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Ectopic pregnancy: Causes, Types, Symptoms, Diagnosis and Treatment

What is an ectopic pregnancy?


An ectopic pregnancy is a pregnancy that happens outside of the uterus. This can happen when a fertilized egg implants in a structure other than the uterus, such as the fallopian tube. Ectopic pregnancies are often caused by changes in the menstrual cycle, such as an increase in ovulation. An ectopic pregnancy can occur on an ovary or in the abdominal cavity.

This is a life-threatening condition. An ectopic pregnancy is a pregnancy that cannot be carried to term (to birth) and can be dangerous for the mother if it's not treated right away.

 

What is an ectopic pregnancy

 

Explanation of medical terms and concepts  Ectopic pregnancy

Pregnancy begins with an animal. Normally, the animal attaches to the liner of the female internal reproductive organ. Associate in Nursing metatesis happens once an animal implants and grows outside the most cavity of the female internal reproductive organ.


A metatesis most frequently happens during a uterine tube that carries eggs from the ovaries to the female internal reproductive organ. This kind of metastasis is called an extrauterine pregnancy. Sometimes, Associate in Nursing metatesis happens in different areas of the body, like the ovary, abdomen or the lower part of the female internal reproductive organ (cervix), that connects to the channel.


Metastasis cannot proceed commonly. The animal cannot survive, and therefore the growing tissue could cause critical hurt, if left untreated.


A metatesis is once a fertile egg implants itself outside the female internal reproductive organ, sometimes in one amongst the fallopian tubes. This suggests the embryo won't be ready to change into a baby because the uterine tube isn't giant enough to support the growing embryo.


In a few cases Associate in Nursing gestation|extrauterine pregnancy|ectopic gestation|extrauterine gestation|eccyesis|metacyesis|pregnancy|gestation|maternity} causes no noticeable symptoms and is simply detected throughout routine pregnancy testing. However, most ladies do have symptoms and these sometimes become apparent between week four and week twelve of physiological state.


Early diagnosing and treatment is vital to stop critical hurt and conjointly, if doable, that the tube may be saved and it will still work.

 

Where does an ectopic pregnancy happen?

An ectopic pregnancy is a pregnancy that happens when the fertilized egg implants outside of your uterus. This can happen in one of the following places: in the fallopian tube, in the ovary, or even in the abdomen. A tubal ectopic pregnancy can happen anywhere along the way. The most common place this happens is within the fallopian tubes. A fertilized egg can also implant on other organs in your abdominal cavity, which is a rarer form of ectopic pregnancy. What happens during a fallopian tube fall is called an ectopic pregnancy.

How serious is an ectopic pregnancy?

An ectopic pregnancy is a very dangerous medical emergency.The uterus is designed to hold a baby. It can stretch and expand as the fetus grows. However, your fallopian tubes are not as flexible and can burst when the fertilized egg develops.If this happens, you may have some problems. If you have a lot of internal bleeding, this is serious and may be life-threatening. If you have an ectopic pregnancy, take care of it right away so that the fallopian tube and other organs in your abdominal cavity don't get injured, and also make sure there isn't too much internal bleeding.

Can I have another baby after having an ectopic pregnancy?

An ectopic pregnancy is a pregnancy that occurs outside of the uterus. If the fetus develops in an ectopic pregnancy, it will die. The fetus cannot survive outside of the uterus if it develops there. Treatment for an ectopic pregnancy is important in order to protect the mother's life. If the egg has implanted in the fallopian tube and the tube bursts, there can be severe internal bleeding. Maternal death can occur as a result of childbirth.

Symptoms and Causes

What causes an ectopic pregnancy?

An ectopic pregnancy is usually caused by conditions that slow down or block the movement of the egg down the fallopian tube.

How can I tell if I am at risk of having an ectopic pregnancy?

There are several factors that could increase your chance of developing an ectopic pregnancy. Some of these factors include:

  • A previous ectopic pregnancy.

  • Pelvic inflammatory disease is an infection that can cause scar tissue to form in your fallopian tubes, uterus, ovaries, and cervix.

  • Surgery on your fallopian tubes (including having them tied) or on other organs in your pelvic area can happen during your period.

  • A history of infertility.

  • IVF is a treatment for infertility.

  • Endometriosis.

  • Sexually transmitted infections (STIs).

  • An IUD is a form of birth control that is put in during pregnancy.

  • A history of smoking.

Women over the age of 35 are at a greater risk for developing this condition.

A lot of women who have an ectopic pregnancy don't have any of the risk factors listed.

What are the signs that you may have an ectopic pregnancy?

Some of the early symptoms of an ectopic pregnancy may look like typical pregnancy symptoms. However, you may experience additional symptoms during an ectopic pregnancy, such as:

  • Vaginal bleeding.

  • You might be experiencing pain in your lower abdomen and pelvis region.

  • Dizziness or weakness.

If the fallopian tube ruptures, the pain and bleeding could be severe enough to cause other symptoms. These can include:

  • Fainting.

  • Low blood pressure (hypotension).

  • Shoulder pain.

  • Rectal pressure.

If a tube bursts, you might feel sharp pain in your lower abdomen. This is a very serious medical emergency and you should contact your healthcare provider or go to the emergency room right away.

If you are pregnant and have an IUD or a history of having your tubes tied, contact your healthcare provider right away. Ectopic pregnancy is more common when these procedures are carried out. SITUATIONS.

Diagnosis and Tests

How is an ectopic pregnancy diagnosed?

An ectopic pregnancy is typically diagnosed during an appointment at the doctor's office. Your doctor will perform several tests to confirm that you are pregnant and then look for an ectopic pregnancy. These tests may include:

  • A urine test requires either urinating on a test strip (typically shaped like a stick) or urinating into a cup in your provider’s office and then having the test strip dipped into the urine sample.

  • A blood testYour provider may test your blood to see how much of the hormone human chorionic gonadotropin (hCG) is present in your body. This hormone is produced during pregnancy. You may also hear this called your serum beta-hCG level.

  • An ultrasound examUltrasound is a test that uses sound waves to create a picture of your body's internal structures. This test is often used during pregnancy to see where the fertilized egg has implanted.

If you are pregnant and your provider has confirmed the pregnancy, they will create a treatment plan. An ectopic pregnancy is an emergency and the treatment is very important.

If your fallopian tube is ruptured, you will need to go to the emergency room right away. There is no time to wait for an appointment, in those cases.

How soon after becoming pregnant is an ectopic pregnancy detected?

Most ectopic pregnancies are discovered very early in pregnancy. For example, within the first three months. It is usually found by the eighth week of pregnancy.

How to Manage and Treat

How is an ectopic pregnancy treated?

There are several ways to treat an ectopic pregnancy. In some cases, your provider may suggest using a medication called methotrexate to stop the growth of the pregnancy.This will end the pregnancy. Methotrexate is given as an injection by your healthcare provider. This is an option that is less invasive than other treatments. Invasive childbirth can be more dangerous than traditional surgery, but it does require follow-up appointments with your health care provider where you'll be monitored for hCG levels.

If your fallopian tube has ruptured or you are at risk of rupturing, surgery may be necessary. Your provider will want to perform the surgery through small incisions instead of going through your entire body. This is an emergency procedure and can save your life. A surgeon will make one large cut. The cut may remove the entire fallopian tube with the egg still inside or the surgeon may remove the egg from the tube if possible.

Prevention

Can I prevent an ectopic pregnancy?

An ectopic pregnancy cannot be prevented. But there are things that you can do to reduce your risk factors, such as not smoking, maintaining a healthy weight and eating a balanced diet. You can also get tested for STIs and talk to your healthcare provider about any risks. Some things you may want to do before trying to become pregnant include: -Testing your fertility -Talking to your doctor about your fertility -Trying different types of birth control

Outlook / Prognosis

Can I get pregnant again after having an ectopic pregnancy?

Many women who have had an ectopic pregnancy can have future successful pregnancies. There is a higher chance of having another ectopic pregnancy after you have had one. It is important to talk to your healthcare provider about the causes of your ectopic pregnancy and what risk factors may be associated with it. There is a chance that you could get pregnant in the future if you have this condition.

How long should I wait before trying to get pregnant again after having an ectopic pregnancy?

You should talk to your healthcare provider about becoming pregnant after being treated for an ectopic pregnancy. Although pregnancy may happen quickly after treatment, it's often best to wait about three months. This decreases the risk of another ectopic pregnancy and allows your fallopian tube time to heal. An ectopic pregnancy is a pregnancy that occurs outside the uterus.

Can I still have a baby if my fallopian tube is removed?

If you have one of your fallopian tubes removed, you can still have a baby in most cases. You have a pair of fallopian tubes and eggs can still travel down your remaining tube. There are also assisted fertility procedures where the egg is extracted from the ovary fertilized outside of the body. After being coated with a mixture, the embryos are placed in the uterus in order to implant. This is called in vitro fertilization (IVF).

Discuss your thoughts about future pregnancies with your healthcare provider. You can create a plan together to decrease any risk factors you may have.

Coping and support

Losing a physiological condition is devastating, even though you have solely acknowledged it for a brief time. acknowledge the loss, and provide yourself time to grieve. mention your feelings and permit yourself to expertise them totally.


Rely on your partner, loved ones and friends for support. you may additionally look for the assistance of a support cluster, grief counselor or alternative psychological state supplier.


Many women World Health Organization have Associate in Nursing extrauterine pregnancy endure to possess a future, healthy physiological condition. The feminine body ordinarily has 2 fallopian tubes. If one is broken or removed, an Associate in Nursing egg might be part of a spermatozoon within the alternative tube and so visit the womb.


If each fallopian tube is injured or removed, in vitro fertilization (IVF) would possibly still be Associate in Nursing choice. With this procedure, mature eggs square measure fertilized in a very workplace and so deep-seated into the womb.


If you have had an Associate in Nursing extrauterine pregnancy, your risk of getting another one is accumulated. If you would like to induce pregnancy once more, it's totally vital to examine your doctor frequently. Early blood tests square measure suggested for all ladies who've had Associate in Nursing extrauterine pregnancy. Blood tests and ultrasound testing will alert your doctor if another extrauterine pregnancy is developing.

Preparing for your appointment

Call your doctor's workplace if you've got lightweight channel trauma or slight abdominal pain. The doctor may suggest a workplace visit or immediate treatment.


However, emergency medical assistance is required if you develop these warning signs or symptoms of AN posture pregnancy:


  • Severe abdominal or pelvic pain accompanied by vaginal bleeding

  • Extreme lightheadedness

  • Fainting

Call 911 (or your local emergency number) or go to the hospital if you have the above symptoms.

What you can do

It can be helpful to jot down your questions for the doctor before your visit. Here are some questions you might want to ask your doctor:

  • What kinds of tests do I need?

  • What are the treatment options?

  • What are my chances of having a healthy pregnancy in the future?

  • How long should I wait before trying to become pregnant again?

  • Will I need to follow any special precautions if I become pregnant again?

In addition to your ready queries, do not hesitate to raise queries anytime you do not perceive one thing. raise a dear or friend to return with you, if potential. generally it will be tough to recollect all of the knowledge provided, particularly in associate emergency scenarios.

What to expect from your doctor

If you do not need emergency treatment associated haven't yet been diagnosed with an ectopic gestation, your doctor can refer to you concerning medical records and symptoms. you will be asked several questions about your oscillation, fertility and overall health.

Menstruation

  • When was your last period?

  • Did you notice anything unusual about it?

Pregnancy

  • Could you be pregnant?

  • Have you taken a pregnancy test? If so, was the test positive?

  • Have you been pregnant before? If so, what was the outcome of each pregnancy?

  • Have you ever had fertility treatments?

  • Do you plan to become pregnant in the future?

Symptoms

  • Are you in pain? If so, where does it hurt?

  • Do you have vaginal bleeding? If so, is it more or less than your typical period?

  • Are you lightheaded or dizzy?

Health history

  • Have you ever had reproductive surgery, including getting your tubes tied (or a reversal)?

  • Have you had a sexually transmitted infection?

  • Are you being treated for any other medical conditions?

  • What medications do you take?

General summary

ectopic pregnancy? An ectopic pregnancy occurs when a fertilized egg implants itself outside the uterus Most commonly the embryo will implant in one of the fallopian tubes (40-50 percent) Other sites include ovary cervix bowel and even on the skin It was previously thought that female smokers were at higher risk for having an ectopic pregnancy compared to non-smokers but recent studies suggest that nonsmoking women who have never been pregnant before are also at risk Furthermore some women develop what's known as a tubal pregnancy versus 'ectopic.' The symptoms are

can occur in any woman Ectopic pregnancy is a life-threatening condition that occurs when the fertilized egg attaches outside of the uterus This usually happens in one of two Fallopian tubes and can be a complication of a miscarriage Left untreated it may lead to rupture and internal bleeding which could result in death Risk factors include: pelvic inflammatory disease endometriosis previous ectopic pregnancy or tubal surgery smoking and use of an IUD (intrauterine device) Symptoms may include abdominal pain irregular vaginal bleeding and amenorrhea (no period) but sometimes there are no symptoms at all Diagnosis

How long can a baby survive in an ectopic pregnancy?

An ectopic pregnancy is a condition in which the fertilized egg implants itself outside of the uterus often in one of the fallopian tubes When this happens an ectopic pregnancy must be terminated or life-threatening complications may result for both mother and baby There are two types of an ectopic pregnancy: tubal and abdominal In tubal pregnancies scar tissue blocks off the fallopian tube The other type occurs when a fertilized egg implants itself inside the inner lining of the abdominal cavity If your doctor suspects that you have an ectopic pregnancy he will order tests to confirm his suspicion When caught early enough by

Can a baby survive an ectopic pregnancy?

An ectopic pregnancy happens when a fertilized egg becomes attached somewhere besides the uterus most often in one of the fallopian tubes It occurs in about 1 percent of all pregnancies and poses a significant threat to both mother and baby Ectopic pregnancies are considered non viable because the embryo cannot develop fully or sustain life outside the womb

Do all ectopic pregnancies require treatment?

Not all ectopic pregnancies require treatment If you have an ectopic pregnancy with one living embryo your doctor may opt to monitor this situation as long as there are no complications The risks of leaving the ectopic sac intact include rupture and bleeding which will likely require blood transfusions and hospitalization An alternative form of treatment for an ectopic pregnancy that does not involve removal is a Mirena IUD insertion into the uterus; this is more effective than methotrexate (an anti-cancer drug) The Mirena IUD helps prevent further growth of a potential nonviable fetus so that it can be released within

How can I get rid of an ectopic pregnancy without surgery?

An ectopic pregnancy happens when the embryo implants outside of the womb The most common place for an ectopic pregnancy to develop is in a fallopian tube Ectopic pregnancies are not capable of developing into healthy babies and must be addressed immediately Women who have had an ectopic pregnancy before face an increased risk for having another one but it's important to remember that anyone can get pregnant can also become pregnant with a healthy baby

What are the early warning signs for an ectopic pregnancy?

The most common sign of an ectopic pregnancy is vaginal bleeding A woman experiencing an ectopic pregnancy will usually see a doctor before any serious complications arise Bleeding may be the first sign of an ectopic pregnancy but it can also come from other sources such as menstruation or a miscarriage in the case of a tubal pregnancy Other symptoms include pain abdominal swelling and tenderness nausea and vomiting and abdominal cramping Women should call their doctors immediately if they experience any of these signs or symptoms

Can stress cause ectopic pregnancy?

Yes stress can contribute to an ectopic pregnancy An ectopic pregnancy occurs when a fertilized egg becomes implanted outside of the uterus Approximately 80 percent of cases found in women are located in the fallopian tubes The resulting rupture of the tube is what causes most complications including severe pain and heavy bleeding or in rare cases lead to maternal death Ectopic pregnancies can be detected by standard blood testing conducted during a routine prenatal visit after a positive home-pregnancy test has been taken and before 12 weeks have passed since conception If you ever experience abdominal pain accompanied by fainting or vaginal bleeding during early pregnancy

Around 10% of all pregnancies are ectopic meaning that the growing embryo gets implanted outside of the uterus With medical and surgical treatment ectopic pregnancy can be resolved in more than 90 percent of cases Depending on where you are in your pregnancy as well as your condition you might not need to have a surgery at all Your doctor will be able to suggest a few options for treating an ectopic pregnancy based on your condition

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 Ectopic pregnancy: Causes, Types, Symptoms, Diagnosis and Treatment

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