Ectopic Pregnancy Definition
An
ectopic pregnancy is a pregnancy complication that occurs when the
fertilized egg implants in a tissue outside of the uterus. Usually
an ectopic pregnancy arises in one of the fallopian tubes (egg canals
that lead to the ovary uterus), being known as a tubal pregnancy. Can sometimes arise in the abdomen, ovary or cervix (cervix). An
ectopic pregnancy cannot survive, and the growing tissue can be
responsible for the destruction of some nearby structures as well as
lead to great losses of blood and put women's lives at risk. This type of complication happens 1/100 pregnancies.
Factors contributing to an ectopic pregnancy
There
are several factors that can contribute to an ectopic pregnancy,
however this complication can arise even in the absence of risk factors.
The greatest risk factors are:
-An ectopic pregnancy passed
-Anatomical abnormalities in the fallopian tubes
-Endometriosis
-A history of pelvic inflammatory diseases like chlamydia
-Tubal surgery, as the reversal of a sterilization process
-Design for taking the pill or IUD use
-Fertility treatment, such as ovulation induction or IVF
-Smoker
Symptoms
An
ectopic pregnancy can seem like a normal pregnancy the home-pregnancy
test gives positive and the initial symptoms can be similar: lack of
time, tautness, nausea and fatigue. Among others, the most common symptoms are:
Some vaginal bleeding especially if it's dark and watery
Abdominal pain
Cramping on one side of the pelvis
Palpable painful mass on horns or ovaries
If the fallopian tube to rupture symptoms include:
Acute pain in the pelvis, abdomen, shoulder or neck.
Dizziness
Lightheaded and falling blood pressure
If you experience some of these symptoms should contact a doctor urgently. An
ectopic pregnancy can be life-threatening, especially if it occurs in
one of the fallopian tubes, which can cause rupture, causing internal
bleeding.
Diagnosis and tests
If there is any suspicion of an ectopic pregnancy, a premature diagnosis is crucial. To
confirm the diagnosis is necessary to do a pelvic examination
confirming the pains and checking if there is some kind of mass in the
fallopian tubes or ovaries. This diagnosis is confirmed by an ultrasound and transvaginal usually by blood tests. A larascopia may be useful to the doctor to check the fallopian tubes and the pelvis, confirming whether or not the diagnosis.
Treatments
To ensure the health and life of women, the treatment of an ectopic pregnancy is ectopic tissue removal. If
the ectopic pregnancy is detected at an early stage, can be given
medications to prevent cell growth and dissolve the remaining existing
cells. After administration of these medicines is
monitored through blood tests to check if the hormones that indicate a
pregnancy still exist in blood or not.
If the ectopic pregnancy not to respond to drug treatments or if you are in a more advanced state, a laparoscopy may be needed. It
will require a small incision in the lower abdomen, and then inserted a
small tube with a camera on the end to observe the area and to remove
the ectopic tissue. If the damage is significant it may be necessary to remove the fallopian tube. If the bleeding is very large and the fallopian tube has been a disruption, you may need to do an abdominal incision. In some cases the tube can be repaired.
Complications
When you have an ectopic pregnancy, the risks also come with it. The treatment of an ectopic pregnancy can lead to loss of reproductive organs, or even to infertility. If you removed one of the fallopian tubes the probability of becoming pregnant decreases by 50%. If you treat the risks are even greater, since there could be internal bleeding that can lead to life-threatening. Usually after having an ectopic pregnancy is likely to have another if you decide to get pregnant is 15 to 20%. In
this case, it is usually advised to do an early ultrasound at around 7
weeks of gestation, to determine if the pregnancy is ectopic or not.
Prevention
An
ectopic pregnancy cannot be properly prevent, however can decrease the
risk factors by limiting the number of sexual partners use condoms
during sexual intercourse to prevent risks of communicable diseases and
infectious diseases.
Emotions
The
reality is that probably before knowing she was with an ectopic
pregnancy, found that her pregnancy was a normal pregnancy, and the
sense of loss is something inevitable. The loss
that can feel can vary, your body will be in great hormonal changes,
which can make you feel very emotional and fragile. If the tears and sadness to invade is not surprised, this is normal. May
take some time until you feel stabilized, but be generous and give time
to time, and don't forget to share your feelings with whom you love.
Get pregnant again?
Before
thinking about it should give themselves time to recover emotionally
and physically well, usually it is advisable to wait at least 3 months
just for the body to recover, however, everything depends on the type of
intervention that has undergone to treat ectopic pregnancy. The decision to conceive varies from woman to woman, because each one takes this experience differently. Some want to conceive immediately, others take some time, and other difficult to want to think about it. The
reality is that the possibility of there being another ectopic
pregnancy exists, but the likelihood of having a healthy pregnancy also
exists, and it is great. It all depends on what is reality, and what feels best for you.
