How to identify an ectopic pregnancy - something went wrong
At the beginning of a normal pregnancy, the fertilized egg moves from the fallopian tube into the uterus, where it implants and begins to grow.Approximately 2% of the fertilized egg begins to grow outside the uterus - usually ectopic pregnancy develops in the fallopian tube, but sometimes it is found in the ovaries, cervix, or even in the abdomen.How to identify an ectopic pregnancy?
egg can not grow outside of the uterus for a long time, but it is able to grow enough to rupture the fallopian tube and / or damage to adjacent structures, cause severe bleeding and endanger the health and even the life of the pregnant woman.Women need to know the possible symptoms of ectopic pregnancy Ectopic pregnancy - signs , and the appearance of suspicious symptoms to see a doctor.
How to identify an ectopic pregnancy at home
Pinpoint ectopic pregnancy at home is not possible.The only available test for every woman - a pregnancy test, ectopic pregnancy, as well as at intrauterine gives a positive result.Note that even the doctors can not always immediately identify it, despite the availability of modern diagnostic methods.However, the following symptoms in many cases are likely to point to the fact that women ectopic pregnancy.
most common symptoms of ectopic pregnancy:
- -sided pain in the lower abdomen.Persistent pain on the side where the embryo grows, is gradually growing, it is often the first sign of an ectopic pregnancy;
- month delay for two weeks or more;
- Vaginal bleeding, which began a few weeks after the delay.If an ectopic pregnancy is not like bleeding that happen during menstruation.Bleeding may start and stop several times a day;blood may be bright or dark red, but the clots as menstruation usually absent.However, some women take such bleeding of menstruation, and for a long time unaware of her pregnancy.
In more rare cases, ectopic pregnancies can also cause the following symptoms:
- Pain in the shoulder joint - where the ends and shoulderhand begins.It is not known why ectopic pregnancy occurs when the symptom, but usually there is such a pain in the supine position, and indicates that the patient began bleeding internally.According to the most common and plausible theory, bleeding leads to irritation of the phrenic nerve, and this, in turn, causes pain in the shoulders, which, at first glance, is not related to an ectopic pregnancy;
- pain while urinating or defecating.The appearance of such pain, probably due to an increase in pressure in the bladder and intestines;
- diarrhea and vomiting.These symptoms occur infrequently ectopic pregnancy, and are sometimes confused with the signs of some diseases that affect the gastrointestinal tract.
When determining ectopic pregnancy
In most cases, a more or less severe symptoms of ectopic pregnancy Ectopic Pregnancy - Symptoms appear between the fifth and fourteenth weeks after conception, after which most patients go to the doctor.On average, an ectopic pregnancy is diagnosed within eight weeks from the moment of conception.At the term of pregnancy is usually not yet a threat to the health of the patient, but it is already causing more or less severe symptoms.Of course, the sooner find an ectopic pregnancy, the more favorable is the prognosis.
greatest risk of delayed treatment to the doctor there is a women who before pregnancy often experience pain in the lower abdomen (because of this they can long ignore the pain caused by an ectopic pregnancy), and who previously had menstrual irregularities, includinginterrupts menstrual bleeding.
When should you see a doctor?
sure to consult with your doctor if you notice a change in the nature of menstruation (more or less profuse bleeding, intermittent bleeding, no clots in the secretions, and so on), you had delayed menstruation, and after a while started bleeding, or if youfor several days stored unilateral pain in the lower abdomen.
most serious sign of an ectopic pregnancy is a collapse.
It begins when the fertilized egg is increased so much that breaks the fallopian tube, causing internal bleeding.Women who happened collapse, often complained of symptoms such as dizziness, lightheadedness, and fainting, sudden, sharp and severe abdominal pain, nausea, increased heart rate, diarrhea.When any of these symptoms you need to call an ambulance.In the case of rupture of the fallopian tube to the patient may require urgent surgical intervention that will prevent massive blood loss.Usually, doctors can restore a damaged fallopian tube, or just delete it;at present only in very rare cases it leads to death of the gap.
How to determine ectopic pregnancy specialists
diagnose an ectopic pregnancy based on symptoms alone is almost impossible.Only 50% of women during pregnancy, there is a classic triad of symptoms - pain, delayed menstruation and then - vaginal bleeding.Approximately half of the cases of ectopic pregnancy Ectopic pregnancy - Fatal dangerous not diagnosed during the first prenatal examination.Not least due to the fact that its symptoms may resemble symptoms of other disorders such as appendicitis, salpingitis, and some types of tumors of the reproductive system.During a pelvic exam, doctors sometimes find fragments of the functional layer of the endometrium, which can be torn away during an ectopic pregnancy.As a result, the doctor may suggest that the patient began miscarriage.
definition ectopic pregnancy only through the analysis on human chorionic gonadotropin (hCG) is impossible, but this analysis can detect pregnancy at very early stages.
At the beginning of pregnancy, hCG levels in patients is often the same as a normal pregnancy.At a later date (usually after 6-8 weeks) with just a few tests that are conducted every two or three days, in many cases, it can be established that the level of hCG in the ectopic pregnancy HCG ectopic pregnancy - determines the level of rises more slowly than it does during a normal pregnancy.However, it happens that a reduced level of hCG detected in the healthy pregnancy, and ectopic are normal levels of hCG.Therefore, in addition to the analysis of the need to use other diagnostic procedures.
Ultrasonography, including transvaginal, too, is not a completely accurate tool for the diagnosis of intrauterine pregnancy.Often, using ultrasound can be established only that the embryo does not develop in the uterus - the fertilized egg in the fallopian tube is not always evident.However, if there is no embryo in the uterus, hCG levels below normal, and / or have some of the above symptoms, as a rule, doctors can quickly diagnose an ectopic pregnancy.
If you can not confirm the diagnosis of these methods can be assigned to laparoscopy.This procedure is performed under general anesthesia;it allows you to examine the uterus and fallopian tubes from the inside.Laparoscopy is used only in cases where the likelihood that a woman has an intrauterine pregnancy can be completely ruled out.