Pregnancy Problems
What is a Tubal Pregnancy?What causes a Tubal Pregnancy?
What are the Tubal Pregnancy symptoms?
How is a Tubal Pregnancy diagnosed?
How is a Tubal Pregnancy treated?
Pregnancy Problems - Pregnancy problems and complaints
What is a Tubal Pregnancy?
A Tubal pregnancy occurs when implantation occurs outside the womb. Implantation can occur in the ovary, the abdomen, the cervix, at the join between the tube and the womb, but the most common place is in the fallopian tube. Pregnancy can even occur in both the womb and the tube at the same time (heterotopic pregnancy), but this is very rare.How common is it?
The percentage of pregnancies which are Tubal is between 0.25 and 1%What causes a Tubal Pregnancy?
A Tubal pregnancy is usually caused by conditions which slows down or obstructs the movement of the egg down the fallopian tube into the uterus. Any condition which may have damaged the fallopian tubes increases the risk of a Tubal pregnancy. The possible causes of Tubal pregnancies include:- Pelvic inflammatory disease - an infection of the female reproductive organs which can cause scarring of the organs.
- A history of Endometriosis - a disease where tissue usually found in the uterus develops in other areas of the body.
- Previous tubal surgery
- Multiple induced abortions
- Pelvic adhesions - bands of scar tissue that constrict the tube
What are the Tubal Pregnancy symptoms?
The most common symptoms of Tubal pregnancy or signs of Tubal pregnancy include:- Sharp pain in the abdomen or pelvis
- Signs of early pregnancy
- Vaginal bleeding
- Tender abdomen
- Diziness or fainting and generally not feeling well
How is a Tubal Pregnancy diagnosed?
The diagnosis of a Tubal pregnancy can be difficult. Your doctor may perform some tests to help confirm s suspected Tubal pregnancy. These tests include:- Pelvic exam
- Blood tests
- Ultrasound
- Culdocentesis - determines if there is blood in the space behind the uterus
- Laparoscopy - a telescope is inserted through a small incision in the woman's abdomen. This allows the doctor to see the fallopian tubes and other organs. This takes place in an operating room with anesthesia.
How is a Tubal Pregnancy treated?
If a Tubal pregnancy is strongly suspected, then a gynaecologist will perform a laparoscopy to confirm it. During a laparoscopy, the fallopian tube is often removed at the same time. Sometimes open surgery is required to remove the pregnancy.Methotrexate can be used as a chemical treatment. It is used in non-urgent cases to dissolve the pregnancy without harming the tubes and other organs. Repeat hCG levels will be taken to ensure that the pregnancy is dissolving and that further treatment is not needed.
The outlook for future pregnancies depends on whether the fallopian tube appeared normal or not. Generally 1 in 5 women who experienced a Tubal pregnancy will experience another Tubal pregnancy.
Bleeding During Pregnancy - Causes of bleeding during pregnancy
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