First, what is ectopic pregnancy? Under normal circumstances, the fertilized egg is in the mother’s fallopian tube to complete fertilization, and then with the swing of the cilia in the fallopian tube, the fertilized egg will be transported to the uterine cavity, planted in the uterus, before continuing to develop. If this process is affected in some way, or if the fertilized egg cannot be transported to the uterus, or if it is conceived in a place other than the fallopian tube, then there is a possibility of an abnormal pregnancy, which is called an ectopic pregnancy in medical terminology, commonly known as an ectopic pregnancy. The most common site of ectopic pregnancy is the fallopian tube, accounting for more than 90% of the other less common parts of the abdominal cavity, ovaries, cervix, cervix, the corner of the uterus is also a more special part. Second, what kind of people are prone to ectopic pregnancy? As mentioned earlier, the fertilized egg from the fallopian tube to the uterus of the transit process by the outside world, easy to ectopic pregnancy, the most common one is to have pelvic inflammatory disease, because of the infection, resulting in the fallopian tube is responsible for the transit of the function of the cilia has been damaged, the fertilized egg can not be transported to the uterus, and therefore in the fallopian tube planted in the result of ectopic pregnancy. Relatively speaking, people who have had pelvic inflammatory disease are prone to ectopic pregnancy, but many patients with ectopic pregnancy may not have any previous history of the disease, that is to say, any person can become a patient with ectopic pregnancy. Third, what kind of clinical manifestations? Usually, the fallopian tube is unable to withstand the growing embryo, to a certain point, it may lead to the thickening of the fallopian tube, continue to grow, may be miscarriage or a little more serious will lead to the rupture of the fallopian tube, resulting in internal bleeding. Clinically, “menopause, abdominal pain, vaginal bleeding” is usually used to describe the typical clinical manifestations of ectopic pregnancy, but in fact, the clinical manifestations of ectopic pregnancy are very varied. Many patients mistake abnormal vaginal bleeding for menstruation, some are insensitive to pain and may not even have obvious abdominal pain symptoms, and some come in with shock. Regardless, the doctor needs to combine a variety of information to make a diagnosis. Finding out if there is a pregnancy can be very helpful to the doctor in making a differential diagnosis. In addition, it is important not to hide your medical history from the doctor, including your sexual history from others. There have been cases in the past where a patient who vehemently denied her sexual history was diagnosed with an ectopic pregnancy, and this kind of concealment does not help the doctor to make a quick diagnosis. Doctors usually need to gynecological examination, blood βhCG, ultrasound, puncture and other methods to carry out comprehensive judgment and diagnosis. Fourth, is ectopic pregnancy dangerous? Generally, ectopic pregnancy is not life-threatening, but there are individual ectopic pregnancies that are very dangerous, mainly due to the ever-expanding embryo, leading to hemorrhage in the fallopian tube or the pregnancy site, and even bleeding that may be particularly vicious. Ectopic pregnancy is also a gynecological emergency may lead to life-threatening diseases. Fifth, if the ectopic pregnancy how to treat? Treatment programs vary from person to person, can be roughly divided into conservative observation, drug treatment and surgical treatment. 1, conservative treatment: conservative treatment is to wait, in the vital signs are stable, the mass is not too big, and βhCG continues to decline, is the choice of conservative observation, but if the follow-up is not convenient, conservative is not appropriate. 2, drug treatment: At present, the main use of chemotherapy drugs methotrexate treatment, the use of drugs to kill the embryo and chorionic villi in the pregnancy site, the choice of drug treatment requires certain criteria, must not be too large masses, βhCG is not too high, vital signs are stable, and there can be no allergies to drugs. If medication can be used, then compared to surgical treatment, not only the cost is low, but also can have a better prognosis. 3, surgical treatment: conservative and drug treatment is not appropriate, can be applied to surgical treatment, surgery is generally available through laparoscopy minimally invasive, not only diagnostic role, but also can be treated. Surgery can be based on the fertility of the choice of conservative tubal opening or pregnancy lesions clear, or do tubectomy. The fallopian tubes, because there are two sides, even if one is removed it is still possible to get pregnant later. Either way, it is important to follow up with weekly beta hCG monitoring after medication or surgery. Sometimes even after the surgery, some of the leftover chorionic villi replant in the body, resulting in bleeding again after the surgery, so it is necessary to follow up until the βhCG drops to 5miu/ml or less, in order to rest assured. Is there any chance to have children in the future? Of course, as long as one side of the fallopian tube is present, you can have a baby in the future. According to the past case statistics, after one ectopic pregnancy, the chance of having another ectopic pregnancy is about 10%, which is higher than normal, but 90% is still normal intrauterine pregnancy. If there are multiple ectopic pregnancies, another option is to remove both fallopian tubes and then consider IVF later. Of course, because ectopic pregnancy is often related to pelvic inflammation, these people have a relatively high proportion of infertility, which has nothing to do with the treatment of ectopic pregnancy, and the underlying disease itself. Seven, what are the prevention methods? Healthy women, pay attention to the health of sexual life, reduce the chance of foreign infection, reduce the chance of pelvic inflammatory disease, relatively speaking, may also be less. For patients who have already had an ectopic pregnancy, there is no way to prevent another ectopic pregnancy unless both fallopian tubes are removed and the next IVF is done, but for a single ectopic pregnancy, there is no need to use such a radical treatment.