ECTOPIC PREGNANCY: Causes, Signs and Treatment
WHAT IS AN ECTOPIC PREGNANCY?
Ectopic Pregnancy Definition: An Ectopic pregnancy is also known as extrauterine pregnancy, in which the fertilized egg does not nest in the mucosa of the uterine cavity (uterus) during pregnancy, but in another place. Normally, an ovum is already fertilized by the man’s sperm after the ovulation in the fallopian tube. It then travels through the fallopian tube to the uterus, which usually lasts from three to five days, and stays there in the mucous membrane, in order to develop further.
The most common type of extrauterine infections is 99% of the swelling around ileum, in which the egg is already placed in the fallopian tube. Medically, it is called tubal pregnancy. Other, rare places where an egg can lodge are the cervix, the abdominal cavity or the ovaries.
An ilectal pregnancy occurs in about one to two percent of all pregnancies. The frequency increases with the age of the woman. In the last 30 years, the frequency of swelling around ileum has almost quadrupled.
WHAT CAUSES AN ECTOPIC PREGNANCY?
There are various congenital obstacles that can hinder a migration of the egg through the fallopian tube. These include, for example, so-called secondary tubes, the blind or bag-shaped protuberances in the fallopian wall. Also, extremely long fallopian tubes can lead to the egg not reaching the uterus in time before implantation. After operations on the fallopian tubes or an inflammation of the epididymis (adnexitis), adhesions or scarring can occur which is an obstacle to the migration of the egg.
WHAT ARE THE SIGNS AND SYMPTOMS OF AN ECTOPIC PREGNANCY?
Ectopic Pregnancy Signs: In an ilectal swelling, the first symptoms often resemble a normal pregnancy.
For example, the monthly bleeding (menstruation) does not occur, and breasts, nausea and vomiting can occur. Depending on the situation of the ileate pregnancy, the embryo can enter early due to an insufficient supply of nutrients and oxygen, so that the egg leech swings remain undetected. Another possibility is that the egg is thrown into the abdominal cavity through the open end of the fallopian tube, where it is removed without any discomfort.
If the egg is not thrown off, however, in most cases, bleeding or bleeding usually occurs after six to nine weeks, which often resemble a normal haemorrhage. Accompanying this, one-sided pain usually occurs in the abdomen, which may be painful or cramp-like. They are often described as “ripping”. In some cases, the abdomen already reacts to a slight contact with a defensive tension. Possible pain in the abdomen and possible irritation of the diaphragm can lead to pain in the shoulder.
WHAT IS THE TREATMENT FOR ECTOPIC PREGNANCY?
Ectopic Pregnancy Treatment: In an Ectopic pregnancy, the treatment depends on which discomfort occurs. If only very few pronounced symptoms are present and an ultrasound examination has not clearly confirmed an ilectal swelling, no treatment is carried out at first.
It is only once waited, whether the egg goes off by itself. However, the affected person should be admitted to a hospital for regular follow-up examinations and, if necessary, to be able to initiate further treatment steps quickly.
- Ectopic Pregnancy Medication: If an ectopic pregnancy has been clearly identified and the typical symptoms occur, a drug treatment can be carried out first. A drug (prostaglandin or methotrexate) is injected directly into the fertilized egg within the scope of a laparoscopy to inhibit cell division.
- Ectopic Pregnancy Surgery: In order to surgically remove the fertilized egg, a so-called laparoscopic salpingotomy can also be used to cut the egg cell through a small cut through special instruments of the fallopian tubes.