Ectopic pregnancy occurs in 1 out of 80 women.While many cases of ectopic pregnancy are being considered without the need for surgery, you should always consult a doctor promptly if you think that the ectopic pregnancy is.Symptoms are listed below, but include lower abdominal pain, which can become a serious signal.Rupture the fallopian tubes threatens a woman's life, in such cases need emergency surgery.
where developing an ectopic pregnancy.
In most cases, an ectopic pregnancy occurs when a fertilized egg is fixed inside the fallopian tubes.Rarely, an ectopic pregnancy occurs in other places, such as the ovaries or abdomen.Next, we will focus only on what concerns tubal ectopic pregnancy.
problems associated with ectopic pregnancy.
ectopic tubal pregnancy never survives.Possible results include:
- Pregnancy often interrupted for a few days.About half of ectopic pregnancies end this way.You do not have any symptoms, and you'll never know they were pregnant.Sometimes there is a slight pain and so
- Pregnancy can occur some time in the narrow fallopian tubes.It can stretch the pipe and cause a variety of symptoms.This is when an ectopic pregnancy is usually diagnosed.
- narrow fallopian tube can be stretched quite a bit.If the period of pregnancy becomes more - it usually breaks.This can lead to severe internal bleeding, severe pain and even death.
symptoms of ectopic pregnancy.
Symptoms usually appear in the 6th week of pregnancy.It is about 2 weeks after menstruation, if you have a regular cycle.However, symptoms can develop at any time between 4 and 10 weeks of pregnancy.You may not know they are pregnant.For example, your cycle is not regular or you use contraception, violating it.Symptoms may also resemble normal menstruation, so you do not just "bёte anxiety."The most notable may be the only symptoms of a later period.Symptoms include one or more features:
- Pain on one side of the lower abdomen.It may be sharp, or may gradually grow for several days.This can have serious consequences.
- uterine bleeding is often the case when an ectopic pregnancy, but not always.Very often it is different from bleeding during menstruation.For example, the bleeding could be "heavier" blood thicker and darker than usual.However, you can take it as a late-cycle bleeding.
- There may be symptoms such as diarrhea, feeling of weakness, or pain when passing stool (constipation).
- may develop pain in the lungs.This is associated with some bleeding into the abdominal cavity, which irritates the diaphragm (muscles used during breathing).
- At rupture of the fallopian tube and internal bleeding occurs, it may be severe pain or loss of consciousness.It is a state of emergency.
- Sometimes there is no warning symptoms (eg pain) to burst pipes.Therefore, fainting due to sudden heavy internal bleeding is sometimes the first sign of an ectopic pregnancy.
Who is at risk for ectopic pregnancy.
Ectopic pregnancy can occur in any sexually active woman.However, "the chances of" you higher if ...
- If you already had an ectopic pregnancy.Then you have about 1 in 10 chance that a future pregnancy will be ectopic.If you have had two or more ectopic pregnancy, then your chances of another ectopic pregnancy is much higher.
- If you have kinks, scars, damage, or other abnormalities in the fallopian tubes.This fertilized egg can "get stuck" in the pipe more easily.For example:
- If you have had in the past infection of the uterus and fallopian tubes (pelvic inflammatory disease).This is usually caused by either chlamydia or gonorrhea.These infections can lead to scarring of the fallopian tubes.Chlamydia and gonorrhea are the common causes of pelvic infection.
- Previous operation to sterilize.While sterilization is very effective method of contraception, pregnancy still occur occasionally, but about 1 in 20 cases are ectopic.
- Any previous surgery on fallopian tube or nearby organs.
- If you have endometriosis.
- If you use an intrauterine device (coil).Again, pregnancy is rare, because it is an effective method of contraception.
- If you use drugs (certain types of infertility treatment).
- risk of ectopic pregnancy is increased in women over the age of 40 years and in women smokers.
If you are in any of these groups, contact your doctor as soon as you think you might be pregnant.The tests can detect pregnancy within 7-8 days after fertilization, which can actually be already before menstruation.
As an ectopic pregnancy can be confirmed?
If you have symptoms that may indicate an ectopic pregnancy, you usually will be taken to the hospital immediately.
- urine test can confirm that you are pregnant.
- ultrasound can confirm the ectopic pregnancy.This is usually a transvaginal (internal) scan, which is not painful and allows a good view of the fallopian tubes.However, the check can not be clear if the pregnancy is very early.If so, then scan again in a few days.
- Blood tests show a change in hormones during pregnancy (human chorionic gonadotropin and hCG)
What are the treatment options for ectopic pregnancy?
emergency surgery is needed to break the fallopian tube with heavy bleeding.The main goal is to stop the bleeding.Rupture the fallopian tubes eliminate the fruit is removed.This operation is often saves lives.
If an ectopic pregnancy in the early stages - before the break.
Ectopic pregnancy is often diagnosed before rupture.Your doctor will advise on treatment, which may include the following.
- Surgery: Removing tubes (or all or part of the pipe) with an ectopic pregnancy is the most frequently performed operations.Salpingectomy (removal of the fallopian tubes containing fruit) is satisfied if the other options are no longer possible.Salpingotomy (removal of only part of the tube with the fruit) is satisfied if the other tube unwell (for example, there are scars from previous infection).
- Medical aid: treatment of ectopic pregnancy is now more common and avoids the need for surgery.Drug called "methotrexate" is often given as a rule in the form of injections.It works by killing cells of the fetus growing in the fallopian tubes.As a rule, it is recommended only if the pregnancy is very early.The advantage is that you do not need an operation.The disadvantage is that you will need careful monitoring over several weeks with blood tests and scans to make sure the medicine worked.Women tend to pass a blood test for HCG (human chorionic gonadotropin) every 2-3 days to low levels.Ultrasound is usually repeated every week.Methotrexate may cause side effects which include nausea and vomiting in some women.Very often, women experience abdominal pain 3-7 days after the start of receiving methotrexate.
- pending the results ("wait and see"): Not every ectopic pregnancy is life threatening or leads to a risk for the mother.In many cases the ectopic pregnancy is allowed by itself without any problems in the future.Pregnancy is often interrupted, that is there is a miscarriage.One possible option is to "see how things go," If you have no symptoms.You will need treatment if symptoms become worse.In addition, careful observation and repeat ultrasound and a blood test to check how things are going.
Most often women care about a common question: "What are the chances of having a future normal pregnancy after an ectopic pregnancy?"Even if you delete one of the fallopian tubes, which is about 7 out of 10 chance of having a normal pregnancy in the future.(Another of the fallopian tubes will still work).Nevertheless, there is a probability (1 in 10), it may cause another ectopic pregnancy.Therefore, it is important that women who have had an ectopic pregnancy in the past, turned to the doctor at the beginning of a future pregnancy.
It is normal to feel anxious or depressed for some time after treatment.Concern about possible future ectopic pregnancy, affects fertility, and sadness over the "death" of pregnancy is normal.Talk to your doctor about this and other problems after treatment.
- Ectopic pregnancy is common.This pregnancy can not be saved!
- typical first symptom is pain in the lower abdomen after the recent menstruation.
- development of pregnancy can lead to rupture of the fallopian tubes, which requires emergency surgery.
- planned treatment in advance (before the break) is much better than on the later stages.
- Most women with ectopic pregnancy does not need surgery.
- Tell your doctor if you are in "risk" as soon as you decide that you are pregnant.