When the embryo implants outside the uterus it is said to be an ectopic pregnancy, whether it is implanted in one of the fallopian tubes, cervix, ovaries or abdominal area.
What is ectopic pregnancy?
For pregnancy to occur, the ovaries release an egg that travels through the fallopian tubes to be fertilized by a sperm and continue its way to the uterus, where it will implant correctly to continue its development. There are times when the fallopian tubes are blocked or damaged and the fertilized egg or embryo cannot reach the uterus, so it is implanted inside them by gynecology treatment hospitals in India. 95% of ectopic pregnancies occur in the fallopian tubes, however, they can develop in the ovaries, cervix, or abdominal area.
Symptoms of an ectopic pregnancy
The first symptoms of ectopic pregnancy can be:
• Abnormal vaginal bleeding
• Constant pain on only one side of the abdomen. This pain may be more or less acute and present in the first trimester of pregnancy
• Low back pain
• Nausea and dizziness
• When the fallopian tube ruptures, the patient may have:
• Severe abdominal pain
• Dark vaginal bleeding
• Pressure in the rectum
• Low blood pressure
Additionally, as a consequence of an ectopic pregnancy, infertility can occur in 10 or 15 percent of women.
How is an ectopic pregnancy diagnosed?
Previously it was not possible to diagnose an ectopic pregnancy until 6 weeks of gestation, by then it represented a risk for the health of the patients, so it was necessary to perform surgery to remove the fetus cells and stop the bleeding. Today there are several studies that can detect a case of ectopic pregnancy.
On the other hand, there are more ailments that present the same symptoms of ectopic pregnancy, so it is difficult to give a diagnosis, although any woman with active sexual life and of childbearing age is susceptible to having an ectopic pregnancy.
To make an accurate diagnosis of ectopic pregnancy, the following tests can be performed:
Pelvic exam- The uterus, cervix, fallopian tubes, and ovaries are examined in order to find some abnormality in the implantation of the embryo.
Blood tests where the levels of the pregnancy hormone, human chorionic gonadotropin (B-HCG) are measured. In an ectopic pregnancy, the levels of these hormones are usually low. For this reason, it is usually necessary to perform several studies before giving the diagnosis of ectopic pregnancy.
Transvaginal ultrasound- This procedure is very simple and painless. It consists of introducing a probe via the vagina and allows to examine the uterus. A clear diagnosis can be established from the third week of gestation.
Laparoscopy- This surgical procedure consists in introducing a rigid and thin tube with a camera on its end in the abdomen of the patient, with the objective of having a clearer vision of the internal organs of the woman such as the fallopian tubes, the uterus, and the ovaries.
If I had an ectopic pregnancy, can I get pregnant again?
Approximately 40% of women who suffer an ectopic pregnancy manage to have children after having treated the disease. However, it is important that the patient consult a gynecology treatment hospital before attempting to become pregnant again to check that their organism is in optimal conditions to receive the embryo.