Tubal Pregnancy

If your doctor has told you that you have an ectopic pregnancy, which means that the fertilized egg has settled and is growing in any other location except the inner lining of the uterus where it should be. The most common place that this occurs is the fallopian tube, but it can happen in the ovary, cervix or the abdominal cavity. One in every 50 pregnancies results in an ectopic pregnancy.

Causes:

• Previous tubal pregnancy or surgery

• Pelvic inflammatory disease

• Endometriosis

• Pelvic adhesions and/or tumors

• Presence of an intrauterine device

• Using birth control pills

The biggest concern with having this type of pregnancy is that a rupture will occur and you will have internal bleeding. If your doctor suspects that you pregnancy is ectopic he or she will order blood hormone tests and a pelvic ultrasound to confirm diagnosis. The ultrasound can verify that there isn't a fertilized egg in the uterus and may show a mass in the area of the fallopian tubes or other areas where the pregnancy may be occurring. A beta HCG blood level can be used as a tool to detect an ectopic pregnancy as well. These hormone levels in your blood normally rise during pregnancy, but an abnormal pattern would be indicative of an abnormal pregnancy.

Some physical signs that may occur:

• Vaginal bleeding

• Abdominal pain

• Shoulder pain

• Sloughing material

• Adnexal masses

• Dizziness or fainting

Some women aren't even aware that they are pregnant. They usually discover the pregnancy when a rupture occurs and sever internal bleeding occurs. Symptoms don't usually begin for about 6 to 8 weeks after your last normal menstrual cycle, but can occur even later if the problem is not occurring in the Fallopian tube. Other symptoms can be nausea, sore breasts, and fatigue. If you are feeling weak or dizzy you may need immediate medical care because you may have internal bleeding because of a rupture.

Some woman don't have any side effects, their bodies simply absorb their ectopic pregnancy, and don't need any treatment. The complication that causes the greatest fear is internal bleeding that can be painful as well as lead to shock and even death. If there is a rupture, blood leaking on other tissues and organs in the pelvis and abdomen can be quite painful. Blood can also cause scar tissue formation and make it more difficult to become pregnant in the future as well as an increased risk of future ectopic pregnancies

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