What pain ectopic pregnancy how to recognize?

Unfortunately, with such an unpleasant diagnosis like an ectopic pregnancy, face 10-15% of women. The name speaks for itself. In the description we will consider many questions: what is it, symptoms, causes, how it hurts ectopic pregnancy and more.

Ectopic pregnancy – the attachment of the ovum not to the walls of the uterus. Fertilized egg may remain in the ovary attached to the uterus or getting into the abdominal cavity. The most common cases include the attachment of the ovum to the wall of the fallopian tube. Pregnancy is characterized by atypical localization, which threatens the health of women and requires urgent surgical intervention.

Description

In a normal pregnancy the egg attaches to the bottom or body of the uterus. Unlike atypical pregnancy that the egg is in the uterus. She has a different localization in the fallopian tubes, the ovary, abdominal cavity. Such a pregnancy can not develop, it is life-threatening and is a medical indication for its interruption. Noted that pain ectopic pregnancy in early pregnancy is very strong.

The woman suspected pathology cannot. Because it is clinically indistinguishable from normal pregnancy. Many people are asking: “if the chest Hurts ectopic pregnancy? Is there any morning sickness? Does drowsiness?”.

Yes, of course! Here everything is the same: there is a delay of menstruation, increase Breasts, milky outlines the moves may cause dizziness, weakness, nausea, vomiting, salivation. An alarming complication of such a pregnancy may be bleeding and loss of consciousness, the woman should immediately consult the doctor.

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Causes

The Cause of this disease is an obstacle fertilized egg from the ovary to the uterus. This obstacle is associated with a decrease of the fallopian tubes (inflammation after abortion, endometriosis, pregnancy loss, use of intrauterine devices as contraceptives), anomalies of development, as well as ovarian or uterine cancer changes of internal genital organs, hormonal disorders or heavy labor, after which in the tissues, formation of adhesions.

In addition, the risk groups also include women in the older age category (over 35 years) because at this age a woman has enough “rich” set as somatic and gynecologic diseases and disorders, changes in hormonal status and, often, the availability of abortion in history.

How to recognize?

Ectopic pregnancy sore Breasts test strip shows a positive result. Pathology suspect difficult. However, the HCG level will constantly fluctuate and deviate from the normal corresponding to a certain date.

This is interesting, usually accompanied by unilateral unpleasant pain in the abdomen. Unpleasant condition can be enhanced by changing the position of the body. Pain ectopic pregnancy can be similar to menstrual cramping either.

But the only reliable method of establishing the location of attachment of the future of the fetus is ultrasound diagnosis transvaginal access.

With timely diagnosis and treatment ectopic pregnancy does not cause a significant impact on the body. And with expertly selected subsequent therapy a woman can start trying to become a mother only after 3-6 months after terminating such a pregnancy.

Stop the ovum in the fallopian tube is dangerous because its fabric resilient enough and can't stretch at the same time the increasing size of the embryo. There is a rupture of the pipe, the blood along with the tissues and fertilized egg enters the abdominal cavity that can cause peritonitis. In addition, the rupture of any organ will be accompanied by sharp pain, ectopic pregnancy and bleeding profusely. This threatens a woman's life and requires immediate hospitalization in the intensive care unit under the constant supervision of physicians.

Remove an ectopic pregnancy, usually performed by laparotomy. Through a small incision on the abdomen, the surgeon gains access to the fetal egg. All tools have sensors, and any manipulation of the expert is displayed on the monitor. Depending on the duration of pregnancy, the doctor may remove only the fertilized egg, the egg with part of the damaged tissues or the fallopian tubes entirely. So the sooner a woman will go to the doctor, the less damage to her health will suffer. Pain after ectopic pregnancy will long remain in the memory of the woman.

However, the treatment does not end there. You need to undergo restorative treatment and also to eliminate possible causes of recurrence of ectopic pregnancy. You need to treat infection, inflammatory processes, restore hormonal imbalance.

With timely diagnosis and termination, and proper subsequent treatment and rehabilitation, the woman will be able to forget the pain of ectopic pregnancy in the early stages.She will be able to recover and give birth to a healthy baby.

Risk Factors

There Are cases, in which the fertilized egg attaches outside the uterus due to some malfunction of the pipe channel. It is a complication and is called an ectopic pregnancy. Unfortunately, this fetus has no chance to survive. This phenomenon is very dangerous for the health of women, as it is fraught with bleeding and ignoring it can cost your life.

Under normal conditions, the fertilized ovum descends into the uterus and attaches to its wall. But ectopic pregnancy is the opposite, it moves in the direction of it and is attached or in the tube or in the ovary or even in the abdominal cavity. The lack of a conducive environment for the development of a baby provokes a growing fetus in the body to which he was attached. This results in internal bleeding.

Share this pregnancy for ovarian, tubal or peritoneal. It all depends on the attachment of the embryo. Of course, such a situation it is extremely rare and occurs in 1-2 cases out of 100.

There are some risk factors:

• If the operation was in the abdomen area;
• The failure in the hormonal background;
• Due to diseases of the female reproductive organs;
• Benign or malignant tumor of the reproductive organs.

It Begins in the same way as usual, and the first week runs similarly. Suspicious symptoms begin to occur 3 to 9 a week. What kind of pain during ectopic pregnancy? These include symptoms.

• Pain syndrome aching, stabbing pain in ectopic pregnancy. It occurs in the abdomen, in the area of attachment of the embryo. During discharge may be present pain.
• Sometimes the bleeding vessels of the organ where the fertilized egg, and can also be uterine spotting. Mostly resemble menstruation, but not as plentiful.

Extent

Doctors divide it into several levels. The first is when the embryo during its growth bites into the tube wall and tears it. The second level is divided into two types.

The First is when an ectopic pregnancy where the pain is usually strong, self-interrupted, and the ovum comes in the abdominal region. Accompanied by bleeding and pain. The uterus is enlarged, but time is not the same. This pregnancy is usually accompanied by unilateral pain in the abdomen. The discomfort may increase when you change body position. Pain ectopic pregnancy resemble contractions or menstrual cramps. Appear bleeding or spotting.

The Second is the rupture of the fallopian tube. It is in the period 7 to 10 weeks. In this case, it is important to ask for help! It is life-threatening.

A Woman is obliged to undergo rehabilitation, which aims to restore fertility after a failed pregnancy. On average, the rehabilitation course lasts six months, after which a woman can engage in planning for the child.

What occurs this pregnancy?

The Fertilized egg reaches the uterus, resulting in an incorrect location and pathological development. Egg maturation can occur in the fallopian tube, ovary or abdominal cavity. The reason is:

• An Abortion.
• Hypoplasia or abnormal development of the reproductive system.
• Lack or excess of hormones.
• Obstruction of the fallopian tubes or the violation of their innervation.
• Diseases of the endocrine system.
• Contraception.

Symptoms

At the beginning of an ectopic pregnancy difficult to distinguish from normal. The woman has observed identical signs: increased appetite - he can eat day and night, morning sickness, nausea can occur immediately or a little later, weakness, drowsiness, breast swelling, lack of menstruation. Only after 3-6 weeks begin to show symptoms, indicating that women have pathology of pregnancy.

• Pain during ectopic pregnancy. Terrible state when everything aches and no strength to endure it all. What kind of pain during ectopic pregnancy? Cramping pain in the abdomen. Usually they have aching and colicky. Urination becomes painful, sometimes mixed with blood.
• Bleeding. Bleeding ectopic pregnancy occurs in the abdominal cavity.It is also possible the emergence and uterine bleeding. The reason for this is a sharp decline in progesterone levels. It is the hormone progesterone in females stimulates growth of the uterus. It inhibits uterine contractions and pregnancy stops the menstrual cycle.
• Shock. In a pregnant woman decreases blood pressure. A drop in blood pressure is also associated with reduced levels of the hormone progesterone. The skin an unhealthy color, starts heavy bleeding, and as a result loss of consciousness. Arise abdominal pain ectopic pregnancy.

How to diagnose?

Positive pregnancy test and the occurrence of at least one of the familiar symptoms must cause the woman to go to the doctor. Will be assigned to study procedures for diagnosis.

More effective ultrasound performed transvaginal way. The doctor will determine the concentrationchronic gonadotropin human. If the HCG level is 1500, but the scan shows the gestational SAC is not detected, then the diagnosis - pregnancy outside of the uterus.

Treatment

The Only way to solve problems – surgery. Common laparoscopy. During surgery removed the fertilized egg, is fixed outside the uterus. In case of difficulties use plastic surgery. Plastic surgery can restore the integrity of the fallopian tube. Fallopian tubes are important for pregnancy.

Ectopic pregnancy diagnosed at early stages, is treated by chemotherapy. Gradual resorption of the ovum performs methotrexate. To remove fallopian tube is dangerous. This increases the likelihood of infertility or repeated ectopic pregnancy.

What is threatening ectopic pregnancy?

As mentioned above, the fertilized egg gets into the fallopian tube and begins to develop there. The problem is that the pipe is not suitable for the growth of the fetus, as its wall does not have sufficient elasticity, and has a relatively small diameter.

Accordingly, after a certain time (4-6 week of pregnancy), chorionic villi grow into the tube wall, after which there is rupture and there is a outpouring of blood into the abdominal cavity (hemoperitoneum with possible further development of peritonitis). Clinically it is manifested sharp “dagger” pain in the lower abdomen, pallor, dizziness, cold clammy sweat, loss of consciousness. When you break the large vessel bleeding can be life threatening, which requires immediate assistance.

In some cases breaks off the wall of the ovum, after which it is expelled into the abdominal cavity. The clinical picture corresponds to that when you break the pipe, but may be less pronounced or longer to develop in time.

Conclusion

After a certain period of time, the pain symptoms of ectopic pregnancy subside, and the woman thinks all is well, but this is a false prosperity. Because the blood continues to flow into the abdominal cavity. That is why you cannot leave this condition without proper attention. The woman should be urgently hospitalized and operated on. It should also be noted the fact that the probability to conceive naturally after such a pathology is reduced and the risk of occurrence of re scenario increases.