Ectopic pregnancy - a condition in which a fertilized egg develops outside the uterus, most often - in one of the fallopian tubes. This can not be normal development of the fetus, and in addition, for the health of the mother, such a pregnancy can be very dangerous.

Details of ectopic pregnancy

In some cases, ectopic pregnancy for a long time does not cause any symptoms, but most patients have severe symptoms of this disorder appear between the fifth and fourteenth week of pregnancy. The most common of these symptoms - vaginal bleeding and abdominal pain.

If an ectopic pregnancy in a long time is not diagnosed, it can lead to life-threatening conditions. The sooner it is detected, the greater the likelihood that the treatment will take place without complications, and in the future, women will come a normal pregnancy.

How much time should elapse after the completion of an ectopic pregnancy before it will be possible to try to get pregnant How to Get Pregnant: Recommendations to help   again, it depends on the characteristics of each individual case .  Just say when pregnancy is safe, can only be a doctor, but in most cases it is recommended to wait at least two full menstrual cycle .  During this time, the fallopian tubes usually heal, and the whole reproductive system bounces back .  However, we must take into account the fact that many women after an ectopic pregnancy is not psychologically ready to get pregnant so soon .  In addition, patients who are for abortion given methotrexate, usually have to wait at least three months before trying to conceive again .  On average, approximately 65% ​​of women who have had an ectopic pregnancy, healthy pregnancy occurs during the next 18 months .  Some women get pregnant the natural way fails, and they had to resort to in vitro fertilization (IVF) .  The possibility of using this method of treating the consequences of ectopic pregnancy previously discussed with your doctor; As a rule, before the IVF patient and her partner are fairly lengthy process of diagnosis, and try other methods of infertility treatment Infertility treatment - modern methods .

It is estimated that one out of 90 pregnancies is ectopic. Currently, female deaths due to ectopic pregnancies are extremely rare, but can not rule it out, and timely diagnosis - the best way to preserve the life and health of the patient.

Symptoms of an ectopic pregnancy

Some women have an ectopic pregnancy are asymptomatic and detected only during the ultrasound, and sometimes - after rupture of the fallopian tube. If symptoms occur, it happens in most cases, between the fifth and fourteenth weeks after conception Conception - as the emerging life .

• Pain in the lower abdomen

Ectopic pregnancy can cause more or less severe pain in the abdomen, most often - on the one hand (the one where there was the implantation of a fertilized egg). In many cases, the pain is severe and persistent; analgesics help to get rid of it only for a while.

• Vaginal bleeding

Bleeding caused by an ectopic pregnancy are different from normal menstrual bleeding - they may for a time completely off, and then start again, and the color of blood varies from bright red to dark red, purple. Some women take such vaginal bleeding of menstruation, and for a long time did not go to the doctor, unaware that they are pregnant.

• Sore shoulders

Sometimes, when there is an ectopic pregnancy pain in the shoulders, to be exact - at the point where the shoulder ends and the hand begins. The causes of such pain is not yet clear, but it usually occurs when the patient takes a horizontal position. Pain in the shoulder indicates that the ectopic pregnancy caused internal bleeding. It is believed that this bleeding leads to irritation of the phrenic nerve, which is located, as the name suggests, in the diaphragm - the muscle that performs an important function in the process of breathing and separates the chest cavity from the abdominal cavity. Irritation of the phrenic nerve causes a radiating pain in the shoulder blade and the shoulder joint.

• Pain in the intestine

Pain in the gut - usually in the lower part - can appear during urination and defecation.

• Diarrhea and vomiting

Ectopic pregnancy can cause diarrhea and vomiting, which is why it is often mistaken for those or other disorders related to the gastrointestinal tract.

When you need to see a doctor

Be sure to consult your doctor in the following cases:

• Have you noticed any changes in their menstrual cycle;
• You have begun unusual vaginal bleeding and / or
• Do you have persistent pain in the lower abdomen.

When a medical emergency

The most serious consequence of ectopic pregnancy is known as a collapse. It occurs when the developing fetus is increased so much that breaks the fallopian tube, causing dangerous internal bleeding.

People who survived the collapse, said that it was the first sign of dizziness and lightheadedness, sometimes - fainting. Other symptoms may include:

• Acute, severe, very severe abdominal pain;
• Lightheadedness;
• Increased heart rate;
• Pallor;
• Diarrhea.

If you have these symptoms, it is most likely talking about breaking the fallopian tube - in this case, to prevent heavy blood loss, need for urgent treatment. Urgent call an ambulance and describe their symptoms, or say that you may occur rupture of the fallopian tube. In rare cases, it can lead to death of the patient, but at the moment when there is a high probability of rupture of successful treatment and full recovery in the future.

Causes of ectopic pregnancy

Each month, a healthy woman is one of the ovaries releases an egg that falls into the uterine or fallopian, tubes, where fertilization takes place it. The length of each fallopian tube is about ten centimeters; their internal surface is coated with millions of "cilia" - structures that looked reminiscent of hairs. In the event of a healthy pregnancy, these cilia push the fertilized egg down the fallopian tube into the uterus, which happens later implantation of the egg in the endometrium, after which it if all goes well, will develop for approximately forty weeks. However, if the fallopian tube is damaged (for example, if there are obstructions, which is why it is broken permeability), the cilia can not push the egg into the uterus, and pregnancy will begin to develop in the fallopian tube.

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