Ectopic pregnancy is a condition in which a fertilized egg is attached not to the uterine wall, but outside the organ, where it continues to grow. In most cases, the embryo remains in the fallopian tube, but sometimes it happens that it is implanted in the ovary, cervix or abdominal cavity. In this regard, ectopic pregnancy is a danger to the health and life of a woman, as it can lead to rupture of the organ in which the fetus is located, as well as to internal and external bleeding. Approximately 1-2% of all pregnancies are ectopic. Therefore, every woman needs to know what are the symptoms of an ectopic pregnancy, in time to suspect this condition in her, and to turn to the gynecologist in time.
Causes of an ectopic pregnancy
Before we look at the symptoms of an ectopic pregnancy, let's find out what factors lead to the onset of this condition. In most cases, ectopic pregnancy is preceded by past or existing diseases of the genitals. These can be sexually transmitted infections( eg, gonorrhea, ch
There are situations when doctors can not in any way determine the causes that led to the occurrence of an ectopic pregnancy. But one thing is for sure, if a woman already had an ectopic pregnancy, then the likelihood of a similar situation reoccurring is high.
Early symptoms of an ectopic pregnancy
In the early stages of an ectopic pregnancy, the symptoms accompanying this condition are the same as in the normal course of an interesting situation: a woman shows signs of toxicosis, an express positive test, the month stops, and the chest swells. In some cases, the young lady may not even suspect that fertilization has occurred, since in "critical days" she has spotting. The factors listed above lead to the fact that women learn about their ectopic pregnancy too late, around the sixth to the eighth week, when there are severe pains in the lower abdomen, internal or external bleeding, lowering of blood pressure, loss of consciousness. Usually in such cases, an emergency operation is performed, during which the fallopian tube is removed along with the fetal egg. So is there really no any early symptoms of ectopic pregnancy and methods of diagnosing this condition, allowing to recognize the pathology before it leads to irreversible consequences?
In our time, any woman conscious and attentive to her health can avoid the consequences of an ectopic pregnancy, which are dangerous for health and life. For this, the gynecologist should immediately visit if the following conditions appear: abdominal pain, very poor menstrual flow, delay of "critical days".An experienced physician knows what symptoms are associated with an ectopic pregnancy, and therefore immediately assigns the patient the following diagnostic tests: a blood test for hormone and ultrasound of the genital organs.
The blood test for human chorionic gonadotropin( hCG), like the pregnancy test, determines the presence in the body fluids of a particular hormone that is produced by the tissues of a fertilized egg. In a pregnant woman, the level of hCG in the blood increases in geometric progression: it doubles every two days. If a woman has repeatedly donated blood for analysis, and the results showed that the concentration of hCG is growing slower than normal, then on this basis a gynecologist may suspect of her ectopic pregnancy. It is suspected, and not unequivocally determined, the result of a blood test for hCG is not a 100% symptom of an ectopic pregnancy in the early term, since such results may indicate a threat of miscarriage.
Ultrasound( ultrasound) is one of the methods for diagnosing ectopic pregnancy. If the result of a blood test for hCG above 1800 IU / L, then this is an indication that the fetal egg has developed enough to be visually detectable. In most cases, this moment occurs at a time of 5 weeks. In the case when the doctor conducting the study clearly saw that the fetal egg is attached to the wall of the uterus, the suspicion of ectopic pregnancy is removed. But there are also situations in which there is a blood clot or fluid accumulation in the uterine cavity, which the inexperienced diagnostician mistakenly mistakes for an embryo. If the blood test for HCG shows an increase in the level of the hormone below the norm, in the uterine cavity the fetal egg is not visualized, and the fallopian tube is enlarged, then it is unequivocally possible to diagnose ectopic pregnancy for these symptoms for a period of 5 weeks or more.
The only diagnostic method that can determine the presence of an ectopic pregnancy with 100% accuracy is laparoscopy. This is a minimally invasive operation during which the doctor makes a small incision in the peritoneum, and inserts a laparoscope( telescopic tube) into it. With the help of this device, a specialist can see the internal organs, in particular visually inspect the uterus and fallopian tubes to see where the fetal egg has attached.
With early detection of symptoms of ectopic pregnancy and timely operation, it is possible to maintain the fallopian tube, only the embryo will be removed from the organ. This is possible only if the pipe has not been deformed.
After an ectopic pregnancy, a woman needs to undergo a rehabilitation course to prevent adhesion, normalize the hormonal background and restore the reproductive function of the body.