An ectopic pregnancy is a reproductive disorder in which the pregnancy develops outside the uterus, in the vagina, causing abdominal and pelvic pain. This condition is very dangerous for both mother and fetus, as it prevents the fetus from developing normally. This type of pregnancy occurs because the egg implants itself not in the uterus but in another organ, such as the uterine wall.
Also Read: 7 Conditions in Women Who Must Undergo a Total Hysterectomy
Ectopic pregnancies are generally characterized by abdominal pain and heavy vaginal bleeding. As the condition worsens, symptoms may resemble those of appendicitis. Additionally, pain may be felt in the rectum and even during bowel movements. Furthermore, there may be discomfort during urination. Ectopic pregnancies are typically detected between 4 and 10 weeks of gestation. Symptoms may not be noticeable until about two weeks after a missed period.
Causes of Ectopic Pregnancy
This condition can be caused by several factors, including genetics, which are inherited from birth, and other factors, such as hormonal imbalance. Inflammation of the fallopian tubes can also contribute to this condition, as the egg's passageway is suddenly blocked before it reaches the uterus. Furthermore, scar tissue from previous surgery can also trigger an ectopic pregnancy, as the surgery can block the fallopian tubes.
Risk
Ectopic pregnancies are common in women who:
- Getting pregnant between the ages of 35 and 44
- Having a history of pelvic inflammatory disease
- Having multiple sexual partners
- Having multiple miscarriages
- Having a smoking habit
Symptom
Ectopic pregnancy has various early signs such as:
- Nausea
- Breasts appear harder
- Menstruation stops
- Pain, especially in the lower abdomen
- Menstrual-like bleeding
- Uterus feels out of place
- Anus feels very painful during bowel movements
Action
The doctor will recommend a transvaginal ultrasound to accurately determine the exact problem and the position of the fetus. The next step is a blood test to evaluate the pregnancy hormones hCG and progesterone. In an ectopic pregnancy, these two hormones are lower than in a normal pregnancy. The patient will then receive an injection of methotrexate to stop the growth of the ectopic cells, followed by laparoscopic surgery to remove the ectopic tissue.
In some cases, the patient's condition improves, making pregnancy possible. A laparotomy is also available for patients experiencing severe bleeding, where the doctor makes an incision in the abdomen to remove the tissue and any ruptured fallopian tubes.
Baca Juga: Endometriosis Pada Perempuan
Prevention
Some preventive measures you can take are avoiding having sex with different partners, avoiding smoking, and also having blood tests and regular ultrasounds as check-ups.
Normal Pregnancy After Ectopic Pregnancy
An ectopic pregnancy damages the fallopian tubes, making it difficult for sperm to reach the egg. However, you can still conceive normally, although the chance is only 10%.
Also Read: What is Endometrial Cancer: Symptoms, Causes, and Treatment
For those with an ectopic pregnancy, comprehensive consultation, examination, and treatment regarding this condition are essential for your safety now and in the future. Find out the doctor's schedule at Bunda Group Hospital units near you and reserve your visit here. For your convenience and your family's, please also visit our information page for a complete list of Bunda Group Hospital services.
.png)