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Ectopic Pregnancy - Symptom, Treatment And Causes

For getting pregnant, the ovary has to release an egg inside the fallopian tube, where this unfertilized egg remains for 24 hours. During this period the egg has to come in contact with a healthy sperm to be fertilized. After fertilization this egg stays within the fallopian tube for another 2-3 days, before it heads towards the uterus. The fertilized egg then attaches itself to the uterine lining and continues to develop and grow to give the formation of a baby.

But there are certain rare instances, when this fertilized egg remains within the fallopian tube with moving into the uterus or lands up elsewhere inside the abdomen which results in formation of an ectopic pregnancy. As this condition is not normal, thus in this case the pregnancy fails to continue normally, and so requires an emergency treatment in order to save the life of the gestating women. No-one can tell you why you can land up with an ectopic pregnancy. One of the most common reasons for the cause of this deadly problem can be a damage in the fallopian tube.

The other reasons that can cause ectopic pregnancy are:

  • Getting infected with an STD (Sexually Transmitted Disease) just before getting pregnant.
  • Pelvic inflammatory diseases.
  • Scarring that occurred for previous pelvic surgery.
  • Having a history of developing ectopic pregnancy.
  • Use of fertility drugs.
  • Adopting IVF (In Vitro Fertilization) methods for getting pregnant.
  • Getting pregnant along with an IUD (Intra-Uterine Device) like Copper-T which is meant for contraception.
  • Unsuccessful tubal ligation procedure.
  • Unsuccessful tubal ligation reversal procedure.

When gestating patients are suspected of ectopic pregnancy, pregnancy tests and pelvic exam are done on the patients. Ultrasound tests may also be performed to get a peak on the conditions of the uterus and the fallopian tubes.

Because the fertilized egg just cannot survive anywhere else in a woman’s body other than her uterus, the fertilized egg must be terminated and removed to avoid serious complications in the pregnant patient. Medication and surgery, both are used as per the requirement of the patient for removing the egg from the pregnant woman’s body.

In the case of medication (if the pregnancy has not progressed very far), doctors provide injections of methotrexate for the patient to stop the tissue from growing any further and allows the body to absorb it gradually. In case of surgery, laparotomy is performed on the patient. Whereby the patient’s ectopic pregnancy or sometimes the fallopian tube is removed laparoscopically.

Though it’s hard, but women have good chances of getting pregnant again even after having an ectopic pregnancy.

Treatable by medical professional Require medical diagnosis Lab test required Short-term: resolves within days to weeks
Light vaginal bleeding. Vomiting with pain and constant nausea. Very sharp and painful abdominal cramps. Pain on one side of the abdomen. Weakness and dizziness. Pain in places like the rectum, shoulders and neck.

Popular Health Tips

Ectopic Pregnancy: Dangerous Risks You Need To Know

Dr. Veena G. Shinde 84% (874 ratings)
PG in Assisted Reproductive Technology, MD - Obstetrics & Gynaecology, DGO, MBBS
Gynaecologist, Mumbai
Ectopic Pregnancy: Dangerous Risks You Need To Know
During a normal pregnancy, a fertilised egg travels through the fallopian tube to the uterus. The egg attaches itself in the uterus and begins to develop. In an ectopic pregnancy, the egg attaches outside the uterus, most often in fallopian tube. This is the reason why it is also called a tubal pregnancy. In rare cases, the egg may implant itself in an ovary or the cervix. There is no way to prevent an ectopic pregnancy. Also, it cannot be transformed into a normal pregnancy. If the egg continues developing in the fallopian tube, it can rupture the tube; the result of this could be fatal. If you have an ectopic pregnancy, you will require immediate treatment to end it before it causes any risks. Risks involved: Things that make you more prone to an ectopic pregnancy are: The more you smoke, the higher your danger of an ectopic pregnancy. Pelvic incendiary malady (PID). This is the after effect of contamination, for example, chlamydia or gonorrhea. Endometriosis, which can bring about scar tissue in or around the fallopian tubes. Exposure to a chemical called DES before you conceived. Symptoms: The signs of an ectopic pregnancy are: Pelvic pain. It might be sharp on one side at first before spreading through your belly. It might be more painful when you move or strain Vaginal bleeding Diagnosis: To see whether you have an ectopic pregnancy, your specialist will probably take: A pelvic exam to check the span of your uterus and feel for any kind of growth in your tummy. A blood test that checks the level of the pregnancy hormone (hCG). This test is repeated 2 days after the fact. In early pregnancy, the level of this hormone duplicates itself every two days. Low levels recommend an issue, for example, ectopic pregnancy. An ultrasound. This test can demonstrate pictures of what is inside. With ultrasound, a specialist can more often than not see a pregnancy in the uterus 6 weeks after your last menstrual period. Treatment: The most widely recognised treatments are medicines and surgery. As a rule, a specialist will treat an ectopic pregnancy immediately to prevent harm to the lady. Prescription can be utilised if the pregnancy is discovered right on time, before the tube is harmed. Much of the time, one or more shots of methotrexate will end the pregnancy. Taking the shot gives you a chance to keep away from surgery; however, it can bring about reactions. You should see your specialist for follow-up blood tests to ensure that the shot worked. For a pregnancy that has gone past the initial couple of weeks, surgery is a better option than medication. In this event, the surgery will be a laparoscopy.
1 person found this helpful

3 Ways You Can Treat Ectopic Pregnancy!

Dr. Ashwini Talpe 93% (3456 ratings)
MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
3 Ways You Can Treat Ectopic Pregnancy!
An ectopic pregnancy takes place in the case when the completely fertilized egg attaches itself to a place instead of the inner side of the uterus. Ectopic pregnancy is also called tubal pregnancy because in most cases, it takes place in the Fallopian tube. Usually, the Fallopian tubes are not responsible for holding an embryo which keeps on growing. Hence, the egg has no scope to develop in the Fallopian tube. This problem must be treated as soon as possible to avoid further complications. Here are several ways of treating ectopic pregnancy. Expectant management: In case you are not experiencing any symptoms of pregnancy or the pregnancy cannot be found, close observation is required. This is known as expectant management. You should conduct regular blood tests and follow them up in order to detect, whether the hCG level in your blood is ascending or descending. You are likely to have vaginal bleeding. Use pads and towels instead of tampons. Pain in your tummy is also indicated. Proper medication: In case ectopic pregnancy is detected at an early stage and constant monitoring is not suitable for you, a medicine by the name of methotrexate can be used for treatment. The medicine stops this pregnancy from developing. It is usually injected into your buttocks. Regular blood tests must be carried out to know how the treatment is taking shape on your condition. Trusted contraception measures should be taken for three months following the treatment as methotrexate is very harmful for an infant in case you become pregnant. Keep away from alcohol, as the combination of methotrexate with alcohol is harmful to the liver. Surgical means: The most common mode of surgery for removing ectopic pregnancy during an early stage is laparoscopy or keyhole surgery. While a laparoscopy is carried out, you will be in a state of anesthesia. A narrow tube or the laparoscope is inserted through surgical cuts in the tummy. The Fallopian tube which had the ectopic pregnancy is totally removed in case the other Fallopian tube is functioning well. Else the pregnancy has to be somehow removed without cutting off the Fallopian tube. Removal of the Fallopian tube is the best remedy for treating ectopic pregnancy and getting pregnant again is also possible. It takes a normal woman almost six weeks to recover after the surgery. Laparotomy is another kind of surgery carried out to repair a ruptured Fallopian tube.
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Symptoms And Treatment Of Ectopic Pregnancy!

Dr. Aprajita Singh 89% (72 ratings)
MBBS, MD, Registrar, DNB, MNAMS
Gynaecologist, Delhi
Symptoms And Treatment Of Ectopic Pregnancy!
What is ectopic pregnancy? Ectopic pregnancy is also known as tubal pregnancy, is a complication wherein, the fertilised eggs attach themselves outside the uterus. In most cases, it causes severe internal bleeding and serious infections. It is a very serious condition that warrants prompt medical attention as soon as it is diagnosed. Mostly, in this type of pregnancy, the fertilised egg attaches itself to the fallopian tube inside the body; the reason why it is known as tubal pregnancy. In rare cases, the egg might attach itself to the cervix, ovary or parts of the abdomen. Symptoms of ectopic pregnancy include: Appendicitis Salpingitis (inflammation and infection of one s fallopian tubes) Rupture of the corpus luteum cyst (a kind of ovarian cyst) Miscarriage Urinary tract infection Severe abdominal pain Excessive vaginal bleeding Pelvic pain Nausea and vomiting Peritonitis (inflammation of the membrane that lines the abdomen cavity) Rupture in the fallopian tubes which can lead to fainting and excessive pain Pain on one side of the body Treatment for ectopic pregnancy This complication in pregnancy can be diagnosed by an ultrasound as the doctor sees the growth on the fallopian tube. A pregnancy test or a pelvic exam also helps in detecting ectopic pregnancy. If not treated on time, ectopic pregnancy can prove to be fatal. Listed below are a few treatment options for ectopic pregnancy: A particular medication known as methotrexate is used to end an ectopic pregnancy. In some cases, one might need surgery to get rid of the pregnancy. In certain complicated cases, it might be necessary to remove the tube with the foetus. This kind of surgery which removes the foetus and the tube is calling salpingectomy. The surgeon usually makes a small incision near the navel and removes the tube using a laparoscope. Having an abortion due to this complication can be heartbreaking and emotionally distressing for the mother as it is just like an abortion where the entire tissue is removed from your fallopian tube. To get over the trauma of losing a baby, you could join pregnancy loss groups or avail help from a therapist.
2550 people found this helpful

Ectopic Pregnancy - 4 Causes Behind It

Dr. Malvika Sabharwal 91% (14 ratings)
Gynaecologist, Delhi
Ectopic Pregnancy - 4 Causes Behind It
In a normal pregnancy, the egg that the ovaries release enters the fallopian tube. If a sperm fertilises it, the fertilised egg attaches itself inside the uterus. However, sometimes the fertilised egg can attach itself outside the uterus. This condition is called ectopic pregnancy. Ectopic pregnancy can be detected in the first few weeks of the pregnancy itself. If your doctor does discover ectopic pregnancy, you would need immediate medical attention. Ectopic pregnancies can be sad and scary. The survival rate of the baby is extremely low, and you may need some time to get over your loss. Fortunately, one ectopic pregnancy doesn't mean you can never conceive again. Many women who lost their first baby to ectopic pregnancy have been able to have a healthy and normal pregnancy the second time around. The causes of ectopic pregnancy include: 1. An inflammation or infection of the fallopian tube can lead it to become entirely or partially blocked. 2. Scar tissue from a surgery or an infection of the fallopian tube may also hinder the movement of the fertilised egg. 3. Surgery in the tubes or pelvic areas in the past might cause adhesions. 4. Birth defects or abnormal growths can cause anomalies in the shape of the tube. These causes are usually followed by certain risk factors, such as: a) Age (The age group of 35-44 especially) b) An ectopic pregnancy in the past c) Previous abdominal or pelvic surgery d) Pelvic inflammatory disease e) Several prompted abortions f) Conceiving with an intrauterine device in place g) Smoking h) Endometriosis (growth of uterus lining tissues outside the uterus). i) Fertility treatments. The signs and symptoms of ectopic pregnancy include: 1. Minimal vaginal bleeding 2. Vomiting and nausea with pain 3. Pain in the lower abdomen 4. Sharp cramps in the abdomen 5. Localised pain (Pain concentrated on one side of your body) 6. Pain in your neck, rectum or shoulder 7. Rupture of the fallopian tubes can cause fainting due to the bleeding and pain The treatment of ectopic pregnancy can be any one of the following: 1. If the pregnancy has not progressed too far, methotrexate will be administered. This absorbs the pregnancy tissue and can save the fallopian tubes. 2. The tubes may be removed if they have ruptured or stretched, and have started bleeding. 3. Laparoscopic surgery (operations performed by making minor incisions) may be performed to remove or repair the tubes and recover the ectopic pregnancy.
4336 people found this helpful

Ectopic Pregnancy - Why It Can Be Dangerous?

Dr. Bhavna Mehta 88% (39 ratings)
Gynaecologist, Chennai
Ectopic Pregnancy - Why It Can Be Dangerous?
Many women have concerns about an ectopic pregnancy and we shall be solving all doubts about this dangerous condition right here today. An ectopic pregnancy happens when a fertilised egg implants outside the uterus in a woman s body. Ectopic, in fact, means out of place . The fertilised egg usually implants in the fallopian tubes whose actual work is to transport the ovum or egg from the ovaries to the uterus for fertilisation. This is why such pregnancies are also called tubal pregnancies . Sometimes the fertilised egg can also implant in the cervix or the ovaries of the hapless woman. Normally pregnancies happen when a fertilised egg attaches itself to the uterine wall to grow and develop. Ectopic pregnancies are a serious condition and can cause internal bleeding and infection and even death of the expecting mother. That s why knowing the symptoms is so important. Common symptoms of ectopic pregnancy appear as the pregnancy matures. Initially the woman will have all the usual pregnancy-related symptoms like missing her period and breast tenderness, but soon the other alarming symptoms will start appearing like severe abdominal pain on one side, vaginal bleeding, severe cramps and nausea and vomiting, fainting spells and dizziness. One should seek a doctor s advice right away in this condition because ectopic pregnancy can be fatal. Why? Because as the fertilised egg is implanted in a part of a woman s body which is not built to look after it, the embryo can burst in the fallopian tubes, cervix or wherever it has managed to implant itself. This mini-explosion inside the body is a leading cause of pregnancy-related deaths during the first trimester. This can lead to internal bleeding and infection, which is lethal. Hence, the earlier an ectopic pregnancy is diagnosed and treated, the better. The only way to deal with an ectopic pregnancy is to abort it. The doctor can do this using either medicines or surgery. The medicine methotrexate can be used to end a tubal pregnancy. Surgery can also be used to remove the embryo. In some cases, doctors may have to remove the fallopian tube with the implanted embryo. This has a number of repercussions. The woman can become infertile. Even if the fallopian tubes have been scarred during surgery, it becomes difficult for her to get pregnant again. Ectopic pregnancies are also getting quite common due to a number of factors like an increase in sexually transmitted diseases which cause scarring of tubes and infertility treatments. If a woman is over 30 years of age, has a history of a pelvic inflammatory disease, a surgery in the pelvic area or has had an ectopic pregnancy before, she should be very careful indeed.
2458 people found this helpful

Popular Questions & Answers

Hi, My wife is diagnosed carting ectopic pregnancy. Her doctor is administering her folitrax. Also she is giving her Biopreg f. Is Biopreg f advisable when we want to clear ectopic pregnancy through injection.

Dr. Sameer Kumar 91% (4296 ratings)
MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, Biopreg-f is actually not required daily but folinic acid ripple,emtation in form of folate would be required along with methotrexate which is an anti-folate.

I am suffering recurrent gastritis with that I feel ectopic in my heart since from 1 years please suggest me I am not on any medication I will take occasionally antacids.

Dr. Garima Sharma 91% (434 ratings)
General Physician, Fatehabad
Hi lybrate-user, Antacids and other drugs prescribed to reduce stomach acid often result in further irritation and heartburn. Simple substances found in the household kitchen are the easiest and safest way to cure gastritis. 1. Honey: A special type of honey called manuka honey is considered a helpful remedy for gastritis. It is produced from the flowers of manuka bush. Manuka honey contains a unique anti bacterial chemical called methylglyoxal. It is effective against H. Pylori bacteria. The recommended frequency is taking one tsp of this honey twice a day one hour before the meals. It is beneficial to keep taking ½ tsp straight from the jar at least four times additionally. 2. Vitamin D: Vitamin A is one of the essential vitamins useful in providing relief from Gastritis. Vitamin A helps in making the lining of the stomach healthy. Vitamin A is antioxidant in nature and helps in boosting the over all immunity of the body. It is advisable to consume about 5000 IU of Vitamin A daily for a healthy body. Some of the food stuff high in Vitamin A content are sweet potato, apricots, pumpkin, lettuce, mangoes, papayas, carrots etc. 3. Vitamin B12: Vitamin B12 is another very important vitamin which is soluble in water. The deficiency of Vitamin B12 leads to chronic Gastritis. Vitamin B12 helps in the generation of red blood corpuscles and is also a very essential vitamin for the formation of DNA in the body. It also helps in boosting the immunity of the body. This Vitamin B12 also helps in maintaining a healthy lining of the stomach by stimulating the immune system to work efficiently. However persons suffering from gastritis are unable to absorb the vitamin B12 and hence need to consume more vitamin B12. The recommended daily dose is 2.6 micrograms for adults. Some foods having high content of Vitamin B12 are beef, eggs, seafood, milk, lamb etc. Hope this helps. Good luck.

I had an ectopic pregnancy in left tube due to which, my left tube was removed as well cysts from both ovaries were also removed during surgery. However, my right tube is healthy. What are the chances of getting healthy pregnancy again, and when should I prepare myself for next. Also, I have been taking met pco care for pcod problem and folic acids. How early can I expect?

Dr. Shanu Gairola 88% (20 ratings)
MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Ghaziabad
Hello lybrate-user, your chances of conceiving are best within the 1st 3 mths after surgery. Hope other causes for infertility are ruled out such as husbands semen analysis and pelvic tuberculosis.
2 people found this helpful

I recently under gone ectopic pregnancy removal and my left fallopian tube was removed since it's was ruptured. Is there any way to prevent in future. Please suggest some tips on how to take care going forward and what is the gap you suggest before I start planning to conceive. Also I would like to know if there will be less amount of eggs produced or will there be irregular cycle since only tube produces egg Thanks in advance.

Dr. Bhavika Solanki Parmar 90% (137 ratings)
Homeopath, Mumbai
Dear Lybrate user, eggs are produced by ovaries and transferred by fallopian tubes. keep a gap of 3months to recover your health. have healthy food and walk you will conceive soon as your other fallopian tube is healthy . although it reduces the chance.
2 people found this helpful

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