When a pregnancy is very early it may be necessary to wait and see where the pregnancy is and whether it could be a normal early pregnancy. This is called a pregnancy of unknown location (PUL).
If your doctors think there might be an ectopic pregnancy, but decide to wait to be sure, it is important that you have an emergency phone number you can call at any time and that you are not too far from a hospital in case the ectopic pregnancy does cause bleeding.
Methotrexate is a type of chemotherapy that will stop an early pregnancy from growing. Methotrexate is safe in the doses given for an ectopic pregnancy, but not every woman is suitable for this treatment. It is important that you have a phone contact and are not too far from a hospital. Methotrexate works well for most women but about 1 in 5 women will still need surgery to remove the ectopic pregnancy.
If the ectopic pregnancy is too far advanced, or if there are already signs of bleeding, then surgery will be required. This is usually done by a surgical technique called a laparoscopy where a special telecscope is passed through your stomach wall. Sometimes a cut low down on your bikini line is needed. This is called a laparotomy. The recovery time from a laparoscopy is much quicker than a laparotomy.
During this operation, the damaged tube may be removed. Your surgeon will normally discuss the surgery beforehand but may not know for sure what will need to be done until after the surgery has started and the condition of the tube examined.