Methods for returning to the normal position of cornual pregnancy

The main methods for returning to the normal position of cornual pregnancy include bed rest, medication treatment, ultrasound monitoring, uterine cavity manipulation, surgical treatment, etc. Cornual pregnancy refers to a special type of ectopic pregnancy in which the fertilized egg implants at the corner of the uterus, and appropriate intervention methods need to be selected according to the specific situation.

1. Bed rest

If there are no obvious symptoms of cornual pregnancy detected in the early stage, bed rest can be used for observation. Maintaining a supine position can help reduce the tension in the uterine horn, and some embryos may naturally return to their original position with the adjustment of uterine morphology. During this period, it is necessary to avoid vigorous exercise and sexual activity, and regularly check blood HCG and ultrasound to evaluate changes in embryo position. If you experience abdominal pain or vaginal bleeding, seek medical attention immediately.

2. Drug therapy

For cornual pregnancies with low blood HCG levels and no signs of rupture, drugs such as methotrexate can be used to inhibit embryonic development. This drug promotes the absorption of pregnant tissue by interfering with cell proliferation. After medication, it is necessary to closely monitor the decrease in blood HCG and ultrasound changes. During medication treatment, side effects such as nausea and oral ulcers may occur, and should be used in a standardized manner under the guidance of a doctor.

3. Ultrasound monitoring

Transvaginal ultrasound can dynamically observe the relationship between the gestational sac and the uterine cornual muscle layer, and evaluate the possibility of return. By measuring the distance between the gestational sac and the serosal layer, observing peripheral blood flow signals, and other indicators, the success rate of conservative treatment can be determined. Ultrasound examination 1-2 times a week can timely detect dangerous signs such as thinning of the uterine horn muscle layer, providing a basis for adjusting treatment plans.

4. Uterine cavity operation

Gentle instrument separation under hysteroscopic guidance helps to push the gestational sac that deviates from the implantation position back into the uterine cavity. This operation should be performed by experienced physicians to avoid violent operations that may cause uterine horn perforation. postoperative combined medication treatment and strengthened monitoring are necessary to prevent the occurrence of persistent ectopic pregnancy.

5. Surgical treatment

For cases with large gestational sac diameter, high blood HCG levels, or threatened rupture, laparoscopic or open surgery is required. Surgical methods include incision of the uterine horn for embryo retrieval or removal of the affected fallopian tube, and careful suturing of the uterine horn is required during the operation to avoid weakness. After surgery, contraception should be used for more than six months, and early ultrasound should be used to confirm the implantation site for subsequent pregnancies. Patients with cornual pregnancy should maintain emotional stability in daily life and avoid actions that increase abdominal pressure. Eat foods rich in iron to prevent anemia, such as animal liver and spinach. During the recovery period, it is forbidden to take baths or wash the vagina. If there is lower abdominal pain or abnormal bleeding, timely follow-up should be sought. It is recommended to undergo hysterosalpingography to evaluate uterine morphology before planning another pregnancy. In the early stages of pregnancy, ultrasound monitoring should be strengthened to exclude duplicate ectopic pregnancies.