Ectopic pregnancy is a gynecological emergency that can be life-threatening if not diagnosed and treated promptly. This review discusses therapeutic options, comparing medical and surgical management based on clinical and biological data of patients, aiming to guide practitioners in selecting the optimal treatment according to hCG (human chorionic gonadotrophin) levels and patient hemodynamics. Approximately 1-2 % of pregnancies are ectopic, with an associated mortality rate that has decreased in recent decades due to advancements in diagnosis and treatment.