1. What is an ectopic pregnancy?
Ectopic pregnancy is an abnormal pregnancy that occurs when the embryo is placed outside the uterus, mostly in the tubes and rarely in the ovary or abdomen.
2. What are the symptoms of ectopic pregnancy?
Gynecology and Obstetrics Expert Op. Dr. Begüm Kuseyrioğlu says that the most common symptom of ectopic pregnancy is menstrual delay as in a normal pregnancy. However, in the future, it may be accompanied by groin pain. In neglected cases, it may be necessary to go to the emergency room with signs of internal bleeding.
In order not to come to these stages, it is important that you have a check-up as soon as possible when you experience a menstrual delay and confirm that the pregnancy is in the uterus.
We can list the symptoms of ectopic pregnancy as follows:
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If pregnancy is not seen when it should normally be seen in the uterus, a pregnancy test called HCG is performed. If the results are very high, but nothing is seen in the ultrasound, ectopic pregnancy is suspected.
4. In what week is ectopic pregnancy determined?
Most ectopic pregnancies are determined between the 6th and 8th weeks of pregnancy.
5. What are the factors that increase the risk of ectopic pregnancy?
Infertility problems, Use of drugs to pass the tubes, Pregnancy after connecting the tubes, Previous surgery of the pelvis or fallopian tubes, Pelvic infection disease (PID), Damage to the fallopian tubes, Appendicitis rupture, Endometriosis called endometriosis and a tissue outside the uterus Blocking the fallopian tubes by holding on to the ground, Sexually transmitted diseases (chlamydia, gonorrhea).
If you have had an ectopic pregnancy, you are more likely to have it one more time than a woman who did not. However, this does not mean that you cannot have a healthy pregnancy after an ectopic pregnancy.
What are the risks of an ectopic pregnancy? Even if one of the tubes is damaged, the egg can be fertilized inside the other fallopian tube before entering the uterus. In cases where both tubes are damaged, it may be necessary to resort to the IVF method for pregnancy.
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If an ectopic pregnancy is not diagnosed early, it can be difficult to stop bleeding, which can lead to life threats. Another dangerous problem among the risks of ectopic pregnancy is the infection of the fallopian tubes and ovaries in the uterus and the formation of pelvic inflammation.
7. Is there a period during ectopic pregnancy?
It is not expected to happen normally, but there is no such thing as it never happens. For this reason, HCG values should be checked in order to eliminate the possibility of ectopic pregnancy in a patient who goes to the emergency department due to severe groin pain despite menstruation.
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8. Will ectopic pregnancy be tested?
It is important to remember that it is a type of pregnancy.
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9. How are the HCG values in ectopic pregnancy?
The values generally do not show the expected upward trend in normal pregnancy. Measurements are made every two days. While the values doubles approximately in a healthy pregnancy, HCG values generally increase less in ectopic pregnancy.
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10. How is an ectopic pregnancy terminated?
Thanks to the increase in pregnancy and the widespread use of ultrasonography, ectopic pregnancy is often detected early and can be treated without life threatening. Either drug therapy or surgery is applied to terminate the ectopic pregnancy.
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11. How to treat ectopic pregnancy?
In ectopic pregnancy, the doctor’s aim is to end the pregnancy by preserving fertility. If a surgical intervention is to be made;
General anesthesia, laparoscopy or laparotomy (a larger incision is opened and a microscope is not used) procedures are applied.Methotrexate is administered to the patient intravenously. It eliminates pregnancy by killing the rapidly growing cells. HCG levels decrease after this treatment so that the pregnancy is terminated.
12. What should be considered after an ectopic pregnancy?
A woman who had an ectopic pregnancy is more likely to have an ectopic pregnancy than someone who has never had an ectopic pregnancy. However, there is no such thing to be certain.
Best of all; To check the HCG levels without losing any time when there is another menstrual delay, to monitor whether it rises in a healthy way every two days and to confirm that it is placed in the uterus when it reaches the stage that can be seen with ultrasound.
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