Analysis of perioperative fertility-related stress and associated factors in women of childbearing age undergoing salpingectomy for ectopic pregnancy: a study based on the health ecology model

Women of childbearing age undergoing salpingectomy for EP experience high perioperative fertility-related stress. Our findings indicate that this stress is associated with factors across multiple levels, including clinical (e.g., older age, contralateral tubal lesions, history of ART), psychosocial (e.g., strong fertility intention, lower social support, having fewer children), and socioeconomic factors (e.g., lower income). These findings can guide healthcare providers in developing targeted interventions. Specifically, providers should not only focus on treatment outcomes but also address future fertility needs by assessing these key factors and leveraging social support networks to mitigate stress.