How much does an ectopic pregnancy cost approximately?

Written by Yan Qiao
Obstetrics and Gynecology
Updated on September 03, 2024
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The treatment of ectopic pregnancy is divided into three types: cord treatment and conservative drug treatment, open abdominal surgery, and laparoscopic surgery. For cord treatment, no medication is needed; regular monitoring of ultrasound and HCG levels until they return to normal is sufficient, and generally, this incurs no excessive costs. For conservative drug treatment, the main medications used are mifepristone combined with methotrexate, and it can also be combined with traditional Chinese medicine treatment. These medications are very affordable. For the treatment of ectopic pregnancies, we still recommend hospitalization. The cost of conservative drug treatment is about 2,000 to 3,000 yuan. Of course, depending on the specific conditions of the patient, if multiple treatment courses are needed, the cost may increase, but the increase is relatively small, and it also depends on the individual. Regarding surgical treatment, open abdominal surgery is generally around 8,000 yuan according to the standards of a third-grade A-level city hospital. Laparoscopic surgery, slightly more expensive by about 1,000 to 2,000 yuan, is controlled at around 10,000 yuan. Of course, these are costs according to our own hospital’s standards, and our hospital is also a third-grade A-level city hospital. This is generally the situation.

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Written by Liu Wei Jie
Obstetrics
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Does an ectopic pregnancy hurt?

Ectopic pregnancy is an abnormal pregnancy experience. It is defined as the implantation and development of pregnancy tissue outside of the uterus, often leading to rupture and bleeding. Thus, over 95% of ectopic pregnancies result in pain. The majority of ectopic pregnancies occur in the fallopian tubes, where the pregnancy tissue develops and the tube may rupture. However, some individuals may not be sensitive to pain, and if the ectopic pregnancy occurs at the fimbrial end of the fallopian tube, they might not experience pain, though they may still feel discomfort in the lower abdomen. Diagnosis of an ectopic pregnancy requires a combination of ultrasound, progesterone, HCG levels, and the presence or absence of abdominal pain or bleeding.

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Written by Tang Mei Xiang
Obstetrics and Gynecology
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How is an ectopic pregnancy treated?

The treatment methods for ectopic pregnancy include surgical treatment, medical treatment, and expectant management. Surgical treatment involves surgical intervention, which can be either conservative or radical surgery. Generally, surgery is indicated when blood HCG levels are relatively high, exceeding 3000 units per liter, or when there is a continuous increase. An ultrasound may show ectopic cardiac activity, a large mass, or it may be used when medical treatment is contraindicated, ineffective, or when vital signs are unstable and there is significant internal bleeding. These are indications for surgical treatment of an ectopic pregnancy. Additionally, there are conservative treatments and expectant management. Expectant management involves no medication, just regular monitoring of HCG levels and ultrasound examinations.

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Written by Zhang Lu
Obstetrics
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Does an ectopic pregnancy hurt in the early stages?

Ectopic pregnancy refers to the implantation of the gestational sac outside the uterine cavity, with common implantation sites including the fallopian tubes, ovaries, and pelvic cavity. Early ectopic pregnancy can also cause some pain, with common reasons for the pain including the following: First, the main reason is the enlargement of the uterus under the stimulation of estrogen and progesterone in the body, which pulls on the surrounding tissues and ligaments, such as the round ligament of the uterus, uterosacral ligaments, or bilateral adnexa, causing lower abdominal traction pain. This presents as a feeling of heaviness or menstrual-like sensation. This pain is a normal physiological manifestation during early pregnancy and is present in both intrauterine and ectopic pregnancies. Second, in early ectopic pregnancy, sometimes the gestational sac can cause mild irritation and pressure on local tissues, leading to mild localized pain, which is often not very noticeable.

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Written by Liu Wei Jie
Obstetrics
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Ectopic pregnancy abdominal pain symptoms

Let's first discuss what an ectopic pregnancy is. An ectopic pregnancy occurs when the fertilized egg implants outside of the uterus, such as in any part of the fallopian tubes, the corners of the uterus, or the abdominal cavity. Due to the different implantation sites, the symptoms of abdominal pain vary. A very small number of people feel no symptoms at all, experiencing only vaginal bleeding. Additionally, some people may feel severe discomfort in the abdomen. The last type involves severe, intense abdominal pain, resembling a tearing sensation, accompanied by nausea, vomiting, and hypotension shock.

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Written by Zhang Lu
Obstetrics
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Can you have sexual intercourse with an ectopic pregnancy?

Ectopic pregnancy refers to the embryo implanting outside the uterine cavity, with the vast majority being tubal pregnancies. Generally, intercourse is not recommended during an ectopic pregnancy. Firstly, during the treatment of an ectopic pregnancy, intercourse is inappropriate. If sexual activity occurs during an ectopic pregnancy, the movements are often too vigorous, and the emotions too intense, which is not conducive to the recovery of the body from an ectopic pregnancy. Moreover, it can easily stimulate the rupture of the ectopic mass, potentially leading to substantial intra-abdominal bleeding. Secondly, even after successful treatment of an ectopic pregnancy, such as post-surgery, it is also advised not to engage in sexual intercourse in the short term. This is because the body is generally weaker after ectopic pregnancy treatment and needs some time to recover before engaging in intercourse. It is generally recommended to wait until about a month after an ectopic pregnancy treatment, or until a menstrual cycle has passed, before engaging in sexual intercourse. However, it is crucial to use contraception during intercourse, as it is advised not to get pregnant again shortly after an ectopic pregnancy. Typically, it is recommended to consider pregnancy again after six months.