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Ectopic Pregnancy Health Feed

Ectopic Pregnancy - What You Need To Know?

Dr. Mamta Goel 93% (111 ratings)
DNB, DGO, MD
Gynaecologist, Delhi
Ectopic Pregnancy - What You Need To Know?

The normal process is for the fertilized egg to get itself embedded within the uterus. For various reasons, however, it can happen that the fertilized egg gets embedded outside the uterine cavity. This is known as extra-uterine pregnancy or ectopic pregnancy. The incidence of this is 11 per 1000 pregnancies. The most common location (97 % of the times) for these pregnancies is the fallopian tube, and so also known as tubal pregnancies. Rarely (1 in 30,000 pregnancies) an ectopic pregnancy can coexist with an intrauterine pregnancy.

Risk factors: This is not a normal pregnancy, and there are certain risk factors, which increase the chance for ectopic pregnancy.

  1. Pelvic inflammatory diseases
  2. Prior tubal surgery
  3. Endometriosis
  4. Prior ectopic pregnancies
  5. Assisted reproductive techniques such as IVF
  6. Congenital structural anomalies of uterus
  7. IUCD use reduces the risk of ectopic pregnancy compared to no contraception that is 1 in 1000. However, where an IUCD fails, the risk of pregnancy being ectopic is high

All causes of ectopic pregnancy have a common factor – the fallopian tube is affected and does now allow for movement of the egg up the uterus. This could be due to infections or adhesions

Symptoms: Ectopic pregnancy would present with symptoms similar to a normal pregnancy like amenorrhea, abdominal pain, pelvic pain, breast tenderness except that the implanted egg puts pressure on the surrounding organs and this causes additional problems like shoulder tip pain, urinary symptoms, rectal pain, diarrhea and vomiting.

There could also be vaginal bleeding, passage of tissue per vaginum and in this case it needs to be differentiated from a miscarriage

Sometimes, the tubes may rupture and bleeding ensues which can bee life-threatening. Treatment is often done on an emergency basis.

  1. There is a sharp stabbing pain in the pelvis and abdomen, which can sometimes go up into the diaphragm.

  2. Bleeding which is often heavier than the normal period

  3. Weakness and fainting

Diagnosis: For an ectopic pregnancy to be confirmed, imaging is necessary. In addition,

  1. The HCG levels can be lower than expected with a normal pregnancy

  2. Confirmation happens with an internal ultrasound, which will also tell where exactly it is situated.

Management: Treatment can involve one of the 3 ways.

  1. Conservative if the serial beta hcg are falling adequately

  2. Methotrexate, which will dissolve the pregnancy tissue and allow for the body to absorb it. The tubes are often spared in this, and they heal over time.

  3. If the tube or tubes are affected, then they will have to be removed. This may even be done as an emergency procedure if the bleeding is severe.

  4. Laparoscopic surgery is often considered to remove the fallopian tube and the ectopic pregnancy. If the same cannot be carried out laparoscopically, then an open surgery needs to be done.

Prognosis: Once an ectopic pregnancy occurs, the chances of recurrence are about 10 to 20 %. HCG levels will have to be monitored periodically. If the levels continue to be high, it is possible that there is still some ectopic tissue left. This may require methotrexate or surgery.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3567 people found this helpful

Ectopic Pregnancy: Dangerous Risks You Need To Know

Dr. Veena G. Shinde 88% (879 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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1 person found this helpful

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% (4361 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.
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No follicular monitoring after using letrozole, just trying with these medications only pls suggest if we can get a chance to conceive with these medicines, else suggest a treatment to have a baby in our life, its been disappointment as we have been struggling since 4 years after had the ectopic, here in hyderabad most of the doctors are suggesting IVF is the best option, but even in ivf also not sure the assurance after taken. Please advise. This is the third month on letrozole and its day 2, pls suggest do we need to go for follicular study or try naturally.

Dr. Jayanthi. R. 88% (190 ratings)
MBBS, Certified IVF Specialist, MS - Counselling and Psychotherapy
IVF Specialist, Chennai
No follicular monitoring after using letrozole, just trying with these medications only pls suggest if we can get a c...
Hai. Until everything has been checked out and treated, it is not advisable to waste eggs every month by stimulating the ovaries. Please go for a hysterolaparoscopy and have all issues treated. This will help you decide on the next step to your treatment. Best wishes.
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3 Ways You Can Treat Ectopic Pregnancy!

Dr. Ashwini Talpe 94% (3518 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.

  1. 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.
  2. 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.
  3. 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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5091 people found this helpful

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 90% (443 ratings)
MBBS
General Physician, Fatehabad
I am suffering recurrent gastritis with that I feel ectopic in my heart since from 1 years please suggest me I am not...
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.
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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:

  1. Appendicitis
  2. Salpingitis (inflammation and infection of one’s fallopian tubes)
  3. Rupture of the corpus luteum cyst (a kind of ovarian cyst)
  4. Miscarriage
  5. Urinary tract infection
  6. Severe abdominal pain
  7. Excessive vaginal bleeding
  8. Pelvic pain
  9. Nausea and vomiting
  10. Peritonitis (inflammation of the membrane that lines the abdomen cavity)
  11. Rupture in the fallopian tubes which can lead to fainting and excessive pain
  12. 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:

  1. A particular medication known as methotrexate is used to end an ectopic pregnancy.
  2. 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.
  3. 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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2551 people found this helpful

Ectopic Pregnancy - 4 Causes Behind It

Dr. Malvika Sabharwal 90% (14 ratings)
MBBS, DGO, F.I.C.O.G., Dipl.Endo. Surgery (USA)
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:

  • Age (The age group of 35-44 especially)
  • An ectopic pregnancy in the past
  • Previous abdominal or pelvic surgery
  • Pelvic inflammatory disease
  • Several prompted abortions
  • Conceiving with an intrauterine device in place
  • Smoking
  • Endometriosis (growth of uterus lining tissues outside the uterus).
  • 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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4336 people found this helpful

Ectopic Pregnancy - Why It Can Be Dangerous?

Dr. Bhavna 87% (42 ratings)
DGO, MBBS
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. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

2459 people found this helpful

Ectopic Pregnancy - 4 Causes Behind It

Dr. Deepa Sethia 89% (10 ratings)
MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Faridabad
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:

  • Age (The age group of 35-44 especially)
  • An ectopic pregnancy in the past
  • Previous abdominal or pelvic surgery
  • Pelvic inflammatory disease
  • Several prompted abortions
  • Conceiving with an intrauterine device in place
  • Smoking
  • Endometriosis (growth of uterus lining tissues outside the uterus).
  • 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. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
4320 people found this helpful
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