Why is there an ectopic pregnancy
Release time : 03/09/2025 09:30:01
Ectopic pregnancy has increasingly become a condition that threatens women's health. There are many causes of ectopic pregnancy, with the most common being inflammation of the fallopian tubes or surrounding areas. In addition to this, other causes include fallopian tube surgery, fallopian tube dysplasia or functional abnormalities, migration of the fertilized egg, or the use of other assisted reproductive technologies. Sometimes, uterine fibroids, ovarian tumors, or endometriosis can also lead to ectopic pregnancy.
Why does ectopic pregnancy occur? We have previously outlined several causes that can lead to ectopic pregnancy. Now, let's take a closer look at how these factors specifically contribute to the development of an ectopic pregnancy.
In the case of fallopian tube inflammation, it can be categorized into salpingitis (inflammation of the fallopian tube mucosa) and perisalpingitis (inflammation around the fallopian tube). These conditions can lead to blockage of the fallopian tubes, resulting in tubal pregnancy.
Fallopian tube surgery generally refers to the re-canalization or fistula formation after sterilization surgery, or procedures such as tubal adhesion separation and tuboplasty performed for infertility.
Fallopian tube developmental abnormalities mainly include tubal hyperplasia, defective myometrium or deficient cilia; functional abnormalities refer to ovarian and progesterone secretion disorders or other psychological factors leading to uterine spasm and abnormal muscular contraction of the fallopian tubes.
The concept of a fertilized egg migrating means that the egg is fertilized in one fallopian tube and then enters the opposite fallopian tube. If this process is too long, the fertilized egg may grow and implant on the side of the opposite fallopian tube, resulting in an ectopic pregnancy.
Ectopic pregnancy, what symptoms does it present? The main symptoms of ectopic pregnancy include a missed period, vaginal bleeding, and fainting or shock.
Some patients with ectopic pregnancy may not exhibit a distinct amenorrhea history, or they may only experience a delayed menstrual period. Only the uterine interstitial type of ectopic pregnancy will exhibit a prolonged amenorrhea period, lasting from 6 to 8 weeks.
After the ectopic pregnancy has died, irregular vaginal bleeding occurs. The color is pale, less than that of menstruation, but there are also a few patients with more blood. This bleeding generally also has decidua fragments discharged.
Lastly, the patient may also experience syncope or shock due to acute intraperitoneal hemorrhage or pain.
Ectopic pregnancies can be prevented; here are some methods to prevent ectopic pregnancies: First, choose to conceive when both the couple's mood and physical condition are optimal.
Secondly, it is crucial to promptly treat reproductive system diseases, such as inflammation of the fallopian tubes, uterine fibroids, endometriosis, etc. These conditions must be treated early.
Pay special attention to the hygiene of menstruation, childbirth, and postpartum periods to prevent infections in the reproductive system.
Finally, for women with a history of ectopic pregnancy, intrauterine insemination can be attempted.
Treatment for Ectopic Pregnancy There are two main treatment methods: surgical intervention and conservative management. While conservative management is more convenient and results in better recovery, it is not suitable for all cases.
Conservative treatment generally involves early detection and management of ectopic pregnancy when the hCG level is low without abdominal pain or significant hemorrhage. Treatment is guided by a physician's instructions. Any symptoms of abdominal pain or bleeding during the treatment process indicate that the treatment has failed, necessitating immediate surgical intervention.
*The medical content mentioned in this text is for reference only.
In case of discomfort, it is recommended to seek medical attention immediately. The diagnosis and treatment should be based on the professional medical advice provided by a face-to-face consultation.