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Ectopic pregnancy: Symptoms & causes Diagnosis & treatment

 Ectopic Pregnancy: What you need to know

What is an ectopic pregnancy?

, the fertilized egg attaches to the lining of the uterus. But with ectopic pregnancy (also called an extrauterine pregnancy), the fertilized egg grows outside your uterus. This may include the fallopian tubes, ovaries, abdomen, or other areas such as the lower part of the uterus and the upper part of the uterus. In more than 90% of cases, the egg sticks to the fallopian tube. This is called a tubal pregnancy.
Ectopic pregnancy


Estimates are difficult to estimate, but one study suggests that about 50 percent of pregnancies in the United States are ectopic. As the fertilized egg matures, it can rupture (rupture) and cause life-threatening bleeding. If this happens, you need immediate medical attention. If left untreated, it can be fatal. Ectopic pregnancy is the leading cause of pregnancy-related death in the first trimester.

Can a baby survive an ectopic pregnancy?

Not. It should be noted that in ectopic pregnancy, the fertilized egg is not "viable". This means that the egg cannot survive and grow into a baby that can live inside or outside your body. It will always cause miscarriage. This is because the egg cannot receive the blood supply and support it needs to develop outside the womb.

Signs and symptoms of ectopic pregnancy

At first, an early ectopic pregnancy may not have any symptoms. This is very much like a normal pregnancy. You may miss your period and experience abdominal pain and breast pain.

Only half of the women with an ectopic pregnancy will have three of the main symptoms: missed periods, vaginal bleeding, and abdominal pain.

Early symptoms of ectopic pregnancy include:

Stomach and vomiting
Severe stomach cramps
Pain on one side of your body
Dizziness or weakness
Pain in the arm, neck, or rectum
An ectopic pregnancy can cause your fallopian tubes to rupture or rupture. Emergency symptoms include severe pain with or without heavy bleeding. Call your doctor if you have lightheadedness, fainting, severe vaginal bleeding, and shoulder pain or abdominal pain, especially on one side.

You may need to call 911 or go to the nearest hospital for immediate treatment.

When does ectopic pregnancy begin?

Symptoms of ectopic pregnancy appear earlier in pregnancy: between weeks 4 and 12.

Causes and risk factors for ectopic pregnancy
You may not know if you have an ectopic pregnancy. One of the reasons for this can be a damaged fallopian tube. It can prevent a fertilized egg from entering the uterus.

Ectopic pregnancy is likely to occur if:

If you have an intrauterine device for birth control (IUD), you can also become pregnant.

Complications of ectopic pregnancy

During an ectopic pregnancy, the fertilized egg is encased in a structure that can grow outside your uterus for several weeks. But the structure usually ruptures between 6-16 weeks. Rupture of an ectopic pregnancy can cause heavy bleeding. If the bleeding does not stop, your body can shut down from blood loss (hemorrhagic shock) and you are more likely to die. If treated before the eruption, it is rarely fatal.

If the device ruptures, it can damage the attached fallopian tube. During the operation, the doctor can remove the fallopian tube. But you have two fallopian tubes. If your other fallopian tubes are healthy, you should still be pregnant. But if your other fallopian tube is damaged or missing, it can be a fertility problem. In this case, talk to your doctor about other ways to get pregnant, such as IVF (in vitro fertilization).

Diagnosis of ectopic pregnancy

Your doctor will do tests, including a pregnancy test and a pelvic exam. They may give you an ultrasound to look at your cervix and fallopian tubes.

An ultrasound for ectopic pregnancy is a noninvasive test that uses sound waves to image the inside of the uterus. This test is performed by a sonographer and can be transvaginal or transabdominal. During the ultrasound, the doctor will look for the presence of the gestational sac, the location of the gestational sac, and the fetal heartbeat. The test is painless and usually takes about 15-20 minutes.

A transabdominal ultrasound can be used to confirm pregnancy or check for internal bleeding.

Treatment of ectopic pregnancy

Since the fertilized egg cannot live outside the womb, your doctor must remove it so that you do not have any health problems. They will use one of two methods: medicine or surgery.

Landon. If your fallopian tubes are not ruptured and your pregnancy is not progressing, your doctor may give you methotrexate (Trexall). The injection only requires one dose. This stops the development of fertilized eggs. Your body will absorb it.
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