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Ectopic Pregnancy

Ectopic Pregnancy

What is an ectopic pregnancy?

Ectopic pregnancy, also called extrauterine pregnancy, is when a fertilized egg grows outside a woman’s uterus, somewhere else in their belly.

From fertilization to delivery, pregnancy requires a number of steps in a woman’s body. One of these steps is when a fertilized egg travels to the uterus to attach itself. In the case of an ectopic pregnancy, the fertilized egg doesn’t attach to the uterus. Instead, it may attach to the fallopian tube, abdominal cavity, or cervix.

While a pregnancy test may reveal a woman is pregnant, a fertilized egg can’t properly grow anywhere other than the uterus.
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.

What causes an ectopic pregnancy?

The cause of an ectopic pregnancy isn’t always clear. One cause could be a damaged fallopian tube. It could keep the fertilized egg from getting into your uterus.

You’re more likely to have an ectopic pregnancy if you:

  • Have pelvic inflammatory disease (PID)
  • Smoke cigarettes
  • Are older than 35
  • Have a sexually transmitted infection
  • Have scarring from pelvic surgery
  • Had a previous ectopic pregnancy
  • Tried to have tubal ligation (tubes tied) or tubal ligation reversal
  • Use fertility drugs
  • Had fertility treatments such as in vitro fertilization (IVF)

It could also happen if you become pregnant while you have an intrauterine device (IUD) for birth control.

Who is at risk for an ectopic pregnancy?

All sexually active women are at some 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)
  • 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
What are the symptoms of an ectopic pregnancy?

Nausea and breast soreness are common symptoms in both ectopic and uterine pregnancies. The following symptoms are more common in an ectopic pregnancy and can indicate a medical emergency:

  • sharp waves of pain in the abdomen, pelvis, shoulder, or neck
  • severe pain that occurs on one side of the abdomen
  • light to heavy vaginal spotting or bleeding
  • dizziness or fainting
  • rectal pressure

You should contact your doctor or seek immediate treatment if you know that you’re pregnant and have any of these symptoms.

Diagnosing an ectopic pregnancy

Your doctor will probably do tests that include a pregnancy test and a pelvic exam. They might give you an ultrasound to look at your uterus and fallopian tubes.

Treating ectopic pregnancy

Ectopic pregnancies aren’t safe for the mother. Also, the embryo won’t be able to develop to term. It’s necessary to remove the embryo as soon as possible for the mother’s immediate health and long-term fertility. Treatment options vary depending on the location of the ectopic pregnancy and its development.

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