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What You Should Know About Tubal
Pregnancy
A tubal pregnancy can be life threatening if it is not
discovered early. There have been significant strides made in
medicine that can detect a tubal pregnancy and the maternal
death rates due to a tubal pregnancy are on the decline. Most
tubal pregnancies are diagnosed before the eighth week of
pregnancy. However, tubal pregnancies are on the rise.
A tubal pregnancy occurs when the fertilized eggs implants
itself in the fallopian tube. It is important to note that an
ectopic pregnancy can also occur in the cervix, ovary or
abdomen. If a fertilized eggs starts to grow anywhere other
than the uterus it will not properly develop. In addition, when
the egg starts to grow it will stretch out the organ where it
is implanted. If the egg has implanted itself in a fallopian
tube it can burst. This greatly increases the pregnant woman’s
risk of hemorrhaging and it could cause the mother’s death if
medical attention is not sought immediately.
The symptoms of a tubal pregnancy will mirror that of a normal
pregnancy. It can have the most common symptom of a normal
pregnancy such as a missed period. However, a tubal pregnancy
will have other symptoms such as pain in the abdomen, bowel or
bladder, dizziness or fainting and irregular vaginal bleeding.
If you are pregnant and start to experience pain in your
abdomen you should seek out medical attention
immediately.
One way that doctors can detect a tubal pregnancy is by
evaluating the HCG levels of the pregnant woman. In tubal
pregnancies the HCG levels will not increase at such a fast
rate as in a normal pregnancy. Your doctor may also monitor
your level of progesterone. Woman who have a tubal pregnancy
often do not produce a normal level of progesterone. Women who
have a tubal pregnancy will a lower than normal progesterone
level. Another way that a tubal pregnancy can be detected is
through an ultrasound. An ultrasound will give your doctor a
view of your uterus, ovaries and fallopian tubes.
A tubal pregnancy that is detected will normally be terminated.
If left alone tubal pregnancies can cause the death of the
mother. Tubal pregnancies are generally terminated with an
injection of methotrexate. If this medication cannot be used
for some reasons the egg can be removed through laparoscopy or
be flushed out through a salpinostomy.
There are factors that can increase your chances of having a
tubal pregnancy. These factors include having had a previous
tubal pregnancy, becoming pregnant after the age of 35, having
pelvic inflammatory disease, previous operations performed on
your fallopian tubes, the use of certain medications,
endometriosis, conceiving when an IUD was in place and there is
a possibility that having multiple induced abortions may
increase your chance of having a tubal pregnancy, although the
evidence is still not clear.
You should know that if you have a tubal pregnancy it can
affect your ability to get pregnant in the future. If you have
experienced a tubal pregnancy you are at a higher risk for
developing another one in the future. You may also have trouble
conceiving if you have scarring or damage to your reproductive
organs as a result of the tubal pregnancy. You should talk with
your doctor about your personal situation and your changes of
having a normal pregnancy in the future.
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