In detail

An ectopic pregnancy

An ectopic pregnancy

Extrauterine or ectopic pregnancy is defined by the appearance of a pregnancy outside the uterus, specifically outside the inner lining of the uterus. A fertilized egg is implanted and grows anywhere else than in the intrauterine cavity. Over 95% of ectopic pregnancies develop in the uterus. This is a gynecological emergency, which if not detected in time can put future fertility, but especially the life of the pregnant woman in danger.

What are the causes that lead to extrauterine pregnancy?

Extrauterine pregnancy affects 1 in 60 pregnancies. These occur with increased frequency due to the inability of the fertilized egg to create its own path through the uterine tubes to the uterus.

Age is a risk factor for ectopic or extrauterine pregnancies. These occur more frequently in women between 33 and 44 years. Other risk factors include:

  • pelvic inflammatory disease (attachment - affects the functioning of the tubes, blocking them totally or partially);

  • surgery on the fallopian tubes;

  • endometriosis;

  • history of extrauterine pregnancy;

  • repeated induced abortions;

  • history of infertility problems or drugs for ovarian stimulation;

  • infectious-inflammatory conditions in the genital area;

  • abnormalities in the form of the uterine tubes (congenital malformations).

Where is the extrauterine pregnancy usually located?

The fertilized egg is usually caught anywhere other than the uterine mucosa as follows:

  • in the uterine tubes;

  • ovary;

  • cervix;

  • abdominal cavity.

What are the symptoms?

In most cases, the extrauterine pregnancies have the location of fixing the uterine tube, which cannot be extended very much, resulting in its rupture with massive bleeding. This can be externalized by the vaginal route or it can be a bleeding inside the peritoneal cavity, being obvious only the clinical signs:

  • sharp abdominal pain, in the form of joints (pelvic area, shoulders and neck);

  • faintness;

  • low voltage;

  • accelerated pulse;

  • cold sweats, etc.

How to diagnose ectopic or extrauterine pregnancy?

Internal hemorrhage caused by this pregnancy can endanger the life of the pregnant woman. That is why it is essential to present yourself to the doctor as soon as you suspect the symptoms of ectopic pregnancy.

The diagnosis involves a pelvic examination in which the doctor tests the pain, sensitivity and abdominal mass.

The most useful laboratory test for diagnosis is the one that measures the hormone hCG (human chorionic gonadotropin). While at a normal pregnancy the level of this hormone increases quite rapidly in the first 10 weeks, in the case of ectopic pregnancy the growth is slower.

Ultrasound can also help in the detection of ectopic pregnancy.

What is the treatment?

The treatment of extrauterine pregnancy consists of surgery. This is usually done by laparoscopy and has the role of evacuating the pathological burden. The main purpose of the doctors is to preserve by any means the woman's life. If the fallopian tube is broken, then it must be completely removed, and if it is only damaged, it could be recovered.

Can you still get pregnant after an extrauterine pregnancy?

The answer is yes, but the prognosis depends on the speed with which the pregnancy was discovered and intervened on it and the complications that arose after it.

If the fallopian tube in which the pregnancy has developed has been rescued, then the chances of becoming pregnant again increase to 50%. But if this has been removed, a future pregnancy must pass through the other tube, remaining intact, and the chances are less than 50%.

The moms in the community encourage you and give you a ray of hope if you have been through an ectopic pregnancy and want to get pregnant. They commented on the topic of conception after the extrauterine pregnancy on the forum and shared experiences. Discover useful information and valuable tips on your chances of getting pregnant again from mothers who have gone through an ectopic pregnancy:

Mihaela Amalia: I also had an extrauterine pregnancy operated with the removal of the right fallopian tube (I reached the grave in the last hall and could not be saved). And now, after a year and a half of failed attempts, I am pregnant again. I'll tell you what I was told, it will happen when you least expect it. Don't stress about this idea and try to think as little as possible, especially when having sexual contact. I know it seems difficult to achieve, but in the month when I decided to change my gynecologist, the cycle was delayed, so I almost lost all hope, especially since I had a fallopian tube and the other ovary is a bit rotten. And here is the miracle, when I least expected it. All I can tell you is to have an iron patience. Let everything come to itself. Eventually, do some analysis (recommended by the doctor), see if the ovaries work ... that's for your peace of mind.

Uta08: Unfortunately, there is very little talk about extrauterine pregnancy. There are many women who come to the doctor with bleeding, pain, when surgical intervention can no longer be avoided. I had two extrauterine tasks in 2003 and 2006, one on the left and one on the right. After the two unpleasant adventures both my tubes were clogged, I did hysterics and the doctor managed to break my left horn only. The miracle came in 2007 ...
so, do not lose hope, you can get pregnant with a single fallopian tube and after an extrauterine pregnancy. It comes when you expect less.

Anca81zk: I also had an extrauterine, exactly for 3 weeks my surgery was done and, to my delight, the tube was very little affected so I have both. I got back pretty quickly after the surgery, after 3 weeks I will go back to a checkup and I will talk more with Dr. I understand the fear you have about the next pregnancy because I also feel it ... but I hope with all my heart that the next task will be without problems, both to me and to you. I have read and heard many cases in which after an extrauterine normal pregnancies and healthy children followed.

Tags Extrauterine pregnancy Ectopic pregnancy Laparoscopy Laparoscopy diagnostic method