Possible causes of ectopic pregnancy
In normal pregnancy conception occurs in the fallopian tube, where there are sperm and ready for a fertilized egg.Subsequently, the zygote moves into the uterus, and is being implemented in its mucosa.Sometimes a fertilized egg can not reach the destination and, attaching themselves in the fallopian tube, begins to develop there.In an even more rarely fertilized egg is expelled from the pipe in the wrong direction and is attached to the peritoneum or the ovary.Thus, at the location of ectopic pregnancy most often tubular, abdominal and accordingly ovarian. Ectopic pregnancy is about 2-3% of all pregnancies.Women survivors of such pathology, are at risk, because the ri
In most cases, the cause of ectopic pregnancy is bad tubal patency.This problem may occur as a result of suffering a gynecological disease or urinary infections undertreated.Also, the cause may be the anatomical features of the women (uterus hypoplasia, too tortuous or long fallopian tubes).In addition, the fertilized egg can begin to develop in the wrong place as a result of violations of hormonal pregnant.
risk of ectopic pregnancy increases the following factors:
- gynecological surgery, including abortion;
- a history of surgery (it may lead to the formation of adhesions in the abdominal cavity);
- the presence of an intrauterine device;
- the use of hormonal contraceptives shortly before pregnancy;
- tumor of the uterus, including benign;
- a history of infertility;
Nevertheless, one third of ectopic pregnancies happen for unknown reasons.In this case, in order to avoid relapse, doctors recommend that women carefully monitor their health and possibly minimize the impact of negative factors on the body.
symptoms and complications of an ectopic pregnancy
first ectopic pregnancy does not manifest itself.It is as usual, can be accompanied by weakness, drowsiness, excessive fatigue, nausea and vomiting, breast tenderness, and the increase, as well as an increase in appetite or change in taste preferences.If it is also a delay menstruation and pregnancy test shows a positive result.
first alarming symptoms can occur 2-3 weeks after conception.This can be a nagging pain in the abdomen, bleeding from the vagina, discomfort in the lumbar region and the general deterioration of health.
As the ovum fallopian tube, not for carrying a pregnancy begins pererastyagivatsya that leads to severe pain, usually on one side of the abdomen.The pain may be aggravated during defecation, to give to the anus, and sometimes the "spread" across the belly.
If ectopic pregnancy is diagnosed or not, the growth of the ovum continues, leading to rupture of the fallopian tube and the emergence of internal bleeding.This leads to increased pain, drop in blood pressure, loss of consciousness and shock from the massive blood loss.If a woman does not provide medical assistance immediately after the event, the probability of death. fallopian tube rupture occurs, usually for a period of 7-8 weeks.In rare cases it is possible to inform an ectopic pregnancy up to 10 weeks, but it is in any case doomed, and threatens the health and lives of women.
diagnosis and treatment of ectopic pregnancy
To prevent serious complications, it is important to timely detect ectopic pregnancy and assist women.Diagnosis of disease is carried out on the basis of complaints pregnant, the HCG in the blood test and ultrasound.Suspected ectopic pregnancy is possible even before pronounced symptoms.This requires transvaginal ultrasound a week after a missed period.The absence of the ovum in the uterus should alert doctors.If the dynamic observation and it will not be detected, it is likely that the pregnancy does not develop where necessary.
Since ectopic pregnancy can not develop and end delivery, after the diagnosis requires its immediate termination.Depending on the severity of the woman held either laparoscopic or abdominal surgery.During surgery, doctors removed the ovum, and at rupture of the fallopian tube - and the pipe itself.Planning for a new pregnancy is possible not earlier than six months after surgery.