How to treat ectopic pregnancy
Release time : 01/18/2025 18:13:27
Ectopic pregnancy has always been a concern for women of childbearing age. Many friends have inquired: Does ectopic pregnancy cause menstruation? Is it possible to conceive after ectopic pregnancy? Early symptoms of ectopic pregnancy, the optimal treatment method, and more questions are addressed in this article. Today, we will serve the Guangdong female community by sharing scientific dietary methods for ectopic pregnancy.
How is an ectopic pregnancy treated? The earlier the treatment for an ectopic pregnancy, the better. An ectopic pregnancy that develops to a certain stage can lead to a miscarriage or rupture of the fallopian tube, resulting in internal bleeding.
The muscular walls of the fallopian tubes are less robust than those of the uterus, unable to contract and compress the blood sinuses in the same manner as the uterus. In the event of significant bleeding, this can lead to shock and even threaten life.
There are multiple treatment options for ectopic pregnancy, depending on the desire to conceive, the size and location of the gestation, and the patient's physical condition. For unmarried women, the goal is to rescue the patient's life while maximally preserving fertility.
Treatment methods for ectopic pregnancy include: laparoscopy, medication therapy, and open abdominal surgery. Taking tubal gestation as an example: 1. Medication conservative treatment is the best choice when the early-stage ectopic pregnancy is diagnosed before the rupture of the fallopian tubes, and there is no desire to have children. The method has less harm to the patient and is easier to recover physically.
But it cannot be applied to those who wish to have children because the killed embryos are polarized in the original position, often causing this fallopian tube obstruction.
2. For salpingosalpingectomy in patients with salpingitis gravidarum, the laparoscopic approach involves incising the fallopian tubes to remove the embryo and then suturing them closed to preserve their function. This is currently regarded as the most effective treatment for salpingitis gravidarum.
3. For cases of ruptured fallopian tubes with severe damage that is difficult to repair and accompanied by hemorrhagic shock, only laparoscopic or open surgery on the affected side of the fallopian tube can be performed, and blood transfusion may be necessary.
4. Hysterosalpingectomy for luteal phase destruction This surgical procedure, invented by our hospital, involves the mechanical and pharmacological destruction of the gestational luteum. The progesterone levels in the body, which support pregnancy, suddenly decrease, leading to the natural termination of the embryo.
Indications: Ectopic pregnancy without rupture, difficult to locate the gestational site, or unfavorable for surgical removal (ectopic pregnancies at the uterine angle and cervical).
The advantage is that it does not cause bleeding during the procedure, as it does not touch the pregnant area.
(1) Laparoscopic Approach: Prior to informed consent, 250 mg of mifepristone is administered orally. Under reliable anesthesia, the location of the gestational site is diagnosed via laparoscopy. If there is no rupture, the gestational corpus can be identified and separated, ensuring hemostasis.
If the rupture or the near rupture is present, then a window-to-window suture technique should be employed.
Postoperative daily monitoring of hCG and progesterone levels.
(2) Transvaginal B-ultrasound guided aspiration: After obtaining informed consent, 250mg of methotrexate orally was administered before surgery. Under reliable anesthesia, the pregnancy corpus luteum was aspirated through transvaginal ultrasonography and then inseminated with 5-10ml of absolute alcohol.
Postoperative daily monitoring of HCG and progesterone levels.
Dietary Therapy for Ectopic Pregnancy: After undergoing surgery, patients with ectopic pregnancy often have a relatively weak body. It is very necessary to properly regulate their health.
In addition to following the doctor's advice, dietary choices are also crucial.
Particularly during the postoperative period, it is beneficial to utilize dietary therapy for replenishment, which is very helpful for recovery. What kind of diet should be taken? Chen Hua Yi Mi Rice (from "The Rice Book"): 10g of Chen Hua, 30g of Yi Mi, and 20g of Winter Melon Seed. Add an appropriate amount of rice to make the rice soup, then cook until the soup is done. Consume the soup.
This formula has the effect of qi-boosting and wetness-dampening.
Shengdihuang chicken (《Yin Shang Yao Ying》): 250g of raw Rehmannia, one black chicken, 150g of maltose. Clean the chicken, remove its feathers, and wash out its innards. Cut into fine pieces, mix the Rehmannia with the sugar, put them into the chicken's cavity, steam over water until cooked, without using salt or vinegar as seasonings.
This formula possesses the function of nourishing yin and clearing heat.
Chicken Shreds Stir-Fried with Wide Leaf Lettuce: 500g mung bean leaves, 100g chicken breast.
Wash the amaranth, remove the roots, cut into segments about 3 cm long, and chop the chicken breast into strips.
In a wok, add water and blanch the spinach, then drain.
Heat oil in pan to 60%. Stir-fry chicken slices until they are brown, add salt and MSG, then add clear soup and stir-fry for 5 minutes.
Mie Cabbage, sweet in nature and cold in flavor, clears heat, promotes diuresis, nourishes the blood and cools the blood.
Chicken breast contains protein and vitamins, which can nourish the liver and replenish it.
Prawn and Sea Cucumber Porridge: 150g of sea cucumber, a certain number of prawns, and other condiments.
First, place the sea cucumber in a pot and add clean water. Boil on low heat until soft, then cut open and remove the viscera. Rinse thoroughly before boiling again with hot water until soft. Cut into cubes.
Soak shrimp in yellow wine.
Put the chicken soup in a pot, add sea cucumber and shrimp, then boil it for 20 minutes.
Add seasoning such as MSG and pepper powder, then brush with a thin sauce made by thickening with starch. Place into the bowl, ready to serve.
The shrimp contains rich protein, phosphorus, iron and vitamins. It can strengthen the kidney and yang.
Sea cucumber nourishes the marrow, aids in boosting Yang and enriching Yin.
Garlic-flavored round fish soup: about 200 grams of round fish, one, killed and boiled with hot water, outer shell and innards removed, washed clean.
20 grams of peeled and crushed garlic.
Put the fish in a soup bowl, add yellow wine, ginger pieces, leeks, salt. Steam for 20 minutes first, take out the ginger and leeks, add garlic and monosodium glutamate, and steam for another 40 minutes. Drink the soup and the meat.
The term "round fish," which is commonly referred to as turtle, contains high-quality protein and essential amino acids necessary for liver nourishment. It also aids in blood circulation and enriches the blood.
Garlic contains protein, vitamins and minerals, as well as volatile oils and allicin, which can promote diuresis and blood circulation.
Ginseng Chicken: One old hen, 50g Ginseng, 50g Astragalus, 50g Chinese yam, 50g jujube, appropriate amount of yellow wine.
Cut the chicken into halves, remove the feathers and intestines, soak in yellow wine, place other four ingredients around the chicken, steam it over water, take in small doses.
Has the effect of enriching Qi and nourishing blood.
For post-abortion recuperation.
One young chicken of the same species, 30g of goji berries, a pinch of salt.
Remove the gizzards and internal organs from the quail, clean them well and place them in a pot. Add water and goji berries to cook together until done, season with a little salt just before serving.
Consume meat and drink soup twice daily.
It has the effects of Qi-boosting, blood-supplying, and nourishing deficiencies.
Suitable for postpartum debility, post-illness qi deficiency, physical weakness and fatigue, and spontaneous sweating due to constitutional vulnerability.
Soy Milk and Rice Porridge: 2 bowls of soy milk, 50 grams of rice, and an appropriate amount of sugar.
Wash the rice well, then boil it with soy milk to make porridge. After it is cooked, add sugar and drink it.
Take with an empty stomach.
It has the effect of harmonizing the spleen and stomach, clearing heat, and moisturizing dryness.
For the nourishment of body after artificial abortion.
Longjing and Jujube Soup: 7 dried longans and 7 dried jujubes.
Administer with water, 1 dose daily.
Has the function of nourishing blood and generating fluids.
Suitable for women with anemia and postpartum physical weakness.
Egg and Red Date Soup: 2 eggs, 10 red dates, a suitable amount of brown sugar.
Put water into the pot and boil it, then put an egg in the pot and cook it on the bottom. After the water boils again, add red dates and brown sugar. Cook on low heat for 20 minutes.
It has the functions of replenishing and invigorating the middle, nourishing the blood.
Suitable for anemia and post-illness, postpartum qi deficiency.
The aforementioned foods are the main content of dietary therapy. In addition, patients with ectopic pregnancy should pay attention to supplementing proteins, ensuring adequate hydration and, on top of normal diets, moderately limiting fat intake and avoiding irritant foods.
Early symptoms of ectopic pregnancy include: 1. Abdominal pain: Patients experience lower abdominal distending or severe pain, accompanied by a sensation of defecation, and often have chills.
If the lesion ruptures, the patient will suddenly feel a tearing pain in one side of the lower abdomen, and also have symptoms of nausea and vomiting.
2. Abnormal Menstruation: Early symptoms of an ectopic pregnancy can easily be misinterpreted as normal early pregnancy reactions. If a woman experiences amenorrhea and early pregnancy symptoms within a short period, along with one sided lower abdominal pain, and upon examination, the fallopian tubes are found to be enlarged, it should raise suspicion for an ectopic pregnancy.
3. Vaginal Bleeding: Patients with ectopic pregnancy may experience symptoms of vaginal bleeding.
It is important to note that vaginal bleeding following an ectopic pregnancy occurs after the embryo has died and is characterized by irregular vaginal discharge, which is dark brown in color and generally does not exceed the amount of a menstrual period.
Bleeding frequently accompanies detached decidua and/or decidual fragments, which may be expelled upon the resolution of the lesion.
Bleeding during menstruation does not result in the expulsion of endometrial tissue.
4. Dizziness and Shock: Many patients may experience a decrease in blood volume or severe abdominal pain due to acute intraperitoneal hemorrhage, which, in mild cases, can lead to dizziness, and in severe cases, may result in shock, posing a life-threatening risk.
5. Other symptoms: Patients with ectopic pregnancy may also experience nausea, vomiting, and frequent urination.
Some patients may experience shock due to significant bleeding, presenting with pale complexion and a drop in blood pressure.
Can an ectopic pregnancy have menstruation? Can an ectopic pregnancy have menstruation? Some friends may not be very familiar with the concept of an ectopic pregnancy. Simply put, it is also a form of pregnancy, but not within the uterine cavity, most often in the fallopian tubes. Therefore, it shares similar history of missed periods with regular pregnancies. An ectopic pregnancy can still experience menstruation.
The term "ectopic pregnancy" often used in people's discussions is actually somewhat misleading.
Based on years of clinical experience, it is often observed that minor bleeding is caused by vaginal bleeding.
It is not a menstrual cycle in the sense of the term, and is medically referred to as an ectopic pregnancy.
Ectopic pregnancy, where the gestational sac implants outside the uterine cavity, is most commonly found in the fallopian tubes, but can also occur in the ovary or cervix.
Female patients of childbearing age, who have missed their menstrual periods and sometimes experience morning sickness and other early pregnancy symptoms, may indicate pregnancy. However, sudden onset of lower abdominal pain, persistent or recurrent episodes, accompanied by nausea, vomiting, and a sensation of heaviness in the rectum, can occur. In severe cases, the patient may appear pale, sweat profusely, feel cold, even faint, collapse, or shock.
Ectopic pregnancy can result in menstruation, and some patients may experience irregular vaginal bleeding, which is generally less than the amount of a normal menstrual period. It is important not to mistake this for menstruation.
Due to the fact that an ectopic pregnancy is an abnormal form of pregnancy, in normal circumstances, there will generally be no menstruation after conception.
The difference lies in the location where the embryonic cells land. Normal pregnancy occurs within the uterus, while an ectopic pregnancy occurs outside the uterus, typically in the fallopian tubes or other abnormal areas.
Generally, the diagnosis of a missed miscarriage can be made through ultrasound examinations at 5-6 weeks of pregnancy. Some pregnant women may need to wait another week or two before a definitive diagnosis is confirmed.
Therefore, it is imperative to undergo regular check-ups during pregnancy and promptly seek treatment for any instances of ectopic pregnancies.
A correct understanding of gynecological knowledge and the effective adoption of preventive measures are the barriers to protect women's health.
After an ectopic pregnancy, can you get pregnant again? Ectopic pregnancies are a frightening experience for mothers, but if treated well, you can conceive again.
However, it is imperative to thoroughly treat the condition during treatment and also to take preventive measures against another ectopic pregnancy during subsequent pregnancies.
Generally speaking, if the ovary is removed from one side of the uterus, the other ovary can still be fertile and capable of supporting a pregnancy.
However, when the fallopian tubes are inflamed and obstructed, a recurrence of ectopic pregnancy may occur.
According to statistics, 10% of patients who undergo an ectopic pregnancy surgery will develop a subsequent ectopic pregnancy.
In recent years, with the advancement of medical technology, conservative surgery and appropriate management of contralateral fallopian tubes have significantly reduced the incidence of recurrence.
To prevent a recurrence of ectopic pregnancy, two issues need to be addressed: First, postoperative hysterosalpingography should be performed to determine the patency of the fallopian tubes; if they are patent, one can safely conceive.
If there is any issue of connectivity but not smoothness, consider postponing pregnancy.
Second: Postpartum early ultrasound examination to check for ectopic pregnancy, in order to take early treatment.
How to quickly conceive after an ectopic pregnancy? It is best to undergo a fallopian tube lavage before preparing for pregnancy to avoid the possibility of another ectopic pregnancy.
Whether one can conceive in the future depends on whether there was an ectopic pregnancy and whether the fallopian tubes were ruptured.
If not, the chance of pregnancy is 50% and the chance of a second ectopic pregnancy is 15%.
Of course, if an ectopic pregnancy occurs and the fallopian tubes are removed at that time, then there is a greatly reduced chance of conception.
Women with a history of ectopic pregnancy have a higher risk of developing another ectopic pregnancy than do women without such a history.
Therefore, prior to attempting a pregnancy, treatment of the primary lesion should be undertaken.
Due to the fact that ectopic pregnancy is primarily caused by salpingitis, it is essential to actively treat pyelitis, salpingitis, and vaginitis as a primary preventative measure against ectopic pregnancies.
During menstruation, the "Seven Periods" therapy is utilized to control inflammation. It involves promoting blood circulation and dissolving stasis, facilitating the smooth flow of blood vessels, and combining traditional Chinese medicine wraps with hot-moxibustion therapy. All these measures contribute to the treatment and recovery of the condition. Additionally, reducing uterine manipulations and paying attention to menstrual hygiene are crucial for preventing infections.
Inflammation is the root cause of pelvic inflammation, and artificial abortions and other uterine operations increase the chances of inflammation and endometrial tissue entering the fallopian tubes, leading to adhesions and narrowing of the tubes. This increases the likelihood of ectopic pregnancy.
Malignant uterine fibroids, endometriosis, and other reproductive system diseases may also alter the morphology and function of the fallopian tubes.
Timely treatment of these diseases can all reduce the occurrence of ectopic pregnancy.
*The medical information provided in this text is for reference only.
If you experience discomfort, it is advised to seek medical attention immediately. The diagnosis and treatment should be based on the clinical examination conducted by a doctor in person.