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Ectopic PregnancyCause, Symptoms And Treatment

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An ectopic pregnancy occurs when a fertilised egg implants itself outside the womb, hence the name ectopic, meaning in the wrong place. It is a fairly common condition, affecting one in every 80 pregnancies in the UK each year.

Its important for every woman to know what ectopic pregnancy is and how to recognise ectopic pregnancy symptoms.

Cause

With an ectopic pregnancy the fertilised egg implants itself outside the womb, often in a fallopian tube (known as a tubal pregnancy). It can also occur in an ovary, in the abdominal space or in the cervix (neck of the womb). There are several factors that can make an ectopic

pregnancy more likely. These include:

oAn infection in the womb, fallopian tubes or ovaries (pelvic inflammatory disease) or inflammation of the fallopian tubes
oEndometriosis affecting the fallopian tubes can cause an ectopic pregnancy
oTaking fertility medicine to stimulate ovulation
oAn abnormally-shaped fallopian tube, whether natural or from scarring following surgery
oOlder age
oA previous ectopic pregnancy (the risk increases from one in 100 to one in ten if you have had an ectopic pregnancy before

Ectopic Pregnancy Symptoms:-

It is often the case that women who have an ectopic pregnancy dont experience any symptoms and the condition is only revealed in an early scan or if the fallopian tube ruptures.

If there are symptoms, they usually appear between weeks five and 14 of the pregnancy and include:

oPersistent and severe pain on one side of the abdomen
oVaginal bleeding that is either bright or dark red in colour, which starts and stops. The bleeding can often be mistaken for a normal

period.
oPain where the shoulder ends and the arm begins, usually occurring when lying down. This can be a sign that the ectopic pregnancy is

causing internal bleeding. It is thought that the bleeding irritates a nerve in the diaphragm causing referred pain in the shoulder
oPain when passing urine or stools
oDiarrhoea and vomiting
oFeeling faint and light-headed can be a sign of collapse, a serious symptom of an ectopic pregnancy. This can occur if the

fallopian tube has ruptured, causing dangerous internal bleeding. Other symptoms of collapse can include feeling sick, paleness and an increased heart rate.

Treatment

Unfortunately, the baby cannot be saved in an ectopic pregnancy. However, if it is diagnosed before the fallopian tube ruptures, the pregnancy can be safely ended using medication or surgery.

If the symptoms are mild or non-existent, it can be best to delay treatment and monitor development as many embryos die in an ectopic pregnancy without medical intervention.

If the fallopian tube ruptures, emergency surgery will be needed and this often means the fallopian tube has to be removed. Internal bleeding can prove fatal.
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