What should I do about ectopic pregnancy
Release time : 01/18/2025 18:13:27
To ensure the health of the baby's birth, every expectant mother should pay attention to her pregnancy health and avoid gynecological diseases, especially ectopic pregnancy.
Experts at the Mom website remind that ectopic pregnancy seriously affects both the mother and the baby inside her womb. Therefore, being aware of ectopic pregnancy is very important. Pregnant women should be vigilant in their daily lives to notice any signs of ectopic pregnancy in a timely manner, so as to promptly seek medical examination and treatment.
What should I do if I have an ectopic pregnancy? Experts have pointed out that the treatment principle for early ectopic pregnancy is primarily surgical. The surgical methods for treatment are two: one is to remove the affected fallopian tube, and the other is to perform a salpingectomy.
Firstly, the surgery of the preserved fallopian tubes is retained, which is called conservative surgery.
The principle of treatment for ectopic pregnancy is primarily surgical, and if the patient is relatively young, experts recommend opting for conservative surgery.
In recent years, due to advances in diagnostic techniques, the number of salpingitis pregnancies diagnosed before rupture or abortion has increased significantly. Consequently, conservative surgical procedures have become more common than in previous times.
Based on the site of fertilization and the condition of fallopian tube pathology, the surgical approach is selected. For a gestation in the cervical part, squeezing can be performed to expel the gestational product; for a gestation in the ampullary part, excision of the affected segment followed by end-to-end anastomosis can be performed; for a gestation in the isthmic part, removal of the affected segment along with end-to-end anastomosis can be performed.
Surgical techniques that employ microsurgery may increase the subsequent pregnancy rates.
Conservative surgery can be performed not only through open abdominal surgery but also via laparoscopy.
The most effective treatment for ectopic pregnancy is currently laparoscopic surgery. Employing this minimally invasive technique ensures good therapeutic outcomes and prevents the possibility of incomplete treatment.
Can an ectopic pregnancy test be used to detect it? Generally speaking, the early pregnancy test can detect both ectopic and normal pregnancies. However, it is not ruled out that the test may fail. Therefore, it is recommended that women should go for a B-ultrasound examination at a hospital.
How to read a pregnancy test strip? Typically, if the strip shows two lines, it indicates that you are pregnant. The color intensity of the strips is determined by the human chorionic gonadotropin (B-hCG) levels, which can be detected within two weeks of pregnancy. So, "two weeks" refers to two weeks from the first day of your menstrual period. It's possible to detect a pregnancy at four or five weeks via ultrasound scan, but this is based on individuals with normal menstrual cycles. For those with irregular periods, the timeline may need to be adjusted accordingly, and an ultrasound scan is recommended for precise confirmation.
What are the symptoms of an ectopic pregnancy? The common causes include pelvic inflammatory disease and adhesions, such as chronic pelvic inflammatory disease, tuberculosis, endometriosis, etc.
Early symptoms of an ectopic pregnancy primarily manifest in the following areas: 1. Pain: The primary symptom is a sensation of lower abdominal distension, sometimes accompanied by bowel movements, and sometimes with severe pain, accompanied by cold sweats. If it breaks through, the patient will suddenly feel a tearing pain in one side of the lower abdomen, along with symptoms of nausea and vomiting.
Abnormal ectopic pregnancies can severely affect the health of pregnant women and their fetuses. 2. Absence of menstruation: The early symptom of ectopic pregnancy can easily be confused with the normal symptoms of early pregnancy. If a pregnant woman experiences sudden loss of menstrual period and other signs of pregnancy, they may also experience lower abdominal pain on one side. Sometimes, examinations may reveal an enlarged fallopian tube.
3. Vaginal bleeding: Pregnant women with ectopic pregnancies may experience slight vaginal bleeding symptoms, as well as the need to prevent threatened miscarriage.
4. Dizziness and Shock: Many patients may experience shock due to acute intra-abdominal hemorrhage, which can lead to a decrease in blood volume or severe abdominal pain. In mild cases, dizziness may occur; in severe cases, shock may arise, posing a threat to life.
Postoperative precautions after treatment of ectopic pregnancy: 1. Regular follow-up is required, and a postoperative examination and B-ultrasound re-examination should be conducted at one month or after the menstrual period ends.
2. Balance work and rest, avoid heavy physical labor, minimize abdominal pressure, and use laxatives for constipation to prevent lump rupture.
3. Pay attention to diet and nutrition, ensuring that protein intake is maintained.
4. Pay attention to the protection of the fallopian tubes; as the female reproductive organs are internally and externally connected, certain pathogenic microorganisms can easily invade the fallopian tubes or even the abdominal cavity through the vaginal opening.
There are many mothers who have experienced ectopic pregnancies. They shared their experiences with us. What treatments were they given? Can they conceive again after an ectopic pregnancy? Let's take a look at the mother's network experience sharing.
The most effective treatment for an ectopic pregnancy is minimally invasive surgery. Betty Cai: To determine if it's an ectopic pregnancy, besides routine gynecological examinations, B-mode ultrasound should be used to confirm whether the pregnancy is normal within the womb.
For instance, if no signs of pregnancy are detected in the uterine cavity, an abnormal mass is found outside the uterus. In combination with other clinical manifestations and laboratory test results, a possibility of ectopic pregnancy can be considered.
Therefore, it is generally recommended to conduct B-scan ultrasound during the early stages of pregnancy to determine whether the pregnancy is normal, or if there are multiple pregnancies, trophoblastic disease, etc.
Jayes: lower abdominal pain, always want to go to the toilet.
Perform an ultrasound (internal or external). Perform a blood test for human chorionic gonadotropin (HCG).
These all prove it.
If you feel unwell, please seek medical attention promptly. An ectopic pregnancy can lead to severe hemorrhage.
It's best to do a contrast imaging, just to be on the safe side.
I also had an ectopic pregnancy at the end of last year. Last month, I went for a hysterosalpingography (HSG), and it showed that the fallopian tube on the side where I had the ectopic pregnancy is blocked. Therefore, it is recommended to try conceiving when ovulation occurs on the other side.
Laus: I recommend you consult a traditional Chinese medicine practitioner at Guangzhou Maternal and Child Health Center. At the time of my suspicion in February that there was an issue with the pregnancy outside the uterus, I went to see a traditional Chinese medicine doctor at the center. When I asked if an imaging test was necessary, she told me that based on my condition, it would not be necessary to perform an imaging test since if there were no issues with the fallopian tubes, performing the imaging could potentially damage them.
Hehe: If the hysterosalpingography for an ectopic pregnancy is conservative treatment, then it should be performed. However, if the initial surgery for an ectopic pregnancy was performed, it should not be done again.
I underwent conservative treatment for ectopic pregnancy in September last year, and my gynecological examination in March this year indicated inflammation.
Fang Xi: An ectopic pregnancy, it's impossible to undergo a medical abortion.
Please get admitted to the hospital for surgery.
As time passes, the embryo grows larger, and I'm worried that it poses a risk to the adult. Snowflakes: In the early stages of an ectopic pregnancy, medical abortion is an option. With such a small embryo, there's no reason to fear any uncleanness. It's worth visiting the provincial traditional Chinese medicine hospital for acupuncture and taking some traditional Chinese medicine to help the body better expel blood stasis and absorb the embryo.
Whenever possible, avoid surgery.
Following a single surgery, the tube becomes less smooth, making subsequent ovulation significantly more prone to recurrent ectopic pregnancies.
This was said by a very experienced retired professor.
The medical information provided in this text is for reference only.
If you experience discomfort, it is recommended to seek immediate medical attention. The diagnosis and treatment are based on the clinical examination conducted by a doctor in person.