Ectopic Pregnancy: Causes, Symptoms and Treatment
Ectopic pregnancy is a dangerous condition in which the fertilized egg does not settle in the uterine cavity, but attaches to another place inside the female reproductive tract, such as the ovary, tube or cervix. This can lead to serious complications such as bleeding and infection and requires immediate medical attention.
The causes of ectopic pregnancy are not always clear, but it is known that risk factors may include a past history of ectopic pregnancy, pelvic inflammatory disease, use of certain types of contraception, age over 35, and tubal or ovarian surgery.
Symptoms of an ectopic pregnancy may include lower abdominal or pelvic pain, vaginal bleeding, dizziness and fainting, nausea and vomiting, and shoulder and neck pain.
If there is a suspicion of an ectopic pregnancy, the woman should urgently consult a doctor. The diagnosis can be confirmed through ultrasound as well as blood tests for hCG hormone levels.
Treatment for an ectopic pregnancy may include surgery, such as laparoscopy, in which the fertilized egg is removed from the tube or other site where it has attached. In some cases, the entire tube or ovary may need to be removed.
After treatment, a woman may need additional medical supervision and advice about planning future pregnancies. Although ectopic pregnancy can be a dangerous condition, most women recover fully after treatment and can have healthy pregnancies in the future.
In conclusion, ectopic pregnancy is a serious condition that requires immediate medical attention. Knowing risk factors, symptoms and treatments can help women get timely help and regain their health.
Ectopic pregnancy is quite common in women of childbearing age. The frequency of spontaneous abortion during ectopic pregnancy ranges from 14.8 to 33.3%. This occurs due to a rupture of the fallopian tube at its attachment to the ovary.
Treatment of ectopic ovum is mandatory, since leaving an ectopic ovum is dangerous for the woman’s health and can lead to uterine bleeding, intoxication of the body with the decay products of the ovum, and a possible peritoneal reaction of the peritoneum.
The first priority is to establish an accurate diagnosis, and as early as possible. After which a plan for further management of the patient is developed. A general clinical examination is carried out to identify contraindications to this type of operation, and the medical history is also clarified (date and date of the last menstruation, date of the last ten days of the menstrual cycle). With the development of cardiovascular failure, with severe anemia, weakened cardiac activity, hypovolemic shock and failure of other organs and systems, or without them, intervention is generally contraindicated. In other cases, this operation is possible. They also determine the scope of the study before the operation and the day of hospitalization of the patient, carry out a mandatory examination by specialists, laboratory and instrumental examinations, in addition, an ultrasound examination is performed before laparoscopy. Surgical treatment of ectopic pregnancies is impossible without careful preparation.
To successfully perform elective laparoscopic surgery, timely, thorough and targeted examination is necessary. The doctor must have a clear understanding of the course of pregnancy, possible complications, the presence of concomitant pathologies, the possible impact of operations on the course of pregnancy and the timeliness of these measures are the main factors on which the outcome of the operation depends, including the course of the postoperative period. Before the operation, a therapeutic and diagnostic laparotomy is performed to assess the condition of the intra-abdominal organs, clarify the nature, location, size, shape and viability of the ectopic localization, the extent of the expulsive process in the abdominal cavity or on the pelvic organs, and the source of bleeding. The procedure should be performed under anesthesia and only after control weighing of the patient. If there are signs of severe exhaustion, there is a danger of blood loss, there are concomitant diseases that are at the peak of exacerbation, making anesthesia difficult