Ectopic pregnancy

Ectopic pregnancy and getting pregnant after Ectopic pregnancy

What to Know About Ectopic Pregnancy

In a normal pregnancy, your ovary releases an egg into your fallopian tube. If the egg meets with a sperm, the fertilized egg moves into your uterus to attach to its lining and continues to grow for the next 9 months.

But in up to 1 of every 50 pregnancies, the fertilized egg stays in your fallopian tube. In that case, it's called an ectopic pregnancy or a tubal pregnancy. In rare cases, the fertilized egg attaches to one of your ovaries, another organ in your abdomen, the cornua (or horn) of the uterus or even the cervix. In any case, instead of celebrating your pregnancy, you find your life is in danger. Ectopic pregnancies require emergency treatment.

Most often, ectopic pregnancy happens within the first few weeks of pregnancy. You might not even know you're pregnant yet, so it can be a big shock. Doctors usually discover it by the 8th week of pregnancy.

Ectopic pregnancies can be scary and sad. The baby probably can't survive -- though in extremely rare cases he or she might. (This is not possible in a tubal pregnancy, cornual or cervical ) So it's a loss that may take some time to get over. It may comfort you to know that if you have an ectopic pregnancy, you'll likely be able to have a healthy pregnancy in the future.

Symptoms of an Ectopic Pregnancy

Light vaginal bleedingNausea and vomiting with painLower abdominal painSharp abdominal crampsPain on one side of your bodyDizziness or weaknessPain in your shoulder, neck, or rectumIf the fallopian tube ruptures, the pain and bleeding could be severe enough to cause fainting.

If you are experiencing the symptoms listed above, contact your health careprovider immediately and go to the emergency room. Getting to the hospital quickly is important to reduce the risk of hemorrhaging (severe bleeding) and to preserve your fertility.

Causes of an Ectopic Pregnancy

One cause of an ectopic pregnancy is a damaged fallopian tube that doesn't let a fertilized egg into your uterus, so it implants in the fallopian tube or somewhere else.

You might not ever know what caused an ectopic pregnancy. But you are higher risk if you have:

Current use of an intrauterine device (IUD), a form of birth control.History of pelvic inflammatory disease (PID)Sexually-transmitted diseases such as chlamydia and gonorrheaCongenital abnormality (problem present at birth) of the fallopian tubeHistory of pelvic surgery (because scarring may block the fertilized egg from leaving the fallopian tube)History of ectopic pregnancyUnsuccessful tubal ligation(surgical sterilization) or tubal ligation reversalUse of fertility drugsInfertility treatments such as in vitro fertilization (IVF)

Diagnosing an Ectopic Pregnancy

Once you arrive at the hospital, a pregnancy test, a pelvic exam, and an ultrasound test may be performed to view the uterus’ condition and fallopian tubes.

If an ectopic pregnancy has been confirmed, the health care provider will decide on the best treatment based on your medical condition and your future plans for pregnancy.

Treating an Ectopic Pregnancy

If the doctor suspects that the fallopian tube has ruptured, emergency surgery is necessary to stop the bleeding. In some cases, the fallopian tube and ovary may be damaged and will have to be removed.

If the fallopian tube has not ruptured and the pregnancy has not progressed very far, laparoscopic surgery may be all that is needed to remove the embryo and repair the damage. A laparoscope is a thin, flexible instrument inserted through small incisions in the abdomen. During this surgery, a tiny incision is made in the fallopian tube and the embryo is removed, preserving the fallopian tube’s integrity.

In some cases, medication may be used to stop the growth of pregnancy tissue. This treatment option may be appropriate if the tube is not ruptured and the pregnancy has not progressed very far.

After medical treatment for an ectopic pregnancy, you will usually have to have additional blood tests to make sure that the entire tubal pregnancy was removed. The blood tests detect the hCG level, the hormone that is produced during pregnancy.

Welfare JAMBO Blog 

Ectopic Pregnancy - Treatment Overview

In most cases, an ectopic pregnancy is treated right away to avoid rupture and severe blood loss. The decision about which treatment to use depends on how early the pregnancy is detected and your overall condition. For an early ectopic pregnancy that is not causing bleeding, you may have a choice between using medicine or surgery to end the pregnancy.

Medicine

Using methotrexate to end an ectopic pregnancy spares you from an incision and general anesthesia. But it does cause side effects and can take several weeks of hormone blood-level testing to make sure that treatment has worked. Methotrexate is most likely to work:

CONTINUE READING BELOW

Fetal Development Month by Month

Start

• When your pregnancy hormone levels (human chorionic gonadotropin, or hCG) are low (less than 5,000).
• When the embryo has no heartactivity.

Surgery

If you have an ectopic pregnancy that is causing severe symptoms, bleeding, or high hCG levels, surgery is usually needed. This is because medicine is not likely to work and a rupture becomes more likely as time passes. When possible, laparoscopic surgery that uses a small incision is done. For a ruptured ectopic pregnancy, emergency surgery is needed.

Expectant management

For an early ectopic pregnancy that appears to be naturally miscarrying (aborting) on its own, you may not need treatment. Your doctor will regularly test your blood to make sure that your pregnancy hormone (hCG, or human chorionic gonadotropin) levels are dropping. This is called expectant management.

Ectopic pregnancies can be resistant to treatment.

CONTINUE READING BELOW

Getting Pregnant After an Ectopic Pregnancy

Most women who have an ectopic pregnancy have normal pregnancies and births in the future, even if a fallopian tube was removed. As long as you have one normally working fallopian tube, you can get pregnant. If the ectopic pregnancy was caused by a treatable illness, such as a sexually transmitted disease, getting treated for it can improve your chances of a successful pregnancy. The infection is not what caused the ectopic – it is the scarring that occurs due to the infection. Treatment of the infection does not get rid of the damage already done.

Talk with your doctor about how long to wait after an ectopic pregnancy before trying to conceive again. Some doctors suggest waiting 3 to 6 months.

After an ectopic pregnancy, take the time you need to heal your body and mind. Above all, don't blame yourself. Counseling or pregnancy loss support groups can help you and your partner cope. Ask your doctor about groups near you.

Thanks