What is the first treatment tried for ectopic pregnancy?

An ectopic pregnancy develops outside the main cavity of the uterus, often in a fallopian tube. It cannot continue safely in that location. A [Transvaginal Ultrasound](/treatments/diagnostics-and-imaging/transvaginal-ultrasound/) and repeated pregnancy hormone testing help the team locate the pregnancy and understand whether it is changing.

If you are stable and the pregnancy is small with suitable test findings, medicine may sometimes stop its growth. Monitoring is appropriate only when a specialist confirms it is safe. Surgery may be needed when there is significant pain, internal bleeding, a concerning scan, or medicine is unsuitable.

If an ectopic pregnancy is suspected, attend the recommended urgent assessment and keep every follow-up appointment. Do not self-treat or delay because pain can change quickly. Ask how long monitoring will last, which symptoms require emergency help, and when pregnancy hormone levels should be checked.

Surgery may remove the affected tube in a procedure called [Salpingectomy](/treatments/gynaecological-surgery/salpingectomy/). Your team will consider bleeding, the other tube, fertility wishes, and the location of the pregnancy when discussing the safest option.

Call emergency services or go to an emergency department for sudden or severe abdominal pain, shoulder-tip pain, fainting, marked dizziness, weakness, or heavy vaginal bleeding. These symptoms can signal internal bleeding. Do not drive yourself if you feel faint or unwell.

Where is the pregnancy located? Am I suitable for monitoring or medicine? What findings would make surgery necessary? How will this plan affect future fertility and follow-up?