The uterus is the right place to conceive. Pregnancy anywhere outside of the uterus (womb) is called an ectopic pregnancy. Ectopic pregnancy is also called a tubal pregnancy. This is a pregnancy-related complication.
This pregnancy usually occurs in most cases in the ovaries. Other places are the ovaries, cervix, or any area inside the abdomen. For every 1000 pregnancies, 11 people are at risk for an ectopic pregnancy.
Ectopic pregnancies are rare and dangerous at the same time. Unexpected events can happen if not treated at the right time.
What is an Ectopic Pregnancy? definition
Ectopic pregnancy is when an embryo is formed anywhere in the lower abdomen outside the uterus. 98% of ectopic pregnancies occur in the fallopian tubes. Less than 1% of ectopic pregnancies occur in the ovaries.
The embryo is made of the fallopian tube. However, the fetus can not enter the uterus unless the connection between the tube and the uterus is smooth.
As a result, it continues to grow in the fallopian tube. This is called an ectopic pregnancy.
How does an ectopic pregnancy happen?
Human life begins with the union of a sperm with an ovum. This is done in the fallopian tubes or ovaries of the female body. Then gradually, its cells begin to divide, and the zygote continues to move towards the uterus for replacement.
If this progression is interrupted for any reason, it continues to grow in the ovary without finding the right place. But because of the inability of the ovaries to expand, the uterus may rupture and bleed into the abdomen.
It can be understood by looking at the picture. From this ovary comes one or more ova per month in the fallopian tube. And wait 12 to 24 hours in this tube. In the meantime, if any sperm do not fertilize it, then it is destroyed.
If the sperm somehow fertilize the ovum while in the fallopian tube, it slowly moves to the center of the uterus in 6 to 10 days. It is then replaced in the womb. It is called a normal pregnancy. ectopic pregnancy pain location
Now, if there is any complication, it is that the ovum and the sperm come together. But if for some reason, it does not come to the uterus and is replaced somewhere else, it is called an ectopic pregnancy.
In 90% of ectopic pregnancies, the fetus is replaced in the fallopian tube. So it is also called a tubal pregnancy. However, it can occur anywhere in the abdomen except the fallopian tubes, except the uterus.
Complications occur when the fetus is implanted in the fallopian tube. This is because the fallopian tube does not have the space to hold the growing fetus and the mechanism to provide the necessary nutrients.
There is this mechanism in the uterus. If the fetus stays in the fallopian tube, the fallopian tube may rupture if it is bad at one stage. If this is the case, then bleeding can start with severe pain. This should not be neglected at all.
Because of the rupture of the fallopian tube, this internal bleeding can lead to the death of the infected patient. So once this complication is caught, treatment should be taken on the advice of a doctor.
Causes of Ectopic pregnancy
» If there is a tendency to use a birth control intrauterine device (IUD)
» If you have had any pelvic surgery before.
» If the normal anatomy and structure of the ovaries are damaged for any reason, such as a history of pelvic infection, the chances of becoming ectopic increase many times over.
» If congenital ovarian structural problems.
» In-vitro fertilization or taking test tube baby or ovulation medicine.
» Ectopic pregnancy is more likely to occur if you use a contraceptive copper tube or have had an earlier abortion.
» treatment of infertility plays Ovulation Inducing Drug.
» If you use some estrogen pills.
» If you have a history of the sexually transmitted disease or STD.
» If the baby is taken through IVF.
What are the symptoms of Ectopic pregnancy?
What are the symptoms/signs of an ectopic pregnancy? The common symptoms of ectopic pregnancy include:
➥ Slight bleeding from the vagina
➥ Nausea and nausea with pain
➥ Pain in the lower abdomen
➥ Abdominal tension
➥ Pain on one side of the body
➥ Weakness ectopic pregnancy with IUD
➥ Neck and shoulder pain
➥ Stomach tightening
➥ Syncopal Attack
➥ Heavy breast or breast pain
➥ Frequent urination
➥ Signs of shock
➥ Very fast heartbeat (>110 beats/min)
There are two possible complications to an ectopic pregnancy,
✎ Acute or Gestational sac rupture and bleeding inside the abdomen. This quickly worsens the patient’s condition. So the risk of death is much higher.
✎ Chronic or gradual bleeding in the abdomen for a long time. The patient’s condition gradually worsens. Keep in mind that the relatively acute situation is dangerous.
Many people mistakenly think of it as appendicitis or gastric problems when they experience such pain before the symptoms of pregnancy, i.e., within a few days of missing a period.
Due to which, first, seek the help of a doctor of medicine or surgery. Which is considered an ectopic pregnancy by subsequent examination.
Risk factors for ectopic pregnancy
☞ If the mother is over 35 years of age.
☞ If there is a record of previous ectopic pregnancy.
☞ If any operation is done on the pelvic area or lower abdomen.
☞ Excessive smoking
☞ Long-term infertility treatment
☞ If you take any treatment of fertility or take medicine.
☞ In-vitro fertilization or taking test tube baby or ovulation medicine.
☞ If you are pregnant while using copper-T.
☞ If the normal anatomy and structure of the ovaries are damaged for any reason, such as a history of pelvic infection, the chances of becoming ectopic increase many times over.
☞ If congenital ovarian structural problems.
Ectopic Pregnancy Diagnosis
A doctor’s help is needed to diagnose an ectopic pregnancy. The doctor first examines the patient’s lower abdomen, pelvic area. Then do an ultrasound so that the presence of a growing fetus in the uterus is checked.
Levels of hCG (human chorionic gonadotropin) hormone are also tested. Because less than expected hCG hormone can also cause ectopic pregnancy. Blood progesterone levels are also examined. Less progesterone than needed can be a sign of an ectopic pregnancy.
An ectopic pregnancy is difficult to diagnose, as the symptoms may be similar to other healthy pregnancies. Where signs are most pronounced, the following diagnostic methods are used:
Vaginal ultrasound: The most common way to diagnose the location of a fertilized egg.
Blood tests: As previously explained, the HCG levels in the blood are analyzed, which is usually expressed during pregnancy. This is done if ectopic pregnancy is not detected during an ultrasound.
Keyhole surgery: This is a common laparoscopic technique that can make it easier to visualize the cervix and fallopian tubes with the help of simple anesthetics. Be aware of cervical pregnancy if needed.
What is ectopic pregnancy surgery
When internal bleeding is detected, the doctor will resort to surgery. This involves the removal of the fallopian tube where the pregnancy is found. This is done with laparoscopy, and two types of keyhole surgery are performed:
Salpingostomy: A small incision is made in the fallopian tube used for ectopic growth. The cut is then allowed to heal on its own or is sewn.
Salpingectomy: The part of the fallopian tube where the ectopic enlargement is seen is removed, and the remaining length of the tube is reconnected. Ectopic pregnancy is done when the fallopian tube is broken and damaged.
In the case discussed above, one of the possible side effects is the rupture of your fallopian tubes. This is when the surgery is performed and is determined or removed based on the amount of damage to your fallopian tube.
Treatment options are always widely discussed before a decision is made, and is made depending on the level of your condition. Always make sure you are comfortable with the decision and do not hesitate to ask questions.
Ectopic Pregnancy Treatments
If an ectopic pregnancy is detected first, the mother should be monitored. If the hormone is below 1000 and the fallopian tube is smaller than 3.5, the fetus can return to its place in the uterus on its own. Then there are no more problems.
If the hormone is less than 3000, the fetus does not have a heartbeat, and the fallopian tube is less than 3.5 cm, it is done with drugs, injections, or laparoscopy. But if the fallopian tube ruptures, the operation has to be done.
There are two types of treatments for ectopic pregnancy,
- Taking medication
- The operation
The doctor may advise the patient to take methotrexate medicine. This medication will stop the growth of the growing fetus in the fallopian tube. And it will merge with the body at some point. This will not cause any damage to the fallopian tubes.
Another way is to do a laparoscopy. This procedure involves the surgical removal of the fetus from the fallopian tube. In this procedure, the fetus is removed by cutting a tiny part near the navel.
It also uses a small camera to see the inside. And this is the most common method for removing an ectopic pregnancy. Depending on the size of the fetus’ growth and the condition of the fallopian tubes, part of the tube or the entire tube may need to be removed more often.
How to treat ectopic pregnancy?
What happens with an ectopic pregnancy?
➴ If the doctor thinks that the fallopian tube is damaged for any reason, it is not possible to stop the bleeding without emergency surgery; then, this surgery is done. In many cases, if the fallopian tube and ovary are damaged, it has to be cut off.
➴ Again, many times the fallopian tube is not completely damaged, in which case the development of pregnancy has been seen to be stunted. Laparoscopic surgery is performed to remove the fetus and repair the damaged part. During operation, the fetus is inserted through a small hole in the fallopian tube.
➴If the fallopian tube is not completely damaged, it is repaired, and if the pregnancy does not develop, the growth of the pregnancy tissue is stopped with medicine.
How to prevent ectopic pregnancy
There is no concrete way to prevent an ectopic pregnancy; in most cases of complications, women are not aware of what is going on in their reproductive organs before the test. Whether or not there is an ectopic pregnancy makes it difficult to predict exclusively.
However, you can reduce the risk that an ectopic/cervical pregnancy may contribute to:
ヅ If you are a regular smoker, quit smoking. It has been found that people who smoke are more likely to have an ectopic pregnancy than women who do not smoke.
ヅ The use of contraceptives, such as condoms, can reduce the chances of getting STDs that can cause pelvic inflammatory disease.
ヅ During the first few weeks of your pregnancy, keep a close eye on your body, and HCG levels to detect any discrepancies.
ヅ Monitor the health of your fallopian tubes with a check-up to prevent tube pregnancy when you are planning a baby.
How does an ectopic pregnancy affect future fertility?
In most cases, a successful pregnancy is possible in the future after an ectopic pregnancy is detected. However, it depends on whether the patient received the right treatment in time and the condition of the patient’s fallopian tubes.
If the patient has to have one of the fallopian tubes removed or two tubes slightly damaged, the pregnancy becomes difficult. Once an ectopic pregnancy occurs, it is more likely to happen again later.
What is the effect of ectopic pregnancy on the mother and baby?
Ectopic pregnancies are most often in the fallopian tubes. The fallopian tube is very narrow. As a result, there is not enough space for the fetus to grow. But the fetus continues to grow.
As a result, the fallopian tube ruptures. In that case, if there is excessive bleeding in the mother’s body, it is difficult to save her. However, the risk of death is lower if the ectopic pregnancy is detected before the fallopian tube ruptures in the beginning.
Which time is more likely to rupture the fallopian tube in an ectopic pregnancy?
The fallopian tubes are most likely to rupture between 6 and 8 weeks of ectopic pregnancy. symptoms of ectopic pregnancy 4 weeks
Is ectopic pregnancy painful?
An ectopic pregnancy may initially seem reasonable, but as it progresses, it can be painful, and it can be devastating. pain of ectopic pregnancy
What age is ectopic pregnancy more common in women?
Ectopic pregnancies are more common in women aged 22 to 30 years.
Will an ectopic pregnancy also have the same symptoms as a normal pregnancy?
When do ectopic pregnancy symptoms start? A little longer than the time it usually takes to be inside the tube. Often, within six to eight weeks, we realize when the patient comes to the doctor. She will give a short history of stopping menstruation. Menstruation stopped for one and a half to two months.
There may be pain on either side or pain in the whole abdomen. This is normal. Slowly the pain is happening; this is what happens.
Also, it is essential that if it is acute, stays inside the tube, ruptures, or bleeds from there; the patient goes away in lousy condition, goes away in shock, in that case, the patient comes to the doctor with severe pain.
They went to check and saw that there was such a problem. They take the history of the stomach. History is significant here. what does ectopic pregnancy feel like?
Life after ectopic pregnancy
If you experience an ectopic pregnancy, remember that if one fallopian tube is removed, there will always be another to support your future pregnancy. Believe in yourself and your body’s healing ability.
The body has its healing process, and all you need is time and a calm mind. Ectopic pregnancies are short, just the opposite of every mother’s dream. See your gynecologist regularly to ensure good health and be well prepared for progress.
Don’t ignore any symptoms or signs that make you feel uncomfortable. After an ectopic pregnancy, take time to nurture yourself to return to normal.
Ectopic pregnancies are not widely discussed and only occur when they occur. You can do your part to help educate women as much as possible so that they can take the necessary precautions to avoid it and be vigilant if they are at risk.