Do you always have to have surgery for ectopic pregnancies?

Surgery necessary: It is unlikely that once a pregnancy is established it will end in miscarriage in the usual sense. A rupture of the ectopic pregnancy is technically a miscarriage except that it does not pass through the vaginal passage but ruptures inside the pelvis. If the pregnancy is totally outside the uterus, which is a rare type of ectopic pregnancy the fetus does not survive.

Surgery or mtx?: Some ectopic a can be treated with an injection of Methotrexate rather than surgery, but few resolve spontaneously.