07.03.2016 Andrew Johns 1 Popular
What is Ectopic Pregnancy?
Ectopic pregnancy is a pregnancy where the fertilised egg-cell continues to develop outside of the uterus. Often the embryo implants itself in one of the fallopian tubes, or sometimes in the abdomen or in the ovary. Quite possibly the embryo might end up in such specific areas as the broad ligament or the cervix of the uterus. Whatever the case is, the main idea is that during the ectopic pregnancy the embryo implants in the wrong location.
How Does it Happen?
Naturally, ovulation, which is the middle of the period, is the best time for fertilization. During this time, the fertilized egg moves further by the help of mucous membrane cilia and peristaltic contraction of the smooth muscle fibres of the tube. It moves into the uterus directed by the fluids flow. This process is quite lengthy and takes about a week. During this journey the egg transforms into a zygote and the cell division starts. More often the egg reaches its point of destination by the end of the cycle. However sometimes the fertilized egg can’t reach the uterus within the time, then due to the limited supply of nutrients, it has to attach itself to whatever place it reached.
Usually in the case of ectopic pregnancy, it is one of the fallopian tubes that become the home for the fertilized egg. Unlike the uterus, the tubes don’t stretch. They have thin walls, tender lining and are not meant for the embryo to develop. Doctors can identify the ectopic pregnancy only during the fourth week of gestation because the pregnancy is impossible to detect before the period.
Ectopic Pregnancy: Risk Factors
To prevent ectopic pregnancy you have to follow important rules. We will talk about the main ones. Very often new technology interfering with the female reproductive system is to blame for an ectopic pregnancy. About 30-50 % of women with ectopic pregnancy were diagnosed with either acute or chronic pelvic inflammatory disease. The main causes are trichomoniasis, gonorrhoea and ureaplasmosis.
Inflammatory conditions cause the edema of the fallopian tubes, which leads to the formation of adhesions and might disrupt the peristaltic contraction (moving action) of the cilia in the tubes. Thus, all these factors make it difficult for the fertilized egg to move along in a fallopian tube, causing it to attach in a wrong place. Often women who undergone a sterilization return to the idea of having children. They have to go through a reversal surgery to restore tubal patency. This also affects the tube’s ability to channel the fertilized egg.
Symptoms and Signs Ectopic Pregnancy
Are there any symptoms of the ectopic pregnancy? Can one detect it before paying a visit to the doctor? Unfortunately there are no obvious signs. Woman can have no clue for a long time. The signs can be those of a normal pregnancy, and sometimes women can still have a period.
Usually during the ectopic pregnancy only one side of the body is in pain, where the affected fallopian tube is located. Sometimes, when the fertilized egg attaches either in the abdominal cavity or cervix of the uterus, the middle of the abdomen is pain. Changing the position of the body can cause a sharp pain, which can increase if walking or turning the torso. These factors depend on the fetus’s location and gestational age.
If the embryo develops in the ampulla of the fallopian tube, which is the widest part of the tube, then the pain starts after about 8 weeks of being pregnant. If the embryo is in the smallest region of the tube called the isthmus, then the pain will start as early as 5 or 6 weeks of gestational age.
Bleeding at an early stage is also one of the symptoms of the ectopic pregnancy. Sometimes bleeding can be excessive and a women’s life is in danger. There is also a high risk that the uterus will need to be removed in order to save the woman’s life in this case.
What Kind of Pain can Woman Experience During an Ectopic Pregnancy?
Very often woman can experience a constant dull or nagging painful sensation, that can progress into a stabbing pain. However, a painful sensation alone is not an obvious sign of the ectopic pregnancy. Women can experience that during the normal pregnancy as well, as the fetus grows bigger, causing the uterus to stretch. If it is the first pregnancy, a woman might not get suspicious at all. A painful sensation on one side of the body only should be a warning sign, as the uterus stretching normally causes the pain on both sides of the body.
Treatment Ectopic Pregnancy
If ectopic pregnancy diagnosed early in the gestational age, it is likely to be successfully treated with medication. Usually mifegyne, methotrexate, and mifepristone are used. When an ectopic pregnancy is confirmed during the late stage, surgery will be required. Very often that would be a laparoscopic surgery. If the fallopian tube hasn’t ruptured it will be preserved, though another ectopic pregnancy, parallel to the existing, is quite likely to develop in it. The best decision is to remove the fallopian tube before it rupture, which can be done during laparoscopic surgery.
Ectopic Pregnancy: Consequences
Ectopic pregnancy involves negative implications. Even if it is diagnosed early and treated successfully, there is a high risk of it happening again if the causal factors are not addressed. Pooling of blood in the abdominal cavity can cause formation of adhesions, which will block the way for the fertilized egg again.
On the other hand, an ectopic pregnancy experience doesn’t mean a woman can’t have a healthy baby in future. About 50% of women who had an ectopic pregnancy get pregnant again, and deliver babies naturally. It is recommended to have a break for about a year, though woman can get pregnant again after 6 months.
After surgery, women have to strictly follow the doctor’s recommendations and go through rehabilitation. It is a heavy and lengthy process, which includes physiotherapy and regular medication treatment. The medication prevents adhesions in the tubes and improves general health condition.
If the ectopic pregnancy was diagnosed early and treated with medication only, women have fewer chances to experience it again in future. And conversely, women have more chances to have an ectopic pregnancy if one of the fallopian tubes was removed previously.
It is very important to use contraceptives after an ectopic pregnancy, as it is highly likely to happen again. It is also important to avoid removing both tubes, as natural pregnancy will be impossible after that. In this case the only way to get pregnant will be to use in-vitro fertilization (IVF). That’s why you have to responsibly plan your pregnancy.
What are d signs of ectopic pregnancy
Ectopic means вЂњout of placeвЂќ. An ectopic pregnancy happens when a fertilized egg has been implanted outside of the uterus. These are also sometimes referred to as вЂњtubal pregnanciesвЂќ The egg can also implant in the ovary, abdomen or the cervix however the most common place for implantation is within the fallopian tube.
Not space for baby to grow
These areas donвЂ™t have the space for the baby to grow вЂ“ a classic ectopic pregnancy will only last for a few weeks before the egg has to be removed or removes itself causing severe bleeding.
What are signs and symptoms of an ectopic pregnancy?
Ectopic pregnancies are very difficult to diagnose. Here are the main symptoms
- Bleeding from the vagina
- Positive pregnancy test
- An overdue period
- Previous Ectopic Pregnancies
- Previous terminations where there has been infection afterwards
At first an Ectopic pregnancy develops just as a normal pregnancy and has similar symptoms.
How is an Ectopic pregnancy diagnosed?
There are several ways in which an ectopic pregnancy is diagnosed. These include where a woman without warning collapses and has severe bleeding. A pregnancy test is carried out and is positive. She is then taken to hospital where a ruptured ectopic is found to bleed into the abdomen – where there has been a precious history of ectopic pregnancies or has been subject to assisted conception such as IVF. Finally where there is a positive pregnancy test and a positive period and some bleeding. There may also be light pain around the abdomen area.
Urine test can diagnose a Ectopic pregnancy.
A urine test can be performed, this is not 100% in all case so a blood test can be performed which should be 100% accurate. These tests are quick which is essential for treating an ectopic pregnancy.
It is difficult for a doctor to see a pregnancy that is less than 6 weeks so the women should be asked to come back every few days to check.
Ultrasound Ectopic pregnancy
An ultrasound can also be performed in females whose pregnancies are approaching the five week mark. An ultrasound will show if the pregnancy is developing in the womb or not. If the pregnancy test is positive but the ultrasound is not showing any sign of a foetus in the womb than it can be almost guaranteed that the female has an ectopic pregnancy.
How are Ectopic pregnancies treated?
There are several different types of treatment
Surgery Ectopic pregnancy
There are two types of surgery which is possible. The least invasive is where a small incision is made to the top of the pubic hairline and the affected tube is removed. Keyhole surgery can also be performed where either the egg or tube is removed.
Drug вЂmethotrexateвЂ™ В Ectopic pregnancy
The drug вЂmethotrexateвЂ™ can also be given however only a small minority of pregnancies can be treated in this way. This drug is given by injection and works by shrinking the pregnancy.
As each ectopic pregnancy is different, your paeditrician will determine which course of treatment is correct for you.
Can I get pregnant again after an ectopic pregnancy?
This depends on what type of removal was given to your previous ectopic pregnancy.
If only one fallopian tube was removed and the female is otherwise fit and healthy then there is no reason not to have a normal pregnancy next time round.
If however the tube was removed and there is previous scarring in the other tube then it may mean that the only option open for a future pregnancy is to go down the assisted conception route ie IVF.
The Danger Signs Of Ectopic Pregnancy
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Early Ectopic Pregnancy Symptoms – Tips To Identify It
If a woman has a ectopic pregnancy once you can find good chances of your girlfriend having repeated ectopic pregnancies an it is likely that her having a normal one can be limited. At least one lastly of such women will also have issues conceiving again.
Symptoms with ectopic pregnancies
The early signs of your ectopic pregnancy will be the same as that from the normal one, however, instantly also be other symptoms in the event the pregnancy develops additional. Some of these symptoms are pain on one side of the tummy, throbbing that lasts for a long period in the abdomen, fainting works with, pain in the decrease abdomen, and vaginal internal bleeding. As the lining belonging to the tubes is very delicate there can be a problem with the egg going in the uterus and instead gets implanted from the wrong place. This is also possible if the woman is on any sort of contraceptive medication or will get impregnated by in vitro fertilisation.
Ectopic pregnancy occurs each time a fertilized egg implants outside of the uterus such as with the fallopian tubes. In a lot of ectopic pregnancies, implantation occurs on the fallopian tubes, so perhaps you may hear some refer to this particular condition as tubal having a baby. Implantation may also occur in your ovary, abdomen or the cervix as well. As these areas do not possess the necessary space and properties to build pregnancy properly, problems inevitably arise so when the fetus grows, it could actually burst the organ made up of the pregnancy. This may bring about severe bleeding and may put the mother’s life at risk.
So how do you’re certain if ectopic pregnancy offers occurred? There may become a few signs, but the disorder may be difficult to diagnose being the signs may be akin to normal early pregnancies. Missed periods, breast tenderness, nausea or vomiting and vomiting, as nicely as frequent urination, may be signs of ectopic giving birth.
During doing this of a normal pregnancy, the fertilized egg go through your fallopian tube into your uterus, which as expected is where your newly born baby grows.
With ectopic pregnancy, the fertilized egg never can make it inside the uterus. It begins to develop not in the uterus, mostly developing in your fallopian tube.
Unfortunately, an ectopic pregnancy do not support life for a long duration. Usually, a miscarriage occurs fairly quickly, but if this isn’t able, the doctor will give medicine to separate the pregnancy.
What will be danger of an ectopic carrying a child?
Left to itself, a tubal pregnancy leads to severe damage to that fallopian tube. This can create circumstances making it difficult to get pregnant from now on.
Ectopic pregnancy can additionally cause life threatening indoor bleeding if it ruptures. It would require unexpected emergency surgery. Once the fallopian tube is damaged, the chances of a future pregnancy to be ectopic increase substantially.
What are actually ectopic pregnancy symptoms?
Ectopic pregnancy symptoms consist of vaginal bleeding, pelvic anguish, and severe abdominal serious pain. Other ectopic pregnancy symptoms are quite exactly like the normal signs of carrying a child. These include nausea and also morning sickness, tiredness, a fabulous missed menstrual period, and breast tenderness. Consult a medical expert soon, if there would be the symptoms of stomach serious pain and bleeding. They will resolve should there be tubal pregnancy by employing an ultrasound or a very simple blood test. The risks of the future pregnancies and well being are highly reduced when it is treated earlier. The hidden health risks can be reduced or even removed if we discovered it sooner.
The reasons are unknown in many cases. Fallopian tube problems are definitely the common factors. It is due to intrauterine birth control method devices, pelvic infections in addition to endometriosis. It is also linked to many hormonal drugs for example contraceptive hormonal medication, libido drugs, abdominal surgeries just like reproductive system and nicotine.
Slow rising HCG ranges:
If your doctor suspects that you’ve ectopic pregnancy or if there’s vaginal spotting he might test using quantitative HCG test as being the first stage of tests. The main indicator is without a doubt slow rising HCG ranges. HCG levels normally would double in each 2-3 times of early pregnancy within a case of a common pregnancy. The doctor may advice for more ultra good or blood work to get rid of other possible problems in the event the HCG levels are decreased or not doubled.
During earlier pregnancy gentle cramping can be normal. But it is not normal if you find spotting with cramping as well as severe cramping. It is also on the list of symptoms of the ectopic conception. Cramping may also be on a single side. symptoms of ectopic pregnancy
What is an ectopic pregnancy?
Normally, the fertilized egg settles and develops in the uterus. In an ectopic pregnancy, the fertilized egg fails to make it all the way to the uterus and implants instead in the fallopian tube, ovary, cervix or abdomen. The problem is that none of those parts of your body can contain a growing baby. An ectopic pregnancy is a serious medical condition that can actually threaten a woman’s life.
What are the signs of an ectopic pregnancy?
The most common symptoms of an ectopic pregnancy are abnormal bleeding and/or pelvic pain in the first trimester. If you experience any of these symptoms — especially if you’re in a high-risk category — contact your health care provider immediately. An undiagnosed ectopic pregnancy could rupture the fallopian tube (or other internal structure) and cause severe internal bleeding and permanent damage to your reproductive system.
Are there any tests for an ectopic pregnancy?
Yes. Your OB will likely do an ultrasound very early in your pregnancy to check baby’s positioning in your uterus. An ectopic pregnancy could also be considered a possibility during a pelvic exam or blood test. If the doc suspects an ectopic pregnancy, you’ll probably be ordered to undergo further testing, such as a D&C laparoscopy or laparotomy.
How common is an ectopic pregnancy?
It happens in anywhere from 1 in 40 to 1 in 100 pregnancies.
How did I get an ectopic pregnancy?
You didn’t do anything wrong! But some women are at a higher risk for ectopic pregnancies, including those who’ve had pelvic infection or surgeries, who get pregnant while using an IUD and who smoke. Many women who have an ectopic pregnancy, though, have no known risk factors.
We’re really sorry, but baby can’t survive an ectopic pregnancy — and neither can you — so your doc will remove the developing cells and end the pregnancy.
What’s the best way to treat an ectopic pregnancy?
Methotrexate, normally used as a chemotherapy agent, may be used if you’re less than six weeks along. After six weeks, surgery is usually required.
Sorry, but not much. But you can lower your risk by not smoking.
What do other pregnant moms do when they have an ectopic pregnancy?
Seek medical care immediately. It will save your life. Afterward, seek help for your grief. Regardless of the cause, going through the emotions of a miscarriage is tough to do alone.
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