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etopic pregnancy
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ECTOPIC PREGNANCY


Overview

Causes
Symptoms
Therapy
Risk Factor

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Overview

 

An ectopic pregnancy occurs when the fertilized egg attaches itself outside the cavity of the uterus (womb). The majority of ectopic pregnancies are found in the Fallopian tubes. In rare cases, the egg attaches itself in one of the ovaries, the cervix (neck of the womb) or another organ within the pelvis. An ectopic pregnancy is not usually capable of surviving and in most instances an embryo is not developed. An ectopic pregnancy will spontaneously miscarry. The majority of women diagnosed will have to be operated on or treated with medication.




Causes

 

 

 



Symptoms

 

The most common symptoms and findings of ectopic pregnancy are:

  • an overdue period (suggesting pregnancy)
  • bleeding from the vagina
  • positive pregnancy test
  • lower abdominal pain
  • fainting.

At first an ectopic pregnancy develops like a normal pregnancy and the same symptoms such as nausea and tender breasts will be present. However, some women do not have these symptoms and do not suspect that they might be pregnant.

The vaginal bleeding can vary from being slight or brown vaginal discharge to being like a normal period. If you are pregnant and have a long-lasting throbbing in one side of your lower abdomen or if you experience sudden pain you should contact your doctor. This is important because an ectopic pregnancy can be life-threatening if it ruptures and causes internal bleeding.

 

Why does an ectopic pregnancy occur?

 

In a normal pregnancy, the egg is fertilized by the man's sperm in the Fallopian tube and is then transported into the cavity of the womb where it attaches itself. This is called implantation. This transportation is made possible by the tiny cilia (finger-like projections) in the delicate inner lining of the Fallopian tubes that push the fertilized egg along.

Risk factors may be present that increase the likelihood of a woman experiencing an ectopic pregnancy. These are:

  • previous surgery to the Fallopian tubes or previous inflammation of the Fallopian tubes (pelvic inflammatory disease). Because the lining of the Fallopian tubes is so delicate, inflammation or trauma can cause the cilia to beat in an abnormal fashion so that the fertilized egg implants in the wrong place.
  • previous ectopic pregnancy. If you have previously had an ectopic pregnancy, the chances of another one in the same Fallopian tube and in the other tube are increased.
  • becoming pregnant while using a contraceptive coil or the progestogen-only contraceptive pill (mini-Pill).
  • becoming pregnant with in-vitro fertilisation (test-tube methods). When using the test-tube method to overcome infertility one or more eggs are inserted into the woman's uterus. Despite being placed within the womb, the fertilized egg may still attach itself to the wrong area outside the cavity of the uterus.
However, many women experiencing an ectopic pregnancy do not have any of these risk factors.

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