As we all know that egg and sperm meet in the fallopian tube and then the fertilized egg continues to progress for 9 months. But this is not the scenario in case of ectopic pregnancy where the fertilized egg settles in the fallopian tube. This is also termed as tubal pregnancy. Mostly, ectopic pregnancy happens in the initial week so pregnancy. But one is not able to notice it till the eighth week of pregnancy. So, this seems to be more dangerous and leads to shock because there are no prior signs to treat this in the initial stages of development.
In normal pregnancies, after the meet of egg and sperm, the fertilized egg travels down to the uterus and there it gets developed. While, in ectopic pregnancy, due to the blockage of fallopian tube the egg gets implanted in the fallopian tube and develops there itself. So, by this reason they are termed as tubal pregnancies. Even though this is most rarely happened an egg also develops in ovary, cervix, and abdomen and may be in c-section also. If ectopic pregnancy is not observed and treated in the initial stages, this may lead to entire damage of fallopian tube and also causes rigorous abdominal pain and bleeding. Furthermore, there can be entire tube loss or even death if internal bleeding is heavy.
Some of the observed symptoms in ectopic pregnancy are slight vaginal bleeding, weakness, agony in the neck, shoulder, severe abdominal hampers, lower abdominal pain, nausea and also fainting.
Risk factors in tubal pregnancy
Even though ectopic pregnancy is the common issue to any issue, some factors make it more probable. Of those, the most common risk factor is having some surgeries that affected your fallopian tubes like
Surgery – Tubal ligation for sterilization, tubal ligation reversal surgeries which are undergone to treat your fallopian tubes may increase risk of ectopic pregnancy.
Pelvic inflammatory disease (PID): This viral infection caused in the uterus, ovaries, or fallopian tubes also results from untreated sexually transmitted infections (STIs), such as gonorrhea PID doesn’t always cause symptoms, so having had either of these STIs also increases your risk chances of ectopic pregnancy.
And the risk is endometriosis.
Diagnosing an Ectopic Pregnancy
After the pregnancy test result is positive, your doctor might examine the pelvic region to view the condition of uterus and fallopian tubes internally. If the ectopic pregnancy is positive, your doctor might suggest some treatments based on the health conditions and you plans to conceive in future.
Treating an Ectopic Pregnancy
If your doctor has any doubt that the fallopian tubules have ruptured, it has to be treated at the earliest to stop the bleeding. If the fallopian tubules haven’t got ruptured and the embryo is not growing as expected, laparoscopic surgery may be performed to remove the embryo and fix it. A laparoscopy surgery is a procedure where a thin needle like instrument is inserted into the abdomen and the embryo is removed. This surgery is suggested when the pregnancy has not advanced and the fallopian tubules haven’t ruptured. Post treatment, some additional blood tests are done to ensure that total tubal pregnancy is removed. The blood results reveal the levels of hCG hormones which is formed when pregnant.
Conceiving After an Ectopic Pregnancy
Many women who have a positive ectopic pregnancy, also have chances to conceive normally in future, If either of the fallopian tube, is healthy and working a woman can conceive. In instances where the ectopic pregnancy was due to STD’s you can be treated to conceive. The treatment does not guarantee the damage which has already been done. Talking to your gynaecologist helps to get more clarity on when you can conceive. Doctors recommend taking a gap of 3 to 6 months till the body recovers. Support from family and hospitals helps you recover sooner.