Ectopic Pregnancy

What is an ectopic pregnancy?
An ectopic pregnancy (TNTC) occurs when a fertilized egg develops outside the uterus. Most ectopic pregnancies occur in fallopian tubes. Rarely, TNTC is located in the ovary or another organ in the abdomen. When developed, TNTC can break the fallopian tube. This will cause serious internal bleeding (internal bleeding), which can be life-threatening and needs to be treated with surgery

.
Who is at risk of ectopic pregnancy?
Women with abnormal fallopian tubes are at a higher risk for ectopic pregnancy. Abnormal fallopian tubes may be present in women with the following conditions:
Pelvic inflammatory disease (infection of the uterus, fallopian tubes, and nearby structures)
Ever had an ectopic pregnancy
Infertility
Pelvic or abdominal surgery
Endometrial optimism
Sexually transmitted disease
Fallopian tube surgery earlier (such as fallopian tube sterilization)
Other factors that may increase your risk of ectopic pregnancy include:
Smoke
Exposure to diethylstilbestrol (DES) during pregnancy
Old
Symptoms of ectopic pregnancy
An ectopic pregnancy can cause the following symptoms:
Abnormal vaginal bleeding: Bleeding that does not occur during your normal menstrual period is called abnormal vaginal bleeding. May bleed more or less

Abdominal or pelvic pain: pain may be sudden and intense, does not subside or tends to go away.


Ectopic Pregnancy

The pain may occur on only one side.
Pain that spreads to the shoulders: Blood from the broken fallopian tube may reach the area below the diaphragm (the area between the chest and stomach). Blood clots in this area cause pain that spreads to the shoulders according to nerve conduction.
Fatigue, dizziness or fainting: occurs due to blood loss.
These symptoms can occur even before you suspect you are pregnant. If you have these symptoms, call your doctor.
How to diagnose ectopic pregnancy?
If your doctor suspects that you have an ectopic pregnancy, you may have:
Pelvic examination

Check your blood pressure (low blood pressure may be due to internal bleeding) and pulse.


Ectopic Pregnancy


Ultrasound (a test in which sound waves are used to create images) to see if there are early signs of pregnancy.
Blood test to quantify the hormone hCG (human chorionic gonadotropin). This hormone is made when a woman is pregnant. This test may be repeated several times to check for hCG levels.
Methods of treatment of ectopic pregnancy
There are two methods used to treat ectopic pregnancy: internal and surgical. Either way, you need to be monitored for weeks after treatment.
What medications are used to treat ectopic pregnancy
If the fetus is still young and has not broken the fallopian tube, in some cases drugs may be used instead of surgery to treat an ectopic pregnancy. The drug stops the development of the fetus and allows the body to absorb it over time.


Ectopic Pregnancy

This allows the preservation of fallopian tubes.
When is surgery used to treat an ectopic pregnancy, and how is it performed?
If the fetus is still small and the fallopian tube has not yet broken, in some cases, the fetus can be removed through a small incision in the fallopian tube by laparoscopy. In this procedure, a thin, lighted tube is inserted through the small opening in the abdomen. This is done in a hospital with general anesthesia. A larger incision may be required if the fetus is already large or the blood loss is significant. Some or all of the fallopian tubes may be removed in this case.
Maybe pregnant after surgery?
If you've had surgery and your fallopian tubes are still in place, there's a good chance you might still have a normal pregnancy in the future. However, once you have had an ectopic pregnancy, you are at high risk for getting it again.


Ectopic Pregnancy


Terms
Endometriosis: A condition in which tissues similar to the normal lining of the uterus (endometrium) are found outside the uterus, usually in the ovaries, fallopian tubes and structures. other in the pelvis.
Fallopian tube: A pair of fallopian tubes that connect the ovaries to the uterus.
General anesthesia: Using medication to create a sleep-like state to relieve pain during the procedure.
Hormones: A substance made by the body that controls the function of many organs.
Infertility: A condition in which a couple is still not pregnant after 12 months of regular sex without using any form of contraception.
Laparoscopy: A surgical procedure in which a thin, light-illuminated scope is inserted into the pelvis through a small incision. This scope is used to look at the pelvic organs.


Ectopic Pregnancy

Other instruments may be used to perform the surgery.
Ovaries: Two glands, located on both sides of the uterus, contain eggs released when ovulating and producing hormones.
Fallopian tube sterilization: A method of sterilization in a woman in which the fallopian tubes are closed by tying, splinting, cutting or burning with an electric knife.
Uterus: A muscular organ, located in the woman's pelvic region, latching.

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