Ectopic pregnancy – what does this mean?
In an ectopic pregnancy, the fertilized egg does not find its way to the uterus, but embeds itself in the fallopian tube. About one to two percent of all pregnancies are affected. Learn here why there is an ectopic pregnancy, indicate what symptoms it and like it is treated.
What is an ectopic pregnancy?
Of an ectopic pregnancy occurs when the fertilized egg settles not in the uterus but in the fallopian tube. An ectopic pregnancy is over 95%, the most common form of so-called ectopic, so a nested outside the uterine pregnancy. An ectopic pregnancy occurs in about one to two percent of all pregnancies and can, in addition to the fallopian tubes, for example occur in the ovaries or the abdomen.
Why there is an ectopic pregnancy?
A fertilized egg travels through usually within three to five days, the fallopian tubes, to be able to then settle into your uterus. The implantation in the uterus takes place normally within six to seven days. However, different causes can cause the egg can not be transported smoothly and does not reach the uterus at this time. As a result, the egg then settles at its current location, such as the fallopian tubes. Possible causes that may impede the egg transport or malfunction are:
- Congenital obstacles, as malformations in the fallopian tube structure or long fallopian tubes can cause the egg does not arrive on time in the womb.
- Adhesions and scarring as a result of tubal surgery or tubal inflammation patency and contractility may also affect the fallopian tube and thus favor an ectopic pregnancy.
- Another reason is functional disorders, which are often caused by inflammation of genital organs. Sun can be attacked by inflammation as part of the fallopian tube mucous membrane, called the epithelium. A disturbed epithelium can slow the egg transportation or completely interrupt, so there is inevitably after six to seven days for implantation in the fallopian tube.
- Also hormonal disorders are suspected to increase the risk of ectopic pregnancy as it may affect the egg in the fallopian tube transport speed.
Risk factors for ectopic pregnancy
There are factors that may increase the risk of ectopic pregnancy:
- Bacterial-induced inflammation of genital organs represent the greatest danger. You can increase the risk of ectopic pregnancy by six to eight times.
- A endometriosis, Thus, the displacement of the uterine lining in other parts of the body, also increases the risk. More for endometriosis you can find in our article on the subject.
- The Wearing a spiral makes it easier for infections in some cases to rise into the vagina. Thus, the spiral, indirectly, a risk factor for the development of ectopic pregnancy. For more information about the spiral contraception you find in our related article.
- At a previous ectopic pregnancy is the risk of a renewed ectopic pregnancy at almost 20 percent, while two ectopic pregnancies at about 40 percent.
- More, however, lower risk factors Smoking, earlier first sexual intercourse or frequent change of partners be.
Fehleinnistungen more frequently
The frequency of Fehleinnistungen has increased over the last 30 years. The reasons are increased inflammation of the fallopian tubes and the increased number of artificial inseminations. The improved diagnostics, it also is possible to recognize Fehleinnistungen that previously went undetected and would probably come off spontaneously. Late 19th century yet ended for 70 percent of women tubal pregnancies fatal. Today, an ectopic pregnancy is life-threatening for the woman only in absolute extreme cases.
History of ectopic pregnancy
An ectopic pregnancy is like the beginning of a normal pregnancy: Your period will remain and you will be poor. Also, a pregnancy test is positive for an ectopic pregnancy. The further course of ectopic pregnancy depends mainly on the exact Einnistungsort the fertilized egg. Often ectopic pregnancy ends in early stage due to lack of nutrient and oxygen supply to the egg in an unnoticed miscarriage. However, it develops further, it comes after six to nine weeks mostly to severe abdominal pain and there are spotting. Has the egg also ensconced in a particularly tight spot of the fallopian tube, it can tear. Blood loss associated may lead to circulatory collapse and bring you into a life-threatening situation. In the event you have to be operated on immediately.
Treatment of ectopic pregnancy
Nowadays, an ectopic pregnancy, thanks to modern methods of investigation is usually detected early. For emergency only rarely occurs. Nevertheless, should an ectopic pregnancy be treated. Depending on the stage of ectopic pregnancy, the Einnistungsort and the concentration of the pregnancy hormone HCG, there are three options:
- Surgery: In most cases, an ectopic pregnancy is terminated surgically. The doctors try to preserve the fallopian tube affected in terms of subsequent pregnancies as possible and only to remove the pregnancy tissue. Unfortunately, however, it is sometimes necessary to remove the fallopian tube completely. It is also not excluded that you'll infertile after an operation.
- medications: In individual cases, treatment with methotrexate is possible. This is a cytotoxin, which is administered as an infusion you through a vein and generally growth-inhibiting effect. As a result, the fertilized egg will die in your fallopian tubes. The advantage of this medication that surgery can be avoided and thus results in a lower risk of subsequent scarring.
- Observation: Some ectopic pregnancies go on alone and do not need treatment. For this, the ectopic pregnancy must, however, be noticed in time and be assured by an ultrasound examination that no blood is in the abdominal cavity and the pregnancy is still at a very early stage. But while you have to come to your gynecologist, in order to verify whether the pregnancy tissue detaches completely from alone probably daily checkups.
The chance of a normal running pregnancy is more limited after a previous ectopic pregnancy, but still present. After an operation, the probability is 50 to 60 percent that a fertilized egg settles in your uterus. At a drug treatment chance is as high as 80 to 90 percent.