One of these steps is when a fertilized egg travels to the uterus to attach itself. Instead, it may attach to the fallopian tube, abdominal cavity, or cervix. An untreated ectopic pregnancy can be a medical emergency. Prompt treatment reduces your risk of complications from the ectopic pregnancy, increases your chances for future, healthy pregnancies, and reduces future health complications. In some cases, the following conditions have been linked with an ectopic pregnancy:.
It can take time for the Ectopic pregnancy procedure of hCG in your body to drop after treatment for an ectopic pregnancy. Ectopic pregnancy: Surgical treatment. Here are some basic questions Ectopi might want to ask your doctor:. If you take this medication, your doctor will give it to you as an injection. However, your doctor can't diagnose an ectopic pregnancy by examining you. In pigmented villonodular synovitis PVNSthe synovium swells.
The nude by fritz willis. Ectopic Pregnancy
Ectopic pregnancy procedure are the symptoms of an ectopic pregnancy? Many surgeons suggest removing the embryo and repairing any internal damage. This may help in identifying failing PULs that are at low risk and thereby needing less follow-up. Methotrexate is a drug that stops the growth of rapidly dividing cells, such as the cells of Teen hates anal ectopic mass. Your doctor may also use a blood test to determine your levels of hCG and procedurf. Previous ultrasounds had not discovered the cEtopic. It's also important to avoid alcohol until you're told it's safe, as drinking soon after receiving a dose of methotrexate can damage your liver. In this procedure, a Ectopic pregnancy procedure incision is made in the abdomen, near or in the navel. Autotransfusion of a woman's own blood as drained during surgery may be useful in those who have a lot of bleeding into their abdomen. American Family Physician. A significant number of Catholic moralists consider use of methotrexate and the salpingostomy procedure to Ectopic pregnancy procedure not "morally permissible" because they destroy the embryo; however, situations are considered differently in which the mother's health is endangered, and the whole fallopian tube with the developing embryo inside is removed. Tubotomy allows preserving the uterine tube, as an organ Ectopic pregnancy procedure is able to perform its function fully. The rupture is accompanied by a sharp pain in the lower abdomen acute abdomenEctolic well as a pain shock loss of consciousness, general malaise, problems with pulse and pressure. The vast majority of ectopic pregnancies implant in the Fallopian tube. The serum hCG ratios and logistic regression models appear to be better than absolute single serum hCG level.
An ectopic pregnancy occurs when a fertilized egg grows outside of the uterus.
- One of these steps is when a fertilized egg travels to the uterus to attach itself.
- A pelvic exam can help your doctor identify areas of pain, tenderness, or a mass in the fallopian tube or ovary.
- Back to Ectopic pregnancy.
A pelvic exam can help your doctor identify areas of pain, tenderness, or a mass in the fallopian tube or ovary. However, your doctor can't diagnose an ectopic pregnancy by examining you. You'll need blood tests and an ultrasound. Your doctor will order the human chorionic gonadotropin hCG blood test to confirm that you're pregnant.
Levels of this hormone increase during pregnancy. This blood test may be repeated every few days until ultrasound testing can confirm or rule out an ectopic pregnancy — usually about five to six weeks after conception. During a transvaginal ultrasound, your doctor or a medical technician inserts a wandlike device transducer into your vagina while you lie on your back on an exam table.
The transducer emits sound waves that generate images of your pelvic organs. A transvaginal ultrasound allows your doctor to see the exact location of your pregnancy.
For this test, a wandlike device is placed into your vagina. It uses sound waves to create images of your uterus, ovaries and fallopian tubes, and sends the pictures to a nearby monitor. Abdominal ultrasound, in which an ultrasound wand is moved over your belly, also may be used to confirm your pregnancy or evaluate for internal bleeding. A complete blood count will be done to check for anemia or other signs of blood loss.
If you're diagnosed with an ectopic pregnancy, your doctor may also order tests to check your blood type in case you need a transfusion. A fertilized egg can't develop normally outside the uterus. To prevent life-threatening complications, the ectopic tissue needs to be removed. Depending on your symptoms and when the ectopic pregnancy is discovered, this may be done using medication, laparoscopic surgery or abdominal surgery.
The medication is given by injection. It's very important that the diagnosis of ectopic pregnancy is certain before receiving this treatment. In other cases, an ectopic pregnancy can be treated with laparoscopic surgery. In this procedure, a small incision is made in the abdomen, near or in the navel. Next, your doctor uses a thin tube equipped with a camera lens and light laparoscope to view the tubal area.
The ectopic pregnancy is removed and the tube is either repaired salpingostomy or removed salpingectomy. Which procedure you have depends on the amount of bleeding and damage and whether the tube has ruptured.
If the ectopic pregnancy is causing heavy bleeding, you might need emergency surgery through an abdominal incision laparotomy. In some cases, the fallopian tube can be repaired. Typically, however, a ruptured tube must be removed salpingectomy. Losing a pregnancy is devastating, even if you've only known about it for a short time. Recognize the loss, and give yourself time to grieve.
Talk about your feelings and allow yourself to experience them fully. Rely on your partner, loved ones and friends for support. You might also seek the help of a support group, grief counselor or other mental health provider. Many women who have an ectopic pregnancy go on to have a future, healthy pregnancy.
The female body normally has two fallopian tubes. If one is damaged or removed, an egg may join with a sperm in the other tube and then travel to the uterus. If both fallopian tubes have been injured or removed, in vitro fertilization IVF might still be an option. With this procedure, mature eggs are fertilized in a lab and then implanted into the uterus.
If you wish to try to get pregnant again, get regular doctor's checkups. Early blood tests and ultrasound testing quickly spot an ectopic pregnancy or provide peace of mind that the pregnancy is developing normally. Call your doctor's office if you have light vaginal bleeding or slight abdominal pain. The doctor might recommend an office visit or immediate medical care. Seek emergency medical help if you develop any signs or symptoms of an ectopic pregnancy, including:. It can be helpful to jot down your questions for the doctor before your visit.
Here are some basic questions you might want to ask your doctor:. In addition to your prepared questions, don't hesitate to ask questions anytime you don't understand something. Ask a loved one or friend to come with you, if possible.
Sometimes it can be difficult to remember all of the information provided, especially in an emergency situation. If you don't require emergency treatment and haven't yet been diagnosed with an ectopic pregnancy, your doctor will talk to you about medical history and symptoms.
You'll be asked many questions about your menstrual cycle, fertility and overall health. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Diagnosis A pelvic exam can help your doctor identify areas of pain, tenderness, or a mass in the fallopian tube or ovary.
Pregnancy test Your doctor will order the human chorionic gonadotropin hCG blood test to confirm that you're pregnant. Transvaginal ultrasound During a transvaginal ultrasound, your doctor or a medical technician inserts a wandlike device transducer into your vagina while you lie on your back on an exam table.
Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Frequently asked questions. Pregnancy FAQ Ectopic pregnancy. American College of Obstetricians and Gynecologists. Accessed Dec. Cunningham FG, et al. Tubal pregnancy. In: Williams Obstetrics. New York, N. Tulandi T. Ectopic pregnancy: Clinical manifestations and diagnosis. Ectopic pregnancy: Epidemiology, risk factors, and anatomic sites.
Ectopic pregnancy: Surgical treatment. Ectopic pregnancy: Methotrexate therapy. Butler Tobah YS expert opinion. Mayo Clinic, Rochester, Minn. Related Normal and ectopic pregnancy Ultrasound. Associated Procedures Ultrasound. News from Mayo Clinic Women's Wellness: Signs of an ectopic pregnancy, treatment and future fertility April 05, , p.
Mayo Clinic Marketplace Check out these best-sellers and special offers on books and newsletters from Mayo Clinic.
New posts. Your doctor will insert a small camera through a small incision to make sure they can see their work. This is generally reserved for women presenting with signs of an acute abdomen and hypovolemic shock. In other cases, an ectopic pregnancy can be treated with laparoscopic surgery. This may help in identifying failing PULs that are at low risk and thereby needing less follow-up. Specific indications for this procedure include either of the following: . Every ectopic pregnancy surgery is quite complicated.
Ectopic pregnancy procedure. Expectant management
Have your partner wear a condom during sex and limit your number of sexual partners. Maintain regular visits with your doctor, including regular gynecological exams and regular STD screenings. Taking steps to improve your personal health, such as quitting smoking, is also a good preventive strategy. The long-term outlook after an ectopic pregnancy depends on whether it caused any physical damage.
If both fallopian tubes are still intact, or even just one, the egg can be fertilized as normal. However, if you have a preexisting reproductive problem, that can affect your future fertility and increase your risk of future ectopic pregnancy.
This is especially the case if the preexisting reproductive problem has previously led to an ectopic pregnancy. If the removal of one or both fallopian tubes is necessary, speak to your doctor about possible fertility treatments.
An example is in vitro fertilization that involves implanting a fertilized egg into the uterus. Pregnancy loss, no matter how early, can be devastating. You can ask your doctor if there are available support groups in the area to provide further support after loss.
Take care of yourself after this loss through rest, eating healthy foods, and exercising when possible. Give yourself time to grieve. Remember that many women go on to have healthy pregnancies and babies. Identifying your triggers can take some time and self-reflection. In the meantime, there are things you can try to help calm or quiet your anxiety….
If your take on meditation is that it's boring or too "new age," then read this. One man shares how - and why - he learned to meditate even though he…. Cholesterol is a fatty substance that's needed to build cells. Growing evidence suggests that AGEs, a type of chemical compound in the body, contribute to the development of many different diseases. This article…. Botox is often joked about and criticized as complicit in the perpetuation of damaging, unrealistic beauty standards.
But for me, getting Botox is the…. Tenosynovial giant cell tumors cause pain, swelling, and stiffness in the joints. If left untreated, tenosynovial giant cell tumors can cause…. Musculoskeletal pain refers to pain in the muscles, bones, ligaments, tendons, and nerves. You can feel this pain in just one area of the body, such…. Tenosynovial giant cell tumor TGCT is a group of rare tumors that form in the joints.
It's not cancer. In pigmented villonodular synovitis PVNS , the synovium thickens, forming a growth called a tumor. PVNS isn't cancer, but it can cause complications…. In pigmented villonodular synovitis PVNS , the synovium swells. PVNS isn't cancer, but it can cause complications if left untreated. Here's what you…. Ectopic Pregnancy. What causes an ectopic pregnancy? Who is at risk for an ectopic pregnancy? Risk factors increase with any of the following: maternal age of 35 years or older history of pelvic surgery, abdominal surgery, or multiple abortions history of pelvic inflammatory disease PID history of endometriosis conception occurred despite tubal ligation or intrauterine device IUD conception aided by fertility drugs or procedures smoking history of ectopic pregnancy history of sexually transmitted diseases STDs , such as gonorrhea or chlamydia having structural abnormalities in the fallopian tubes that make it hard for the egg to travel If you have any of the above risk factors, talk to your doctor.
What are the symptoms of an ectopic pregnancy? Diagnosing an ectopic pregnancy. Treating ectopic pregnancy. Medication Your doctor may decide that immediate complications are unlikely. These include: cramping bleeding the passing of tissue Further surgery is rarely required after this occurs. Surgery Many surgeons suggest removing the embryo and repairing any internal damage.
Back to Ectopic pregnancy. Unfortunately, the foetus the developing embryo cannot be saved in an ectopic pregnancy.
Treatment is usually needed to remove the pregnancy before it grows too large. It's given as a single injection into your buttocks. It's also important to avoid alcohol until you're told it's safe, as drinking soon after receiving a dose of methotrexate can damage your liver. There's also a chance of your fallopian tube rupturing after treatment.
An ectopic pregnancy occurs when a fertilized egg grows outside of the uterus. As the pregnancy grows, it can cause the tube to burst rupture. A rupture can cause major internal bleeding. This can be a life-threatening emergency that needs immediate surgery. About one half of all women who have an ectopic pregnancy do not have known risk factors. Sexually active women should be alert to changes in their bodies, especially if they experience symptoms of an ectopic pregnancy.
At first, an ectopic pregnancy may feel like a typical pregnancy with some of the same signs, such as a missed menstrual period, tender breasts, or an upset stomach. Other signs may include. Abnormal bleeding and pelvic pain should be reported to your obstetrician—gynecologist ob-gyn or other health care professional.
Symptoms may include the following:. A ruptured fallopian tube can cause life-threatening internal bleeding. If you have sudden, severe pain; shoulder pain; or weakness, you should go to an emergency room.
If you do not have the symptoms of a fallopian tube rupture but your ob-gyn or other health care professional suspects you may have ectopic pregnancy, he or she may. An ectopic pregnancy cannot move or be moved to the uterus, so it always requires treatment.
There are two methods used to treat an ectopic pregnancy: 1 medication and 2 surgery. Several weeks of follow-up are required with each treatment. This drug stops cells from growing, which ends the pregnancy. The pregnancy then is absorbed by the body over 4—6 weeks. This does not require the removal of the fallopian tube. Methotrexate may be used if the pregnancy has not ruptured a fallopian tube.
Several factors go into the decision to use methotrexate. You will not be able to use methotrexate if you are breastfeeding or have certain health problems. Methotrexate often is given by injection in one dose. Before you take methotrexate, blood tests will be done to measure the level of hCG and the functions of certain organs. You will have careful follow-up over time until hCG is no longer found in your blood.
Taking methotrexate can have some side effects. Vaginal bleeding or spotting also may occur. Other side effects may include.
It is important to follow up with your ob-gyn or other health care professional until your treatment with methotrexate is complete. The risk of a fallopian tube rupture does not go away until your treatment is over. Seek care right away if you have symptoms of a rupture, including sudden abdominal pain, shoulder pain, or weakness. If the ectopic pregnancy has ruptured a tube, emergency surgery is needed.
Sometimes surgery is needed even if the fallopian tube has not ruptured. In these cases, the ectopic pregnancy can be removed from the tube, or the entire tube with the pregnancy can be removed. Surgery typically is done with laparoscopy. This procedure uses a slender, lighted camera that is inserted through small cuts in the abdomen. It is done in a hospital with general anesthesia. Your ob-gyn or other health care professional will talk with you about the possible side effects and risks of surgery for ectopic pregnancy.
These may include pain, fatigue, bleeding, and infection. Whether you were treated with methotrexate or surgery, you may feel tired for several weeks while you recover. You may feel abdominal discomfort or pain. If you have pain that does not respond to over-the-counter medication, talk with your ob-gyn or other health care professional. It can take time for the level of hCG in your body to drop after treatment for an ectopic pregnancy.
You may continue to feel pregnant for a while. It may take a few cycles for your periods to return to normal. For some women, ectopic pregnancy can be traumatic.
You may be dealing with many emotions after an ectopic pregnancy, even if you were not planning to become pregnant. Take time to work through your feelings. Counseling may be helpful. Ask your ob-gyn or other health care professional to recommend a counselor.
Online forums also can be a place to get support from other women who have had ectopic pregnancies. Once you have had an ectopic pregnancy, you are at higher risk of having another one.
During future pregnancies, be alert for signs and symptoms of ectopic pregnancy until your ob-gyn or other health care professional confirms the next pregnancy is growing in the right place. Assisted Reproductive Technology: A group of infertility treatments in which an egg is fertilized with a sperm outside the body; the fertilized egg then is transferred to the uterus. Endometriosis: A condition in which tissue that lines the uterus is found outside of the uterus, usually on the ovaries, fallopian tubes, and other pelvic structures.
Fallopian Tube: Tube through which an egg travels from the ovary to the uterus. General Anesthesia: The use of drugs that produce a sleep-like state to prevent pain during surgery. Hormone: A substance made in the body by cells or organs that controls the function of cells or organs. Laparoscopy: A surgical procedure in which an instrument called a laparoscope is inserted into the pelvic cavity through a small incision.
The laparoscope is used to view the pelvic organs. Other instruments can be used with it to perform surgery. Pelvic Inflammatory Disease: An infection of the uterus, fallopian tubes, and nearby pelvic structures. Ultrasound Exam: A test in which sound waves are used to examine internal structures. During pregnancy, it can be used to examine the fetus. Uterus: A muscular organ located in the female pelvis that contains and nourishes the developing fetus during pregnancy. The information does not dictate an exclusive course of treatment or procedure to be followed and should not be construed as excluding other acceptable methods of practice.