In an ectopic pregnancy, the fertilized egg nestles not in the uterus (uterus), but in the mucous membrane of one of the two fallopian tubes. This problem occurs in about 1-2 percent of all pregnancies and means that the pregnancy can not be resolved.
Another form of extrauterine pregnancy, pregnancy outside the uterus, is the peritoneal pregnancy. Here, the fertilized egg is nesting in the abdominal cavity, which also means that the pregnancy must be stopped.
First, in women with an ectopic pregnancy similar signs of pregnancy occur as in a normal pregnancy. In the further course, from about the 6th to the 9th week it comes then to spotting and severe pain, why a visit to the gynecologist is absolutely advised to determine an ectopic pregnancy.
For an ectopic pregnancy, several causes come into question. For example, endometriosis or other diseases can lead to adhesions in the abdomen, which impair the free mobility and thus the functionality of the fallopian tubes.
Also, the fallopian tubes themselves can be glued or fused due to previous diseases such as inflammation or infection, so they can not transport the egg with the cilia properly. Also, congenital defects such as malformations of the ovaries or fallopian tubes increase the risk of ectopic pregnancy.
If a fallopian tube is not completely severed during a sterilization, it is also limited in its function and can not transport the fertilized egg into the uterus. The causes of an ectopic pregnancy are so diverse.
An ectopic pregnancy is associated with different symptoms. Probably the most common symptom is pain, which can occur at various parts of the body. Central are thereby abdominal pain, which sometimes occur only on one side. The abdominal pain is caused by the stretching or even the tearing of the fallopian tube. As a rule, affected women describe this pain as pulling.
In addition, irregular spotting is a common symptom of ectopic pregnancy. The absence of the period is also conceivable. Also often he comes to an increased body temperature of up to 38 degrees Celsius. This threshold can also be exceeded. In some cases of ectopic pregnancy, the abdomen is hardened in the region of the fallopian tube.
At this point, occasionally a mass can be felt. In addition, it can come in the course of ectopic pregnancy to an irritation of the diaphragm. In this case, patients also experience pain in the chest or shoulder region. In rare cases, especially shortly before the natural abortion of the misplaced embryo inflamed the peritoneum.
This results in severe pelvic pain. If this natural abortion runs too fast, patients can suffer a life-threatening shock. This rather rare secondary symptom is caused by internal bleeding into the abdominal cavity.
When an ectopic pregnancy occurs, affected women usually suffer from unexplained bleeding and severe - in some women unilateral - pain. Sometimes the body temperature is slightly elevated. After a pregnancy test urgently advised examination at the gynecologist by ultrasound, through which the gynecologist can usually determine at what point in the stomach is the pregnancy.
In the palpation examination, the gynecologist, if an ectopic pregnancy is present, possibly feel a thickened fallopian tubes. The uterus is empty in an ectopic pregnancy, in rare cases, a pseudofruchthülle is formed, which contains only water and no childlike attachments.
Since the embryo is still very small at this time, even an ultrasound examination provides no complete assurance whether an ectopic pregnancy is present. A reliable diagnosis can only be done by a laparoscopy. If the ectopic pregnancy is recognized too late, the affected fallopian tubes may burst and cause circulatory failure and shock as a result of an ectopic pregnancy.
An ectopic pregnancy must always be treated surgically. There may be various complications. First, there is a risk of injuring neighboring organs or anatomical structures. This can cause bleeding and bleeding. Possible nerve damage can cause numbness, paralysis and temporary dysfunction of the bladder.
It can also lead to adhesions in the abdomen. Residual tissue of pregnancy can become lodged in the abdominal cavity and cause inflammation. Rarely, ectopic pregnancy leads to life-threatening peritonitis, intestinal obstruction and similar complications. In a tubal rupture, a rupture of the fallopian tube, it comes to severe pain, inflammation in the abdomen and often also to shock.
If not treated, there is a risk of bleeding. In addition, allergic reactions and loss of function as a result of excessive scarring may occur. Womb sclerotherapy can result in injury to the organ wall and, as a result, bleeding or infection. Sometimes fertility is limited.
After surgery, hormonal changes can occur, sometimes leading to mood swings and depressive moods. Medications such as the commonly prescribed methotrexate can cause side effects such as nausea and vomiting, hair loss, mucosal inflammation and organ damage.
Because an ectopic pregnancy can never take place, medical help is always necessary. The sooner such an ectopic pregnancy is detected by the doctor, the faster you can act and thus also minimize complications for the woman. A pregnancy outside the uterus must always be stopped by a specialist. Therefore, about two weeks after a positive pregnancy test, a first ultrasound makes sense with the gynecologist. This will check via ultrasound whether the pregnancy is in the right place.
Persistent abdominal pain in the early stages of pregnancy should always be clarified by a doctor, as this could be the first warning symptoms of an ectopic pregnancy. Once this has been safely diagnosed, there are no alternatives to a termination. The longer you wait, the greater the risk of severe internal bleeding.
Some women can not immediately make friends with the idea of a necessary abortion after the diagnosis and would like to let it pass for a while yet. This may improve the acceptance of the situation, but should be discussed in advance with a specialist. If after a confirmed ectopic pregnancy pain and cramps in the abdomen or bleeding, no matter what intensity on, immediately a doctor or a clinic with gynecological department should be consulted.
In rare cases, the ectopic pregnancy bleeds independently, so it comes to a spontaneous abortion with the usually late onset of menstruation. In all other cases, immediate medical intervention - usually in the form of surgery - is needed to avert life-threatening consequences of ectopic pregnancy.
This procedure is performed either by laparoscopy or in very severe cases with the help of a belly cut. An inpatient stay is usually unavoidable. During the operation, the embryo is removed from the fallopian tube or abdominal cavity, whereby in most cases the affected fallopian tube is so severely damaged that its functionality as a result of ectopic pregnancy severely limited or even no longer exists.
If there is already a break in the fallopian tubes, surgery must be carried out immediately, as otherwise severe bleeding in the abdominal cavity could endanger the life of the affected woman.
An alternative treatment is the use of cell-killing drugs, which are especially used when an ectopic pregnancy is detected very early. These cause the ectopic pregnancy to bleed.
Ectopic pregnancies almost always end in the early part of pregnancy, a healthy child can not be born in this way. Women who expect to be pregnant, therefore, have a good chance of a healthy end to ectopic pregnancy, as they can be examined in time for a medical examination and it could be seen on the ultrasound image that the egg has taken incorrectly.
There is a minor surgical procedure that stops ectopic pregnancy, similar to an abortion. After that, the patient usually only needs a few hours to recover and can already go home. A new pregnancy is nothing in the way.
On the other hand, if ectopic pregnancy already causes symptoms such as fever, dysregulations or severe pelvic pain, emergency surgery is required. Otherwise, toxins of the dead egg may spread freely in the abdominal cavity, causing inflammation of the internal organs or even organ failure. This emergency can quickly be fatal.
Also, it is no longer guaranteed in such an emergency operation that no reproductive organs are injured. In this case, the woman could no longer be fully pregnant after that. Basically, it is advisable after an ectopic pregnancy with complications anyway, to wait a few months until the next pregnancy, so that possible injuries can heal.
Preventing an ectopic pregnancy is difficult. If a woman knows that she had inflammation in the abdomen or had to experience an ectopic pregnancy, it may be a solution to operate the Fallopian tubes in such a way that the risk in the following pregnancies is reduced. If there are acute inflammations, they should be treated before a new pregnancy and healed well, so that an ectopic pregnancy is not favored.
The person concerned is primarily dependent on a complete treatment of this disease in an ectopic pregnancy. Above all, the early detection of ectopic pregnancy is in the foreground, so that it does not come to the appearance of other complaints or complications. Since this is also a life-threatening disease, it must be recognized and treated as soon as possible.
In most cases, surgery is necessary for this type of pregnancy. As a result, the symptoms are completely alleviated, but an integrity of the fallopian tubes can not always be guaranteed. In some cases, the person can no longer have children after the procedure. After surgery, the patient must definitely rest and look after his body.
Of strenuous or stressful activities is to be foreseen in any case, so as not to unnecessarily burden the body. As a rule, regular examinations are also useful after the procedure in order to detect and treat possible bleeding. Sometimes affected women can no longer have children after the procedure. In this case, a psychological treatment may be useful.
An ectopic pregnancy can never be carried out and put the life of the mother in great danger. In the area of self-help, a pregnant woman can not do anything in an ectopic pregnancy. Here it is more about recognizing such an ectopic pregnancy as early as possible, so that it can be terminated in time by medical intervention.
On the one hand, it makes sense in everyday life, about two weeks after a positive test to go to the doctor for the purpose of ultrasound. On the other hand, complaints such as severe abdominal pain, bleeding, pressure in the abdomen should always be taken seriously in early pregnancy.
Although actual self-help to end such pregnancy is not possible for women, consciously paying attention to physical signals often helps to recognize ectopic pregnancy as early as possible. The earlier it can be stopped, the lower the risks for those affected.
Once the diagnosis has been made by a doctor, it is by no means advisable to simply wait or try manipulating the body to cause bleeding. The associated dangers can be deadly. In an ectopic pregnancy, a second opinion and another ultrasound by a second physician may be psychologically useful if it is difficult to accept the diagnosis and thus the need to terminate the pregnancy.