11.10.2014

Could i be pregnant on the coil

This factsheet is for women who may have an ectopic pregnancy or people who would like information about it.
An ectopic pregnancy is when a fertilised egg implants outside the womb, most often in one of the fallopian tubes. In a normal pregnancy, an egg released by your ovary is fertilised in one of your fallopian tubes and travels to your womb where it implants in the womb lining. If you have missed a period or could be pregnant and have any of the symptoms above, see a doctor straight away.
The treatment for ectopic pregnancy depends on how severe your symptoms are, how advanced your pregnancy is and whether or not your fallopian tube has ruptured. Some ectopic pregnancies don’t need to be treated because the pregnancy ends by itself.
You may have keyhole surgery (laparoscopy) or open surgery (laparotomy) for ectopic pregnancy. It is normal to experience emotional reactions, including feelings of sadness and a sense of loss after having an ectopic pregnancy and it’s important that you try to talk to someone close about these feelings.
These problems are caused because one of your fallopian tubes is likely to have been damaged or even removed.
No, ectopic pregnancies are not able to develop properly, so it would never be possible for an ectopic pregnancy to survive. If the pregnancy implants in your fallopian tube, there is a risk that it will cause it to tear (rupture).
Because an ectopic pregnancy can’t survive, the most important thing to consider when deciding on treatment is your health.


No, but if you do become pregnant even though you have had the coil fitted, you are at a slightly increased risk of ectopic pregnancy. The risk of having an ectopic pregnancy when you have had an intra-uterine contraceptive device (coil) fitted is lower than if you don’t use any contraception. This factsheet is for women who are taking hormonal contraceptives, or who would like information about them. It's not possible for pregnancy to survive outside the womb and immediate treatment may be needed.
If you have an ectopic pregnancy, it means the fertilised egg has implanted somewhere other than in your womb. However, you may not have noticed this if the pregnancy takes place very early on in the menstrual cycle, or if you have had any other bleeding that you may have mistaken for your period. If your fallopian tube tears (ruptures), it can cause bleeding into your abdomen, which can irritate the diaphragm (the sheet of muscle that lies between your abdomen and your chest).
This could have happened during an earlier operation on your abdomen or if you have had pelvic inflammatory disease, which is usually caused by a sexually transmitted infection, such as chlamydia or gonorrhoea.
The pregnancy test involves testing a sample of your urine for a hormone called human chorionic gonadotrophin (hCG).
If you don’t have any symptoms, or your symptoms are only mild, you may be given the option of not having any treatment. However, you can reduce your risk of having an ectopic pregnancy if you take measures to protect yourself against sexually transmitted infections, which can damage your fallopian tubes, and quit smoking.
However, as surgical methods have advanced and treatment with methotrexate is becoming more common, fewer women are having problems with subsequent pregnancies.


Only the womb provides the right environment for the baby to grow and receive all the nutrition it needs before it’s born.
However, even though it’s very unlikely, if you have had a coil fitted, you may still become pregnant.
If your fallopian tubes have been damaged, they may become inflamed, narrowed or scarred, which makes it harder for the fertilised egg to pass down to your womb. If the scan shows that your womb is empty but your blood test shows high levels of hCG, it’s very likely that you have an ectopic pregnancy. Depending on where your pregnancy is and how advanced it is, your surgeon may remove the pregnancy by using a device to suck (aspirate) it out of the fallopian tube, or by removing part or all of the fallopian tube.
If this happens, you are slightly more at risk of ectopic pregnancy – about one in 20 women who become pregnant with a coil in place have an ectopic pregnancy.
However, the medicine isn’t always effective at preventing your fallopian tube from rupturing.
This is because the coil is good at stopping pregnancies from implanting in the womb but it isn’t as good at preventing conception in the fallopian tubes.



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