Methotrexate. This drug, which is often used in cancer therapy or for
certain skin problems, will
make the pregnancy stop growing and the body will expel it naturally. If the
ectopic is caught early, this is a much safer option than surgery, since no
incisions have to be made to the delicate fallopian tubes. You will receive the
methotrexate by a single injection. You cannot get pregnant for three months
following this injection, however, and must use contraception. High levels of
folic acid can keep methotrexate from working properly. Make sure your doctor is
aware of your prenatal vitamin and any additional vitamins you may be taking.44
Surgery. Often this is done in emergency circumstances when a
pregnancy that seems to have been progressing suddenly causes terrible pain as
it grows too large for the tube. Most of the time the fallopian tube can be
saved, although scar tissue may develop. Even if the tube is removed, your
fertility should still be preserved with your second tube. The rate of repeat
ectopic if your tube is preserved in 12%. If your tube was taken, the repeat rate is 9%.45
