ectopic pregnancy symptoms.

Contents.

What is ectopic pregnancy?

Symptoms.

Causes and risk factors.

Complications.

Diagnostic.

Treatment.

Ectopic pregnancy.

Ectopic pregnancy or ectopic pregnancy is a condition in which the fertilized egg adheres somewhere outside the uterine cavity, in one of the tuba. The prevalence of ectopic pregnancies is about 2% of all pregnancies.

What's the difference between it and normal pregnancy?

In normal pregnancy, the ovary releases the egg into the fallopian tube. If the egg meets a sperm, then the fertilized egg moves into the uterus and will continue to grow over the next nine months. But in one in 50 pregnancies, the fertilized egg remains in the tubal. This condition is called an ectopic pregnancy. In rare cases, the fertilized egg adheres to one of the ovaries or other organs inside the abdomen. Ectopic pregnancy is an emergency that requires treatment and can endanger the life of the mother.

Symptoms of ectopic pregnancy.

The most common signs of ectopic pregnancy are:

Delayed menstruation.
Unusual vaginal bleeding (Vagina).
Pain in one of the lower parts of the abdomen.
Weakness, even fainting (shock) as a result of blood loss.

In a woman of fertile age, these symptoms may give rise to suspicion of an ectopic pregnancy, until it is verified and proven to be due to a different source and requires immediate medical treatment. The symptoms of ectopic pregnancy are often not clear and conclusive, with only part of them appearing with low levels of pain, making it difficult to diagnose ectopic pregnancy.

Causes and risk factors for ectopic pregnancy.

The development of ectopic pregnancy is mainly due to damage to the trumpet that may be caused by infections (especially transmitted through sexual relations) or by previous surgeries.

Complications of ectopic pregnancy.

The fate of an ectopic pregnancy cannot be predicted. Sometimes, the fetus may grow so that the horn is no longer able to contain it and then it comes out into the peritoneum cavity, which can cause the horn wall to rupture, causing bleeding inside the peritoneum to cause pain in the abdomen. Pregnancy may sometimes cease to develop and be absorbed until it disappears completely.

When the diagnosis of ectopic pregnancy is confirmed, you should be prepared for severe monitoring and follow-up, as some of these conditions are at risk of exacerbation, which may require surgical intervention. In easy cases, with a constant decrease in hormone levels, only monitoring can be observed. After an ectopic pregnancy (tubal pregnancy), the likelihood of proper pregnancy in utero is 80% - 88%, while the probability of another ectopic pregnancy is 4.2% - 5%.

Diagnosis of ectopic pregnancy.

Ectopic pregnancy is diagnosed in the following ways:

1- Ultrasound scans.

Ultrasound - Ultrasound in the vagina and based on repeated measurements of the level of the pregnancy hormone (epithelial gland progenitor - hCG) in the blood. In this case, when the possibility of intrauterine pregnancy is denied, it raises, in general, the suspicion of an ectopic pregnancy in the tubal.

2- Hormone testing.

The discovery of the pregnancy in the tubal and/or fluid (blood) in the peritoneum supports this diagnosis. Progesterone levels are also lower in ectopic pregnancies, which is an additional indicator that also supports the diagnosis of tubal pregnancy.

Treatment of ectopic pregnancy.

Treatment for ectopic pregnancy is chosen according to the severity of the condition. If the pregnancy in the tubal is accompanied by bleeding in the peritoneal cavity, or if the fetus is in the tubal together with a heart beat and hCG level of more than 3,500 mIU/ml, there is a need for a laparoscopy surgical procedure and removal of the pregnancy from the tubal, or the removal of the pregnancy (tubal removal). Methotrexate can be effective for women whose tubal pregnancy is small, their HCG level low and no abdominal bleeding.

Re-conceivable after ectopic pregnancy.

Most women who experienced ectopic pregnancy then experienced a normal pregnancy and birth, even if one of the entire tubal suppin was removed. As long as there is one trumpet that works, the load can be obtained. If the cause of ectopic pregnancy is a treatable disease, such as gonorrhea or chlamydia, receiving treatment improves the chances of having a successful and healthy pregnancy in the future. Women who have had an ectopic pregnancy experience previously are advised to consult their attending physician about the recommended waiting time for them to try to conceive again. Some doctors recommend waiting for 3-6 months.

Women who have had an abortion are advised to take some time to heal the body and soul. Above all, it is important for this woman to understand that this is a matter of circumstances beyond her control and that this is not her fault, in any way. Support groups can be used to overcome grief and loss.

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