Yes, surgery! Please do not mess around with an ectopic. The faster you have it diagnosed the faster you can be treated which may mean you can have it taken care of without surgery. If you have an ectopic you can die. If your tube ruptures you can bleed to death. If it does rupture they will remove it and it will have an impact on future fertility. If you get it diagnosed before rupture they can give you a medication that will end the pregnancy and you will not loose your tube or need surgery.
I just went through this nightmare in July! If you expect ectopic get an ultrasound YESTERDAY!
Kinda bummed cuz I really don't want the ultrasound.
I commented on your other post, but because I'm a July DDCer too I'll just repeat that the blood test alone should be enough to indicate the need for an ultrasound. In the absence of other risk factors I would just firmly turn down routine care that you don't deem necessary. If you doctor resists, you might want to look around for a new doctor, though I know you're options are probably limited where you are.
I did the blood work, and everything came out fine. I actually plan to do my pregnancy and birth without any medical intervention. This doctor told me there was no other way to diagnose an ectopic pregnancy, but then had no problem interpreting the data from the bloodwork. She either lied or is stupid. Confirmation after confirmation of the ineptness of doctors to support a natural birth.
May I ask what you consider medical interventions to be? do you plan on birthing with this doctor?