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Last Updated: Nov 01, 2021
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Ectopic Pregnancy - Symptom, Treatment And Causes

What is Ectopic Pregnancy? Causes Diganosis and Medication :

What is Ectopic Pregnancy?

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.

What is the main cause of Ectopic Pregnancy?

The main cause of an Ectopic Pregnancy is abnormal implantation of the zygote i.e the implantation outside the uterine cavity usually in the fallopian tubes. Although in the normal scenario, the fertilized egg gets embedded in the uterus lining, it gets outside of the womb and is embedded there in case of Ectopic Pregnancy.

How soon would you know if you have an Ectopic Pregnancy?

An Ectopic Pregnancy does not get diagnosed in the starting days of the pregnancy as symptoms are not shown during this period. An early scan if done can only tell if a woman has such a condition. The symptoms that develop in this abnormality usually show off in between the 4th and 12th weeks of the pregnancy, till then a woman is unaware of this.

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.

Can you still have your baby with an Ectopic Pregnancy?

An Ectopic Pregnancy is a condition of mis implantation that usually is followed by the implantation in the fallopian tubes. It remains undiagnosed in its initial stages and hence symptoms may get worse later when a woman reaches her 4th to 12th weeks of pregnancy. After an incident of Ectopic Pregnancy, it is quite possible to become pregnant again and one can deliver a fully developed healthy baby too.

Diganosis and Medication :

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.

How can you detect an Ectopic Pregnancy at home?

Ectopic Pregnancy usually shows the common symptoms of pregnancy in its initial days so it is difficult to find out in this period. But in between the 4th to 12th week, it starts showing some of the important signs and symptoms that are unignorable. Pain in the pelvis region is one such symptom that is restricted to one side of the tummy initially and then spread to the other side too. Vaginal bleeding is the other one that clearly is a sign of an abnormality in pregnancy.

Can Ectopic Pregnancy be detected at 4 weeks?

The symptoms of an Ectopic Pregnancy are usually nausea, fatigue, and breast tenderness in starting days, same as that in normal pregnancy so it's not possible to get detected for such a condition initially. But as the 4th week arrives, it starts showing some abnormal signs such as vaginal bleeding and pain in the pelvis which can’t be ignored. These signs continue to occur till the 12th week. Hence, it's become easy to find Ectopic Pregnancy at the commencement of the 4th week.

Summary: An Ectopic Pregnancy is a condition of mis-implantation that usually is followed by the implantation in the fallopian tubes. It does not get diagnosed in the starting days of the pregnancy and can only show symptoms in the 4th to 12th weeks. The condition is accompanied by some abnormal signs such as vaginal bleeding and pain in the pelvis. After an incident of Ectopic Pregnancy, it is quite possible to become pregnant again and one can deliver a fully developed healthy baby too.

Popular Questions & Answers

Got 3d withdrawal bleeding after 10d primolut. Medium flow. Does it rule out normal as well as ectopic pregnancy? Allopathy doctors please.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Sri Ganganagar
If your pregnancy test was positive, then tab primolut is not an abortion pill. If you were not pregnant than yes, withdrawal bleeding means a normal period bleeding.

I had bleeding 7 days after taking ipill which lasted for 5 days and was heavy for first 2 3 days. Bleeding started on 13th of last month, so my period date is 13th of this month. As of now, i’m experiencing nausea. I usually have nausea during periods but have never had it before my period starts. This is normal right? No pregnancy right?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
After taking the high hormonal emergency pill like I pill one gets withdrawal bleeding 5 to 10 days later, and then a new cycle starts. Depending on your usual cycles you should expect next. If had intercourse after withdrawal bleeding- fresh preg...

I have tested positive for pregnancy, and everyday there's a blood spot (rusty like color) so its that normal in early pregnancy? Also, m taking b9 vit.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, Fellowship in Assisted Reproductive technology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Noida
Hello, ANY BLEEDING IN PREgnancy is termed as threatened miscarriage and needs an usg pelvis to rule out subchorionic haemorrhage or hematoma.

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