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Ectopic Pregnancy Health Feed

3 Ways To Treat Ectopic Pregnancy!

Dr. Noopur Sharma 88% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS
Gynaecologist, Ghaziabad
3 Ways To Treat Ectopic Pregnancy!

An ectopic pregnancy takes place in the case when the completely fertilized egg attaches itself to a place outside the inner side of the uterus. Ectopic pregnancy is also called tubal pregnancy because in most cases, it takes place in the Fallopian tube. Usually, the Fallopian tubes are not responsible for holding an embryo, which keeps on growing. Hence, the egg has no scope to develop in the Fallopian tube. This problem must be treated as soon as possible to avoid further complications. Here are several ways of treating ectopic pregnancy.

  1. Expectant management: In case you are not experiencing any symptoms of pregnancy or the pregnancy cannot be found, close observation is required. This is known as expectant management. You should conduct regular blood tests and follow them up in order to detect, whether the hCG level in your blood is ascending or descending. You are likely to have vaginal bleeding. Use pads and towels instead of tampons. Pain in your tummy is also indicated.
  2. Proper medication: In case ectopic pregnancy is detected at an early stage and constant monitoring is not suitable for you, a medicine by the name of methotrexate can be used for treatment. The medicine stops this pregnancy from developing. It is usually injected into your buttocks. Regular blood tests must be carried out to know how the treatment is taking shape on your condition. Trusted contraception measures should be taken for three months following the treatment as methotrexate is very harmful for an infant in case you become pregnant. Keep away from alcohol, as the combination of methotrexate with alcohol is harmful to the liver.
  3. Surgical means: The most common mode of surgery for removing ectopic pregnancy during an early stage is laparoscopy or keyhole surgery. While a laparoscopy is carried out, you will be in a state of anesthesia. A narrow tube or the laparoscope is inserted through surgical cuts in the tummy. The Fallopian tube, which had the ectopic pregnancy is totally removed in case the other Fallopian tube is functioning well. Else the pregnancy has to be somehow removed without cutting off the Fallopian tube. Removal of the Fallopian tube is the best remedy for treating ectopic pregnancy and getting pregnant again is also possible. It takes a normal woman almost six weeks to recover after the surgery. Laparotomy is another kind of surgery carried out to repair a ruptured Fallopian tube.
3780 people found this helpful

Treatment of Ectopic Pregnancy!

Dr. Radhika A (Md) 85% (13 ratings)
MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Treatment of Ectopic Pregnancy!

Treatment of Ectopic Pregnancy

Homeopathic Treatment of Ectopic Pregnancy
Acupuncture & Acupressure Treatment of Ectopic Pregnancy
Psychotherapy Treatment of Ectopic Pregnancy
Conventional / Allopathic Treatment of Ectopic Pregnancy
Surgical Treatment of Ectopic Pregnancy
Dietary & Herbal Treatment of Ectopic Pregnancy
Other Treatment of Ectopic Pregnancy
What is Ectopic Pregnancy
Symptoms of Ectopic Pregnancy
Causes of Ectopic Pregnancy
Risk factors of Ectopic Pregnancy
Complications of Ectopic Pregnancy
Lab Investigations and Diagnosis of Ectopic Pregnancy
Precautions & Prevention of Ectopic Pregnancy
Treatment of Ectopic Pregnancy   

Homeopathic Treatment of Ectopic Pregnancy

Homeopathy can help in eliminating chances of ectopic pregnancy. It promotes implantation of ovum at normal place. It treats the person as a whole. Treatment is constitutional. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. It balances the energy system, improves immunity and body functions. It naturally cures the root cause of disorder. Some of the homeopathic medicines for treatment of ectopic pregnancy are:

Calc
Cimic
Sabina
Sulph
Caulo
Kali C

Acupuncture and Acupressure Treatment of Ectopic Pregnancy

Acupuncture promotes energy flow and promotes normal and healthy pregnancy. Acupuncture has good reputation in promoting healthy reproductive body functions.

Psychotherapy and Hypnotherapy Treatment of Ectopic Pregnancy

Psychotherapy and hypnotherapy can help in stress relief. They can help in better coping and early relief. Hypnotherapy can work on deep psychological issues that may play a key role in correcting deranged function.

Conventional / Allopathic Treatment of Ectopic Pregnancy

In the allopathic treatment of ectopic pregnancy, an injection of the drug methotrexate is sometimes used to stop cell growth and dissolve existing cells.

Surgical Treatment of Ectopic Pregnancy

The surgical treatment for ectopic pregnancy is laparoscopic surgery. In this procedure, a small incision is made in the abdomen, near or in the navel. Then your doctor uses a thin tube equipped with a camera lens and light (laparoscope) to view the area. Other instruments can be inserted into the tube or through other small incisions to remove the ectopic tissue and repair the fallopian tube. If the fallopian tube is significantly damaged, it might need to be removed.

What is Ectopic Pregnancy

An ectopic pregnancy typically occurs in one of the tubes that carry eggs from the ovaries to the uterus (fallopian tubes). With an ectopic pregnancy, the fertilized egg implants somewhere outside the uterus. In some cases, however, an ectopic pregnancy occurs in the abdominal cavity, ovary or neck of the uterus (cervix).

Symptoms of Ectopic Pregnancy

Missed period
Breast tenderness
Nausea
Light vaginal bleeding
Abdominal or pelvic pain

Causes of Ectopic Pregnancy

Abnormal fetal development
Fallopian tube is inflamed, damaged or misshapen

Risk factors of Ectopic Pregnancy

Inflammation or infection
Fertility issues
Surgery to reconstruct the fallopian tube
Previous ectopic pregnancy

Complications of Ectopic Pregnancy

A ruptured fallopian tube could lead to life-threatening bleeding. 

Diagnosis of Ectopic Pregnancy

Diagnosis of Ectopic Pregnancy includes the following tests:

Pelvic exam
Physical exam
Blood tests
Ultrasound

Precautions & Prevention of Ectopic Pregnancy

You can decrease certain risk factors by taking following precautions:

Limit your number of sexual partners
Use a condom when you have sex to help prevent sexually transmitted infections

Garbhpat ke kitne din bad tk ectopic pregnancy ka khatra bna hota h. 5 month ho gye garbhpat huwe but ab pet me drd ho rha h to Kya ye garbhpat see related koi issue ho skta h?

Dr. Sajeev Kumar 92% (28990 ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Garbhpat ke kitne din bad tk ectopic pregnancy ka khatra bna hota h.
5 month ho gye garbhpat huwe but ab pet me drd h...
If ectopic occurs it occurs ta the time of pregnancy and not later and a USG can reveal if the pregnancy is normal or ectopic
1 person found this helpful
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Can Laparoscopic Management Of Ectopic Pregnancy Save Fallopian Tube?

Dr. Pragnesh Shah 92% (121 ratings)
MD, MBBS
Gynaecologist, Ahmedabad
Can Laparoscopic Management Of Ectopic Pregnancy Save Fallopian Tube?

Pregnancy in the abnormal place like Fallopian tube is defined as Tubal Ectopic Pregnancy.

Indication: 
Performed for pain in lower abdomen with H/o amenorrhea and Bleeding P/v and TVUSG showing tender adnexal mass or when medical treatment fails for ectopic.

Objective:
More than 90% cases of Ectopic pregnancy cases are now treated by Laparoscopy all over the world. Important pre-requisite for Laparoscopic management is – Patient should be haemodynamically stable. Ruptured Ectopic pregnancy should be treated by salpingectomy, as in subsequent pregnancy chances of repeat Ectopic will be more with Salpingostomy. Goal should be diagnosing Ectopic pregnancy in its asymptomatic -unruptured stage so that we can offer medical treatment with Methotraxate or Laparoscopic Salpingostomy or Tubal milking for preservation of affected tube. Recording the surgery helps another doctor for the decision of Salpingostomy/Salpingectomy during past surgery. Procedure takes hardly 30 minutes & patient can be discharged on the same day like Lap.T.L. 

Benefits of Laparoscopy Surgery:

  1. Shorter Hospital stay.
  2. Earlier return to your routine work.
  3. Cosmetically vary small scar.
  4. Less pain after operation.
  5. Best fertility enhancement & Fertility results following Laparoscopy.
  6. Video-live operative file available in CD/DVD for future reference (Transparency about surgical procedure).
  7. The possibility of post-operative adhesion formation will be less, and the possibility of pain because of post-operative adhesions will also be less.  

Pre-operative Check Lists:

  1. Lab. Investigation for Surgery (Urine complete & Blood complete, HbsAg, HIV, R.B.S.); Pelvic Trance vaginal USG report, UPT OR S.B-hCG
  2. Operation planned before vital data deteriorates.
  3. Preparation/shaving of local parts.

No. Of Cuts on Abdomen:
Three cuts: all of 5 mm size.

Average Stay in Hospital:
4 to 6 hours. (DAY CARE SURGERY)

Average Duration of Surgery:
20-30 minutes

Average Blood loss during Surgery:
Bloodless and 50 to 500 cc if ruptured Ectopic with free blood in the abdomen.

Average time after operation to resume normal activities/work:
Within 24 hours. Many patients undergo laparoscopy as Day care procedure, returning home within 24 hours of surgery. For normal ectopic laparoscopy procedure takes about 15 to 30 minutes only. For chronic ectopic it may take 1-2 hours. Most begin feeling much better within one day. 


Anesthesia:
General Anesthesia (Patient will not feel any pain in Operation Theatre during surgery) 

Operative Procedure:

Inside the Umbilicus small needle is introduced and Co2 gas is insufflated inside abdomen. Rather than creating a large incision and opening up the body, tiny incisions are made and a laparoscope is inserted. This slim scope has a lighted end. It takes pictures – actually fiber optic images - and sends them to a monitor so the surgeon can see what is going on inside. 

Performing laparoscopy usually only requires three tiny incisions less than one half inch, (about 5-10 millimeters) in length. One incision is made inside the navel, and another two are usually made near the bikini line. The first incision allows a needle to be injected into the abdomen so carbon dioxide gas can be pumped inside the cavity of the abdomen, which helps to keep intestines & omentum up and away from organs. This allows the surgeon a better view and more working space to maneuver the laparoscope and surgical tools as needed. Using small incisions rather than opening the abdomen lessens recovery time as well as discomfort and makes surgical scars less noticeable.

Blood from the abdomen is suctioned with suction irrigation cannula. Affected Ectopic tube is desiccated with bipolar desiccation & cut & removed. For Salpingostomy anti-mesenteric border is cut after pitressin injection in mesosalpinx and ectopic sac delivered gently with suction & irrigation cannula. Haemostasis achieved by compression with atraumatic grasper. Copious irrigation is necessary to prevent post-operative adhesions.

 

Post-operative Course:

Patient remains drowsy/sedated for 4-5 hours after laparoscopy but conscious & pain free. Patient can take fluids 5-6 hours after laparoscopy & light food after 6-8 hours. She may feel little abdominal & shoulder pain after laparoscopy for 24 hours but it cam be relived with pain killer tabs. Most of the patients can walk normally without support and can take normal diet 6-8 hours after the laparoscopy. She can be discharged on the same day of the operation. Few patients may feel nausea & vomiting after laparoscopy, which can be very well controlled with injection in post-operative room. Patient can do her normal activity within 24 hours after laparoscopy. Patient is advised to take antibiotics & analgesic tabs. For 5 days following laparoscopy. Patient is advised to report to doctor for severe pain or bleeding or fever in postoperative period (Day-1 to Day-5) immediately. Patient is advised to come for follow up 7 days after the Laparoscopy for dressing.

4190 people found this helpful

7 Symptoms Of Ectopic Pregnancy!

Dr. Vandana Gupta 83% (26 ratings)
MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Delhi
7 Symptoms Of Ectopic Pregnancy!

In a normal pregnancy, the egg that the ovaries release enters the fallopian tube. If a sperm fertilises it, the fertilised egg attaches itself inside the uterus. However, sometimes the fertilised egg can attach itself outside the uterus. This condition is called ectopic pregnancy.

Ectopic pregnancy can be detected in the first few weeks of the pregnancy itself. If your doctor does discover ectopic pregnancy, you would need immediate medical attention. Ectopic pregnancies can be sad and scary. The survival rate of the baby is extremely low, and you may need some time to get over your loss. Fortunately, one ectopic pregnancy doesn't mean you can never conceive again. Many women who lost their first baby to ectopic pregnancy have been able to have a healthy and normal pregnancy the second time around.

The causes of ectopic pregnancy include:

  1. An inflammation or infection of the fallopian tube can lead it to become entirely or partially blocked.
  2. Scar tissue from a surgery or an infection of the fallopian tube may also hinder the movement of the fertilised egg.
  3. Surgery in the tubes or pelvic areas in the past might cause adhesions.
  4. Birth defects or abnormal growths can cause anomalies in the shape of the tube.

These causes are usually followed by certain risk factors, such as:

  • Age (The age group of 35-44 especially)
  • An ectopic pregnancy in the past
  • Previous abdominal or pelvic surgery
  • Pelvic inflammatory disease
  • Several prompted abortions
  • Conceiving with an intrauterine device in place
  • Smoking
  • Endometriosis (growth of uterus lining tissues outside the uterus).
  • Fertility treatments.

The signs and symptoms of ectopic pregnancy include:

  1. Minimal vaginal bleeding
  2. Vomiting and nausea with pain
  3. Pain in the lower abdomen
  4. Sharp cramps in the abdomen
  5. Localised pain (Pain concentrated on one side of your body)
  6. Pain in your neck, rectum or shoulder
  7. Rupture of the fallopian tubes can cause fainting due to the bleeding and pain

The treatment of ectopic pregnancy can be any one of the following:

  1. If the pregnancy has not progressed too far, methotrexate will be administered. This absorbs the pregnancy tissue and can save the fallopian tubes.
  2. The tubes may be removed if they have ruptured or stretched, and have started bleeding.
  3. Laparoscopic surgery (operations performed by making minor incisions) may be performed to remove or repair the tubes and recover the ectopic pregnancy.
3393 people found this helpful

Ectopic Pregnancy - Things You Must Be Aware About!

Dr. Ekta Singh 89% (41 ratings)
MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Noida
Ectopic Pregnancy - Things You Must Be Aware About!

In ordinary pregnancy, the egg released from the ovary becomes fertilized when it meets the sperm and travels through the fallopian tubes to the uterus where it grows in the following nine months. In an ectopic pregnancy, the fertilized egg never makes it to the uterus instead it stays in one of the fallopian tubes; this is also known as tubal pregnancy. In very rare cases, the egg also attaches itself to one of the two ovaries making your pregnancy difficult and putting your health in danger.

Treatments: Ectopic pregnancy is usually ended if it is detected at an early stage to prevent rupture and extreme blood loss. There are both medications and surgical options depending upon the stage of detection.

Medication: Methotrexate is a potent drug used to end ectopic pregnancy but it has several side effects like vomiting, stomachache, drowsiness and nausea. It requires several hormone and blood tests to determine its effects on the pregnancy. This medication will work only when your hormone levels during your pregnancy are low and the embryo does not have any heart activity.

SurgerySurgical treatment of ectopic pregnancy is needed when the symptoms have become more rampant like increased hCG levels and excessive bleeding. At this stage, any kind of medication won't work and the possibility of a rupture becomes more prominent as time progresses. In such cases, Laparoscopic surgery is done, which requires a small incision and is safe and effective. If the patient happens to experience rupture, immediate emergency surgery is required.

Ectopic pregnancy tends to take care of itself by miscarriage, which is called expectant management. Medication is the first choice of treatment, it is usually very effective and surgery is used to treat severe cases when one becomes unresponsive to medications. In case you have a concern or query you can always consult an expert & get answers to your questions!

4099 people found this helpful

Ectopic Pregnancy - Things You Must Be Aware Of!

Dr. Sujata Agrawal 89% (139 ratings)
MBBS, MD - Obstetrtics & Gynaecology, Diploma In Ultrasound, Fellowship In Laproscopy
Gynaecologist, Delhi
Ectopic Pregnancy - Things You Must Be Aware Of!

In a normal pregnancy, the egg that the ovaries release enters the fallopian tube. If a sperm fertilises it, the fertilised egg attaches itself inside the uterus. However, sometimes the fertilised egg can attach itself outside the uterus. This condition is called ectopic pregnancy.

Ectopic pregnancy can be detected in the first few weeks of the pregnancy itself. If your doctor does discover ectopic pregnancy, you would need immediate medical attention. Ectopic pregnancies can be sad and scary. The survival rate of the baby is extremely low, and you may need some time to get over your loss. Fortunately, one ectopic pregnancy doesn't mean you can never conceive again. Many women who lost their first baby to ectopic pregnancy have been able to have a healthy and normal pregnancy the second time around.

The causes of ectopic pregnancy include:

  • An inflammation or infection of the fallopian tube can lead it to become entirely or partially blocked.
  • Scar tissue from a surgery or an infection of the fallopian tube may also hinder the movement of the fertilised egg.
  • Surgery in the tubes or pelvic areas in the past might cause adhesions.
  • Birth defects or abnormal growths can cause anomalies in the shape of the tube.

These causes are usually followed by certain risk factors, such as:

  1. Age (The age group of 35-44 especially)
  2. An ectopic pregnancy in the past
  3. Previous abdominal or pelvic surgery
  4. Pelvic inflammatory disease
  5. Several prompted abortions
  6. Conceiving with an intrauterine device in place
  7. Smoking
  8. Endometriosis (growth of uterus lining tissues outside the uterus).

Fertility treatments:
The signs and symptoms of ectopic pregnancy include:

  1. Minimal vaginal bleeding
  2. Vomiting and nausea with pain
  3. Pain in the lower abdomen
  4. Sharp cramps in the abdomen
  5. Localised pain (Pain concentrated on one side of your body)
  6. Pain in your neck, rectum or shoulder
  7. Rupture of the fallopian tubes can cause fainting due to the bleeding and pain

The treatment of ectopic pregnancy can be any one of the following:

  1. If the pregnancy has not progressed too far, methotrexate will be administered. This absorbs the pregnancy tissue and can save the fallopian tubes.
  2. The tubes may be removed if they have ruptured or stretched, and have started bleeding.
  3. Laparoscopic surgery (operations performed by making minor incisions) may be performed to remove or repair the tubes and recover the ectopic pregnancy.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3861 people found this helpful

Ectopic Pregnancy - What You Need To Know?

Dr. Mamta Goel 91% (111 ratings)
DNB, DGO, MD
Gynaecologist, Delhi
Ectopic Pregnancy - What You Need To Know?

The normal process is for the fertilized egg to get itself embedded within the uterus. For various reasons, however, it can happen that the fertilized egg gets embedded outside the uterine cavity. This is known as extra-uterine pregnancy or ectopic pregnancy. The incidence of this is 11 per 1000 pregnancies. The most common location (97 % of the times) for these pregnancies is the fallopian tube, and so also known as tubal pregnancies. Rarely (1 in 30,000 pregnancies) an ectopic pregnancy can coexist with an intrauterine pregnancy.

Risk factors: This is not a normal pregnancy, and there are certain risk factors, which increase the chance for ectopic pregnancy.

  1. Pelvic inflammatory diseases
  2. Prior tubal surgery
  3. Endometriosis
  4. Prior ectopic pregnancies
  5. Assisted reproductive techniques such as IVF
  6. Congenital structural anomalies of uterus
  7. IUCD use reduces the risk of ectopic pregnancy compared to no contraception that is 1 in 1000. However, where an IUCD fails, the risk of pregnancy being ectopic is high

All causes of ectopic pregnancy have a common factor – the fallopian tube is affected and does now allow for movement of the egg up the uterus. This could be due to infections or adhesions

Symptoms: Ectopic pregnancy would present with symptoms similar to a normal pregnancy like amenorrhea, abdominal pain, pelvic pain, breast tenderness except that the implanted egg puts pressure on the surrounding organs and this causes additional problems like shoulder tip pain, urinary symptoms, rectal pain, diarrhea and vomiting.

There could also be vaginal bleeding, passage of tissue per vaginum and in this case it needs to be differentiated from a miscarriage

Sometimes, the tubes may rupture and bleeding ensues which can bee life-threatening. Treatment is often done on an emergency basis.

  1. There is a sharp stabbing pain in the pelvis and abdomen, which can sometimes go up into the diaphragm.

  2. Bleeding which is often heavier than the normal period

  3. Weakness and fainting

Diagnosis: For an ectopic pregnancy to be confirmed, imaging is necessary. In addition,

  1. The HCG levels can be lower than expected with a normal pregnancy

  2. Confirmation happens with an internal ultrasound, which will also tell where exactly it is situated.

Management: Treatment can involve one of the 3 ways.

  1. Conservative if the serial beta hcg are falling adequately

  2. Methotrexate, which will dissolve the pregnancy tissue and allow for the body to absorb it. The tubes are often spared in this, and they heal over time.

  3. If the tube or tubes are affected, then they will have to be removed. This may even be done as an emergency procedure if the bleeding is severe.

  4. Laparoscopic surgery is often considered to remove the fallopian tube and the ectopic pregnancy. If the same cannot be carried out laparoscopically, then an open surgery needs to be done.

Prognosis: Once an ectopic pregnancy occurs, the chances of recurrence are about 10 to 20 %. HCG levels will have to be monitored periodically. If the levels continue to be high, it is possible that there is still some ectopic tissue left. This may require methotrexate or surgery.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3567 people found this helpful

Ectopic Pregnancy: Dangerous Risks You Need To Know

Dr. Veena G. Shinde 91% (882 ratings)
PG in Assisted Reproductive Technology, MD - Obstetrics & Gynaecology, DGO, MBBS
Gynaecologist, Mumbai
Ectopic Pregnancy: Dangerous Risks You Need To Know

During a normal pregnancy, a fertilised egg travels through the fallopian tube to the uterus. The egg attaches itself in the uterus and begins to develop. In an ectopic pregnancy, the egg attaches outside the uterus, most often in fallopian tube. This is the reason why it is also called a tubal pregnancy. In rare cases, the egg may implant itself in an ovary or the cervix.

There is no way to prevent an ectopic pregnancy. Also, it cannot be transformed into a normal pregnancy. If the egg continues developing in the fallopian tube, it can rupture the tube; the result of this could be fatal. If you have an ectopic pregnancy, you will require immediate treatment to end it before it causes any risks.

Risks involved: Things that make you more prone to an ectopic pregnancy are:

  • The more you smoke, the higher your danger of an ectopic pregnancy.
  • Pelvic incendiary malady (PID). This is the after effect of contamination, for example, chlamydia or gonorrhea.
  • Endometriosis, which can bring about scar tissue in or around the fallopian tubes.
  • Exposure to a chemical called DES before you conceived.

Symptoms: The signs of an ectopic pregnancy are:

  • Pelvic pain. It might be sharp on one side at first before spreading through your belly. It might be more painful when you move or strain
  • Vaginal bleeding

Diagnosis: To see whether you have an ectopic pregnancy, your specialist will probably take:

  • A pelvic exam to check the span of your uterus and feel for any kind of growth in your tummy.
  • A blood test that checks the level of the pregnancy hormone (hCG). This test is repeated 2 days after the fact. In early pregnancy, the level of this hormone duplicates itself every two days. Low levels recommend an issue, for example, ectopic pregnancy.
  • An ultrasound. This test can demonstrate pictures of what is inside. With ultrasound, a specialist can more often than not see a pregnancy in the uterus 6 weeks after your last menstrual period.

Treatment: The most widely recognised treatments are medicines and surgery. As a rule, a specialist will treat an ectopic pregnancy immediately to prevent harm to the lady.
Prescription can be utilised if the pregnancy is discovered right on time, before the tube is harmed. Much of the time, one or more shots of methotrexate will end the pregnancy. Taking the shot gives you a chance to keep away from surgery; however, it can bring about reactions. You should see your specialist for follow-up blood tests to ensure that the shot worked.

For a pregnancy that has gone past the initial couple of weeks, surgery is a better option than medication. In this event, the surgery will be a laparoscopy.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1 person found this helpful

Hi, My wife is diagnosed carting ectopic pregnancy. Her doctor is administering her folitrax. Also she is giving her Biopreg f. Is Biopreg f advisable when we want to clear ectopic pregnancy through injection.

Dr. Sameer Kumar 93% (4968 ratings)
MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, Biopreg-f is actually not required daily but folinic acid ripple,emtation in form of folate would be required along with methotrexate which is an anti-folate.
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