Pregnancy stories that start happily may sometimes not end as desired. The pregnancy, which should be inside the uterus, can settle outside the uterus. Ectopic pregnancy starts with symptoms similar to normal pregnancy and may occur with complaints such as bleeding and groin pain.
The implantation of a fertilized egg outside the uterus is called ectopic pregnancy. Ectopic pregnancy, which most commonly occurs in the tubes, can also be seen in the ovaries, in the abdomen, and in the cervix. Ectopic pregnancy can be confused with many conditions that cause groin pain or vaginal bleeding, such as miscarriages, appendicitis, and ovarian torsion.
Maternal age of 35 years and above, smoking, previous miscarriages, endometriosis, use of progesterone-only birth control pills, in vitro fertilization treatment, uterine-ovarian infections, unsuccessful tubal ligation surgery, use of IUD. Many reasons, such as tube-related surgeries, increase the risk of ectopic pregnancy.
Ectopic pregnancy causes menstrual delay, nausea, vomiting, dizziness and breast tenderness, just like a normal pregnancy. As time progresses, groin pain begins. As the ectopic pregnancy grows, abdominal pain becomes more severe, and sometimes if a doctor is not consulted in time, urgent intervention may be required due to bleeding into the abdomen.
Ectopic pregnancy can be diagnosed when beta-hcg, which is a pregnancy test checked in the blood, does not increase at appropriate rates and vaginal ultrasound. Ectopic pregnancy treatment varies depending on the urgency of the patient and the size of the ectopic pregnancy. If the patient's abdominal pain is not severe, there is no bleeding in the abdomen, and the ectopic pregnancy is small, it can be treated with medication. If there is bleeding in the abdomen, if groin pain is severe, or if the size of an ectopic pregnancy has advanced, the treatment is surgery. In cases that do not respond to drug treatment, the next step is surgery. There are two surgery options: open and closed.
The possibility of an ectopic pregnancy occurring again after an ectopic pregnancy has increased compared to normal. If treatment was performed with medication, planning for a new pregnancy should start after 3 months. If treated with closed surgery, pregnancy occurs after an average of 2 periods. elik can be planned. If surgery was performed using the open method, pregnancy should be planned approximately 4-6 months later. If at least one of the tubes remains after the surgery, the chance of pregnancy again is high.
Read: 0
