06.02.2014

Fallopian tube pregnancy symptoms

Risk factors for ectopic pregnancy include previous ectopic pregnancies and conditions (surgery, infection) that disrupt the normal anatomy of the Fallopian tubes. Diagnosis of ectopic pregnancy is usually established by blood hormone tests and pelvic ultrasound. An ectopic pregnancy is an early pregnancy that occurs outside of the normal location (uterine lining) for a developing pregnancy.
An ectopic pregnancy (EP) is a condition in which a fertilized egg settles and grows in any location other than the inner lining of the uterus.
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An ectopic pregnancy is one in which the fertilized egg attaches itself in a place other than inside the uterus. Because the narrow fallopian tubes are not designed to hold a growing embryo, the fertilized egg in a tubal pregnancy cannot develop normally. Most cases of ectopic pregnancy are caused by an inability of the fertilized egg to make its way through a fallopian tube into the uterus. In many cases, a pregnant woman and her doctor may not at first have any reason to suspect an ectopic pregnancy.
Although there may be other reasons for any of these symptoms, they should be reported to your doctor.
If your doctor suspects an ectopic pregnancy, she or he will probably first perform a pelvic exam to locate pain, tenderness, or a mass in the abdomen. Progesterone is another hormone that can be measured to help in the diagnosis of ectopic pregnancy. A procedure called culdocentesis is occasionally used to aid in diagnosing ectopic pregnancy.
Treatment of ectopic pregnancy usually consists of surgery to remove the abnormal pregnancy. After treatment for an ectopic pregnancy, your doctor will want to see you on a regular basis to recheck your hCG level until it reaches zero. The outlook for future pregnancies after an ectopic pregnancy depends mainly on the extent of the surgery that was done.
Most women experience the same symptoms as in a normal pregnancy until the ectopic pregnancy has ruptured.
Shoulder pain: Pain in the shoulder, especially on lying down is very specific for ectopic pregnancy.
Signs of shock: If there is a rupture of the fallopian tubes resulting in hemorrhage, you may feel signs of shock like dizziness, palpitations, pale and clammy skin. People who use fertility treatments like In Vitro Fertilization (IVF) to become pregnant are also at risk of developing an ectopic pregnancy but they are usually under their physician’s surveillance. To rule out ectopic pregnancy as the cause, any women arriving in the emergency room with abdominal pain is first given a urine pregnancy test.
The next test after positive urine pregnancy test is quantitative hCG test which analyses the levels of human chorionic gonadotropin (hCG) hormone produced by the placenta. Despite the use of ultrasound machines and the best equipment, a pregnancy in initial stages is difficult to visualize.
In early ectopic pregnancy, an injection of methotrexate can help stop the cells from dividing. Ectopic pregnancy associated with ruptured tube or extensive hemorrhage might need an emergency laparotomy (surgery through the abdominal incision). Once you have had an ectopic pregnancy, the likelihood of the next pregnancy also being ectopic is increased by 15 percent.
Many women who want to get pregnant fear ectopic pregnancies, but, although this complication is severe and, possibly life-threatening, the risk of developing it is very small. Even though ectopic pregnancies are rare, you should know a few things about them and their symptoms, so that you are prepared for the worst. The good news is that the high technology nowadays can accurately diagnose an ectopic pregnancy in early stages, and the mother can receive treatment right away.


If you are planning to have a baby, you must pay great attention to the signs and symptoms of ectopic pregnancies. Although most of the time, ectopic pregnancies lead to the death of the baby, there have been cases when healthy babies have resulted from an ectopic pregnancy, so hope exists.
Fortunately, in Western countries, the prognosis of recovery is very well, especially if the ectopic pregnancy is diagnosed early. Chances of another pregnancy is high, although, this will depend on the type of treatment you have received for your ectopic pregnancy.
The vast majority of ectopic pregnancies are so-called tubal pregnancies and occur in the Fallopian tube. A molar pregnancy differs from an ectopic pregnancy in that it is usually a mass of tissue derived from an egg with incomplete genetic information that grows in the uterus in a grape-like mass that can cause symptoms to those of pregnancy.The major health risk of ectopic pregnancy is rupture leading to internal bleeding.
Almost all (more than 95 percent) ectopic pregnancies occur in a fallopian tube; hence the term "tubal" pregnancy.
Ectopic pregnancy now occurs in about seven of every 1,000 reported pregnancies in the United States. This is often caused by an infection or inflammation of the tube, which has caused it to become partly or entirely blocked. The early signs of pregnancy, such as a missed period and other symptoms and signs, also occur in ectopic pregnancies. The pain may be in the pelvis, abdomen, or even the shoulder and neck (due to blood from a ruptured ectopic pregnancy building up under the diaphragm).
Less extensive surgery can be done if the ectopic pregnancy has been found early, before the tube has been stretched too much or has burst.
Although the chances of having a successful pregnancy are lower if you've had an ectopic pregnancy, they are still good - perhaps as high as 60 percent - if the fallopian tube has been spared.
A pregnancy is referred to as ectopic pregnancy when instead of implanting into the uterus, the egg implants at another site.
Such incidents of tubal, abdominal or cervical pregnancies are associated with a lot of hemorrhage and are a danger to the mother’s life. Although there are many other causes of abdomino-pelvic pain, it is a pretty common symptom of ectopic pregnancy and therefore should not be ignored. You may also faint during ruptured fallopian tubes; in any case, call for help without delay.
A common cause of blocked fallopian tubes is the pelvic inflammatory disease (PID) which is caused by gonorrhea or chlamydia. Moreover, congenital birth defects in the tube or abnormal growths can also hinder the passage of the fertilized ovum. If the pregnancy is early, a trans-vaginal or trans-pelvic ultrasound may be performed by placing the ultrasound wand in the vagina. If you experience abdominal pain within 5 weeks of your last menstrual period, then the cause might be an ectopic pregnancy but it is difficult to diagnose. This procedure involves the insertion of a laproscope (a thin tube with a camera at the end) into the abdominal cavity and then removing the ectopic tissue from the fallopian tube. Although it might be possible to repair the fallopian tube, in most cases it has to be removed.
However, some women still find it difficult to become pregnant again if they had fertility problems before ectopic pregnancy.
In fact, just 1% of all pregnancies are ectopic, while all the other 99% of them are normal, healthy pregnancies. Ectopic pregnancies are those in which the embryo does not implant in the uterine cavity, where it should normally do, but outside it. Furthermore, if left untreated, in 50% of the cases, the ectopic pregnancy will resolve naturally, through tubal abortion.
Some of the most common symptoms include pain in the abdomen, while urinating or having a bowel movement, mild or severe vaginal bleeding, in case the pregnancy is in a later stage.
Even after a miscarriage or surgery meant to remove an ectopic pregnancy, many women are still able to conceive healthy babies and deliver them on time. Clinically proven to dramatically increase your chances of conception and help you get pregnant fast from the very first use.


The fallopian tube is the passageway for the ovum connecting to the uterus and where fertilization occurs.
Before the 19th century, the mortality rate (death rate) from ectopic pregnancies exceeded 50%.
Even so, death from ectopic pregnancy is rare, occurring in fewer than one of every 2,500 cases. Scar tissue left behind from a previous infection or an operation on the fallopian tube may also hinder the egg's movement.
In a normal pregnancy, the level of the hCG hormone approximately doubles about every two days during the first 10 weeks.
Further tests will be needed to confirm whether the pregnancy is ectopic and, if it is, where it is located. In these instances, it may be possible to remove the ectopic pregnancy and repair the tube, allowing it to continue to function.
To be absolutely sure about ectopic pregnancy, you might have to go to your doctor every few days for some blood tests as well as an ultrasound so that diagnosis can be made with surety.
At the end of the procedure, the fallopian tube is repaired, and sometimes if there is extensive damage, it is removed.
In 98% of the cases, the embryo implants in the fallopian tube, while in the rest of the cases, pregnancy might occur in the ovaries, cervix or abdomen.
Future fertility is influenced by the type of treatment received for an ectopic pregnancy and a prior history of infertility, but the chances of a normal pregnancy are high. And now for a limited time, Try a FREE starter pack today & receive 20 FREE pregnancy tests and a FREE Digital BBT Thermometer! This low rate is largely a result of new techniques to detect ectopic pregnancy at an early stage, when the risk to the pregnant woman is much lower.
Previous surgery in the pelvic area or on the tubes can also cause adhesions (bands of tissue that bind together surfaces inside the abdomen or the tubes). Occasionally, a medication called methotrexate can be used to dissolve an ectopic pregnancy. However, not all eggs implant into the fallopian tubes; other sites commonly involved include the cervix, abdomen and even the ovaries. Ectopic pregnancies are very dangerous, because, if left untreated, they can lead to the death of the mother. A condition called endometriosis, in which tissue like that normally lining the uterus is found outside the uterus, can also cause blockage of a fallopian tube.
Additional warning signs of ectopic pregnancy include vaginal bleeding, gastrointestinal symptoms, and dizziness or light-headedness.
An hCG level that is lower than what would be expected for the stage of the pregnancy is one reason to suspect an ectopic pregnancy.
Now, however, it is often possible to remove an ectopic pregnancy with a less extensive technique called laparoscopy. This medication may be used either with or without laparoscopy, depending on how far the pregnancy has developed. If you've had an ectopic pregnancy, talk to your doctor before becoming pregnant again so that together you can plan your care. The survival rate from ectopic pregnancies is improving even though the incidence of ectopic pregnancies is also increasing. Another possible cause is an abnormality in the shape of the tube, which may be caused by abnormal growths or a birth defect.
The laparoscope allows the surgeon to remove the ectopic pregnancy and repair or remove the affected fallopian tube.
Ectopic pregnancy remains the leading cause of pregnancy-related death in the first trimester of pregnancy.In rare cases, an ectopic pregnancy may occur at the same time as an intrauterine pregnancy. The incidence of heterotopic pregnancy has risen in recent years due to the increasing use of IVF (in vitro fertilization) and other assisted reproductive technologies (ARTs).



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