Advice 1: How to identify an ectopic pregnancy in the early stages

Ectopic pregnancy is a pathological case, in which the fertilized egg is not in the uterus. This is due to the inability of the fallopian tubes to fulfill its intended purpose - transportation of the fertilized egg into the uterus. Ectopic pregnancy is very dangerous for a woman's life, so it is very important to diagnose the pathology.
How to identify an ectopic pregnancy in the early stages
Instruction
1
The symptoms of ectopic pregnancy in the early stages is very similar to the normal signs of pregnancy: missed period, morning sickness, breast swelling, etc.
2
As a rule, women do not attach importance characteristic of the ectopic pregnancy symptoms: pulling pain in the abdomen, low pressure and accompanying dizziness and fainting, vaginal bleeding and feeling of heaviness in the perineum and rectum. These symptoms may not be signs of pathology, however, in the presence of at least one of them, it is important to consult a doctor urgently, so he prescribed the necessary tests. After all, if an ectopic pregnancy is detected early, it is possible to do without surgical intervention.
3
Normal pregnancy test and a blood test for HCG ectopic pregnancy as a normal, positive. To diagnose an ectopic pregnancy in early pregnancy is possible if the time to notice a decrease in maternal blood chorionic hormone released by the placenta. This hormone contributes to the blocking of ovarian function to develop a new egg.
4
To determine ectopic pregnancy with ultrasound studies of the uterine cavity, which can be assumed about the existing pathology in the early stages. With 2-3 weeks of pregnancy to diagnose her ectopic nature is possible by means of transvaginal ultrasonography carried out by the introduction of a special sensor into the vagina.
5
To detect ectopic pregnancy at an early date, conducting diagnostic laparoscopy – a procedure that is performed under General anesthesia. It definitely allows you to set the pathology.
6
If a woman is faced with a situation of occurrence of ectopic pregnancy and need surgery, the next pregnancy should take place under the constant supervision of a doctor.

Advice 2 : What to do when an ectopic pregnancy

Ectopic pregnancy is a pathology in which the fertilized egg attaches and develops not in the uterus but outside it. Most common tubal pregnancy (about 98% of cases), less frequently in the ovaries, cervix and abdominal cavity.
What to do when an ectopic pregnancy
The main reason for the ectopic location of the embryo is tubal obstruction or disruption of their transport functions. Normal fertilization occurs close to the abdominal part of the fallopian tubes, then under the action of the peristaltic movements of the tubal cilia fertilized egg as if drawn into the lumen of the tube. Smooth muscles the walls of the tube alternately shortens and relaxes, thereby ensuring the delivery of the embryo to the uterus where it attaches and begins to develop.


If for some reasons the fertilized egg reaches the uterus, it implants and begins to develop where it is. The pipe can be impassable due to adhesions formations that formed as a result of the inflammatory diseases. Or contractile function can be impaired due to congenital anomalies of infantilism, when the tube is narrow and winding, and the smooth muscle layer is underdeveloped and does not ensure the transport of the fertilized egg.


Upon the occurrence of ectopic pregnancy symptoms that a woman feels similar to the usual manifestations of pregnancy. This is the delay period, slight weight gain, change in taste, etc. up To 4 weeks of pregnancy differences on sensations does not happen. After the first month the fertilized egg reaches such proportions that it begins to stretch the fallopian tube. At this point, joins pain, which forces a woman to seek medical attention. If all signs of pregnancy you have abdominal pain or spotting, you should immediately contact your gynecologist.


The doctor will make inspection, to confirm the presence of pregnancy, and send you to ultrasound examination. If in the uterus the fertilized egg is not detected, then the diagnosis of ectopic pregnancy is confirmed. In this case, the prescribed stationary examination and treatment.



Ectopic pregnancy is dangerous because to bring it to the statutory deadline is not possible. She should be interrupted in any way, alone or with medical assistance. When a self interrupt occurs tubal abortion or tubal rupture. Both are an indication for emergency surgical intervention.


The tactics of women with an ectopic pregnancy one – the removal of the ovum from an atypical point of attachment. Done mostly laparoscopically, sparing for the patient. During the intervention try to keep the fabric tubes for subsequent pregnancies. Open abdominal surgery is currently carried out rarely, only in the case of a pipeline rupture and massive intra-abdominal bleeding.


In the postoperative period conduct anti-inflammatory therapy for the prevention of recurrence of the formation of adhesions and repeated ectopic pregnancies. Hormonal contraceptives should be taken within six months. This is the time needed for recovery before the upcoming pregnancy. Unfortunately, ectopic re-attachment of the embryo is not rare if there is a history of such a case in future pregnancies it must be borne in mind.

Advice 3 : How to identify an ectopic pregnancy in the early stages

Ectopic pregnancy is a pathological case, in which the fertilized egg is not in the uterus. This is due to the inability of the fallopian tubes to fulfill its intended purpose - transportation of the fertilized egg into the uterus. Ectopic pregnancy is very dangerous for a woman's life, so it is very important to diagnose the pathology.
How to identify an ectopic pregnancy in the early stages
Instruction
1
The symptoms of ectopic pregnancy in the early stages is very similar to the normal signs of pregnancy: missed period, morning sickness, breast swelling, etc.
2
As a rule, women do not attach importance characteristic of the ectopic pregnancy symptoms: pulling pain in the abdomen, low pressure and accompanying dizziness and fainting, vaginal bleeding and feeling of heaviness in the perineum and rectum. These symptoms may not be signs of pathology, however, in the presence of at least one of them, it is important to consult a doctor urgently, so he prescribed the necessary tests. After all, if an ectopic pregnancy is detected early, it is possible to do without surgical intervention.
3
Normal pregnancy test and a blood test for HCG ectopic pregnancy as a normal, positive. To diagnose an ectopic pregnancy in early pregnancy is possible if the time to notice a decrease in maternal blood chorionic hormone released by the placenta. This hormone contributes to the blocking of ovarian function to develop a new egg.
4
To determine ectopic pregnancy with ultrasound studies of the uterine cavity, which can be assumed about the existing pathology in the early stages. With 2-3 weeks of pregnancy to diagnose her ectopic nature is possible by means of transvaginal ultrasonography carried out by the introduction of a special sensor into the vagina.
5
To detect ectopic pregnancy at an early date, conducting diagnostic laparoscopy – a procedure that is performed under General anesthesia. It definitely allows you to set the pathology.
6
If a woman is faced with a situation of occurrence of ectopic pregnancy and need surgery, the next pregnancy should take place under the constant supervision of a doctor.

Advice 4 : In what period of time is manifested ectopic pregnancy

Ectopic pregnancy is asymptomatic, is very rare. Early diagnosis of abnormal location of the ovum provides a greater chance for successful treatment. Therefore the first signs of ectopic pregnancy every woman should know.
In what period of time is manifested ectopic pregnancy
You will need
  • - the results of the ultrasound;
  • data of laboratory inspection
Instruction
1
Note that during the first three weeks after conception ectopic pregnancy has all the signs of normal pregnancy: normal growth of the fertilized egg and lack of menstruation. However, the rapid increase of the ovum provokes the development of dangerous symptoms of this pathological condition. Time range from 5 to 8 weeks depending on the area of implantation of the ovum. If it is attached to the wide part of the fallopian tube, the woman may feel the symptoms of disease, only 8-10 weeks. When placing ovum in the isthmus, pregnancy overshadowed by unpleasant sensations within 5-6 weeks after conception.
2
It is important to know that the first and main symptom of an ectopic pregnancy is a unilateral pain in the lower abdomen, sometimes accompanied by a fever and General malaise painful. As a rule, it occurs in the 5th to 6th week after conception and has growing character. Along with it may appear bloody discharge from the vagina, which during early pregnancy can be confused with normal menstruation. Such bleeding tend to stop and again to resume.
3
At the slightest suspicion of an ectopic pregnancy or if your period is delayed, you should consult with a gynecologist. He will prescribe a transvaginal ultrasound sensor, laparoscopy and laboratory analysis of blood levels of progesterone and HCG (human chorionic gonadotropin) which is produced only by tissues of the embryo. When a woman has a pathology, the level of HCG rises very slowly and does not correspond to the expected term. Conventional pharmacy pregnancy test, which is based on the definition of the content of this hormone, ectopic pregnancy produces negative or weakly positive result.
Note
In most cases, ectopic pregnancy occurs in the fallopian tubes. However, in rare cases, the fertilized egg is implanted in the ovary, cervix and even the abdomen. While the fruit may develop up to several months without degradation of women.
Useful advice
Do not give up, we offer a doctor observation in the hospital, if he had any doubts. This will facilitate the determination of the place of implantation of the embryo in early pregnancy and allow for gentle treatment when the diagnosis is confirmed.

Advice 5 : What is an ectopic pregnancy

Ectopic pregnancy is a condition when the fertilized egg, for whatever reason, enters the womb in the fullness of time, attached to the wall of the fallopian tube and begins to develop it. This condition is very dangerous, because when you break the fallopian tube develops internal bleeding, and without urgent assistance, the woman may die.
What is an ectopic pregnancy

Causes of ectopic pregnancy



The reasons that the fallopian tubes are not able to perform its function, can serve as congenital abnormalities of the female organs where the pipes are too convoluted or long. In other cases, an ectopic pregnancy provoke inflammatory diseases of the pelvic organs, which lead to such deplorable results. Ectopic pregnancy varies with the location of the ovum, which is when obstruction of the fallopian tubes are able to be secured in the most unexpected places: in different parts of the pipe itself, in the ovary, abdominal cavity.

The cause of acute and chronic salpingitis are the sexually transmitted infections or complications after medical abortion when in the uterine tube occurring contractions and adhesions. This risk increases with prolonged use of intrauterine devices for contraception; increased risk and women who have undergone the procedure IVF is often superimposed on existing pathology of an internal, to the same time implemented several fertilized eggs, which increases the likelihood of complications.

How to determine ectopic pregnancy



In the early stages to diagnose ectopic pregnancy is not easy – in most cases the first symptoms appear when the ovum grows to a considerable size, for 5-6 weeks of pregnancy. In this case, a woman start to disturb nagging pains in the abdomen, the side where localized fertilized egg; possible bloody discharge from the genital tract. At the moment of rupture of the fallopian tube there is a sharp cramping pain that can lead to a painful shock, loss of consciousness, and internal bleeding. This occurs usually to obstetric 8-9 weeks.

Time to identify a threat can be turned to the doctor and standing on the account on pregnancy in female consultation in the early stages of pregnancy: with the help of laboratory analysis on the blood levels of human chorionic gonadotropin the doctor can with high probability to determine the deviation in the course of pregnancy already in the first weeks when it is still possible to avoid serious complications. Ectopic pregnancy HCG levels will be much lower than it should be for the expected duration of pregnancy.

If you suspect an ectopic pregnancy to a woman undergoing additional diagnostic procedures: ultrasound is carried out, if necessary doing diagnostic laparoscopy. Then to the fallopian tube is injected a chemotherapy drug that stops the development of the ovum, after which it dissipates. In this case, surgery is often avoided and to fully preserve a woman's fertility. If this fails, then the fertilized egg is carefully removed, making this operation very sparing.
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