Ectopic pregnancy, as its name implies, is the part outside the uterus. We say that ectopic pregnancy has a wide range of parts, such as cervix, ovary and fallopian tube. The probability of occurrence in fallopian tubes is very high.
Ectopic pregnancy can be caused by many reasons.
1. Tubal inflammation The fallopian tube is a tube where sperm and eggs combine to go to fertilized eggs, and it is also a channel for transporting fertilized eggs to the uterus. Inflammation here will lead to adhesion inside, narrowing the pipe and even blocking it. Sperm can't get through, or after combining with eggs in the past, it is difficult to transport to the uterine cavity, but stay in the fallopian tube and implant in it.
2. Tubal dysplasia, tubal malformation, and transportation of fertilized eggs are very difficult.
3. Tubal surgery, such as women who have been ligated, may also be pregnant unexpectedly, and the fallopian tube will be deformed after the ligation is loose. At this time, the fertilized egg is likely to be implanted in the fallopian tube.
4. History of ectopic pregnancy People who have had ectopic pregnancy are very likely to be ectopic pregnancy when they are pregnant again.
5. Many miscarriages have damaged endometrium. It is difficult for fertilized eggs to implant even if they enter the uterine cavity, so they will choose a place where they can implant, which also increases the possibility of extrauterine.
6. Pelvic inflammatory disease The sequelae left by pelvic inflammatory disease may include pelvic masses or tumors, and larger tumors may squeeze fallopian tubes, which may also lead to ectopic pregnancy.
7. Bad Habits Some women have bad habits of smoking and drinking, which will also increase the incidence of ectopic pregnancy.
Therefore, actively treating basic diseases, developing good living habits and avoiding unnecessary abortion caused by unplanned pregnancy can effectively avoid the occurrence of ectopic pregnancy.
Answer: Wang Juan, Master of Medicine.
Welcome to pay attention to Xinghua Island to gain more useful health knowledge. When I was in college, my teacher taught us that any woman of childbearing age who might have sex should consider the possibility of ectopic pregnancy, regardless of whether her menstruation is absent, whether her stomach hurts or not, and whether her menstruation is normal or abnormal. Little girls as young as twelve or thirteen, Lao Tzu and old women in their fifties and sixties are all like this.
Ectopic pregnancy is an accident during pregnancy, just like a car accident.
There was a car accident, which may be the responsibility of the driver or the responsibility of the deceased. It is also possible that the driver and the deceased are innocent, that the road is improperly built, that the car has broken down, and that it may even be a natural disaster.
You may not accept it. How to treat ectopic pregnancy can be compared with car accident? It was their carelessness that led to the car accident. Can't I be careful? Can't I watch the car when I go out? That's not necessarily true. Even if those people died in an accident, they might think so.
The same is true of ectopic pregnancy. As an accident of pregnancy, it is possible for every woman. But there are still probability and high-risk factors.
Judging from the pathogenesis of ectopic pregnancy, most ectopic pregnancies are implanted in fallopian tubes because fertilized eggs are not successfully transported to the uterus. Then all the factors that may cause the fertilized egg not to reach the uterus smoothly or affect the transportation of the fertilized egg to the uterus will lead to ectopic pregnancy.
For example, the road is too long, there are too many twists and turns on the road, the road is too narrow, or you are going the wrong way.
The main canal is fallopian tube.
Therefore, tubal factor is the main cause of ectopic pregnancy, and tubal obstruction is the most common cause of ectopic pregnancy. The main cause of tubal obstruction is sequelae of pelvic inflammatory disease. In addition, there are endometriosis, postoperative adhesion, pelvic tuberculosis and so on. It may lead to poor tubal access or even complete blockage.
Generally speaking, we think that if the fallopian tube is completely blocked, it will be very safe, because sperm can't get through, sperm can't get through, sperm and eggs can't meet, they won't get to know each other, and ectopic pregnancy won't happen. This situation should be infertility. For ectopic pregnancy to occur, the fallopian tube must be open, but this is usually not enough. In this case, ectopic pregnancy will occur.
There are too many twists and turns on the road. What happened? Sometimes it may be that the fallopian tube is twisted due to adhesion, and sometimes it may be that the contraction and peristalsis of the fallopian tube are not coordinated during the transportation of fertilized eggs, which affects the transportation of fertilized eggs.
If women have a history of pelvic inflammatory disease, they may be a high-risk group of ectopic pregnancy. However, a person with a history of pelvic inflammatory disease or someone who has undergone pelvic surgery may have a very good tubal function even if her pelvic cavity has adhered.
So we actually have no way to predict who is prone to ectopic pregnancy and who is not. The only way we can screen is those who did have ectopic pregnancy. They are naturally screened out and are more likely to get ectopic pregnancy than ordinary people. When they are pregnant again, their risk of ectopic pregnancy may be higher.
Of course, this is not absolute. Even if a woman who has had an ectopic pregnancy has an 80% chance of getting pregnant again, she is still pregnant in the womb.
But if a woman has had two ectopic pregnancies, the consequences are completely different. His third pregnancy is likely to be ectopic pregnancy or direct infertility.
The most terrible thing about ectopic pregnancy is not getting ectopic pregnancy. The most terrible thing is that people don't know anything about ectopic pregnancy, that is to say, they don't know that there is ectopic pregnancy in this world. So when there is abdominal pain and abnormal vaginal bleeding, he will never think that he may be an ectopic pregnancy. He may stay at home and endure stupidly, which may eventually lead to hemorrhagic shock and even life-threatening.
Many people say that's not right. Isn't the most terrible thing about aura that you can't get your own children? Is there no way to get pregnant? There is some truth in this worry, but let's think about it from another angle. Ectopic pregnancy is also a kind of pregnancy. It's already an ectopic pregnancy, which means at least one thing. You have eggs and he has sperm. Your sperm and eggs can be combined into fertilized eggs. This has the most basic elements of pregnancy. With this basic element, even if you can't get pregnant naturally, the success rate of artificial pregnancy is very high.
They are people who do artificial assisted pregnancy technology. In fact, they like to accept such infertile patients. Why? Because sperm and eggs are verified by practice, available and of high quality. The success rate of artificial assisted pregnancy will be high. On the contrary, those elderly infertile patients, elderly premature ovarian failure sperm, poor quality asthenospermia, and even azoospermia will find it troublesome to shake their heads!
Why do some people have ectopic pregnancy? Ectopic pregnancy, also called ectopic pregnancy, refers to the development of fertilized eggs implanted outside the uterus. The most common pregnancy in clinic is tubal pregnancy.
1. Gynecological inflammation, such as chronic pelvic inflammatory disease, salpingitis, uterine bleeding, endometritis, etc., can damage the oviduct mucosa, leading to unfettered passage of fertilized eggs in the oviduct, thus causing ectopic pregnancy.
2. Multiple abortions, including induced abortion and drug abortion, may cause inflammation of the female reproductive system, thus inducing ectopic pregnancy. According to research statistics, the more times of abnormal termination of pregnancy, the greater the possibility of ectopic pregnancy.
3. When the IUD is used for female birth control, if the IUD is improperly placed or improperly placed, it will cause inflammation, thus increasing the risk of ectopic pregnancy.
4. unclean sex life and premature sex life will also cause a series of gynecological inflammation, which will lead to ectopic pregnancy.
5. Gynecological operations such as pelvic surgery, ectopic pregnancy surgery and cesarean section may cause tubal injury or endometritis, thus increasing the possibility of ectopic pregnancy.
According to research, women who smoke for a long time are more likely to suffer from ectopic pregnancy.
What should I do? 1. Women who are married or have had sexual life should have regular gynecological examinations, because some gynecological inflammations have no external symptoms or symptoms are not obvious, and it is difficult to find diagnosis and early detection and treatment without going to the hospital for relevant gynecological examinations.
2. Women try to avoid sexual life before their bodies mature. In recent years, society has become more and more open, and many teenagers have sex prematurely, which may do harm to their health.
3. Avoid the occurrence of abortion. Be sure to take contraceptive measures when you are not ready to have a baby. Especially in recent years, the number of college students who have miscarried has increased year by year. If you have to have an abortion, choose a regular hospital and don't listen to some street advertisements. Girls should know how to protect themselves.
4. Pay attention to cleaning before and after sex. Both men and women should be clean and in place, and they can rest assured that others can rest assured that sexual intercourse is more comfortable.
Women must improve their health awareness, and the society should also strengthen the publicity and education of women's health knowledge to reduce the probability of ectopic pregnancy from the root.
Thank you for your invitation. I'm Shen Huan, a reproductive doctor. I'm glad to answer this question for you.
Ectopic pregnancy is commonly called ectopic pregnancy. Refers to the implantation and development of fertilized eggs outside the uterine cavity. The common site is fallopian tube, and a few of them appear in ovary, cervix and abdominal cavity. According to the bed position, it can be divided into tubal pregnancy, ovarian pregnancy, abdominal pregnancy, cervical pregnancy, broad ligament pregnancy, cesarean scar pregnancy, cornual pregnancy and so on. Etiology includes tubal factors: tubal inflammation, dysplasia, peritubal tumor, history of ectopic pregnancy, history of tubal surgery, etc. Contraception failure: placing intrauterine device or oral emergency contraception; Others: Embryonic development and endometrial dyssynchrony caused by various reasons.
I'm happy to answer your question. I am Shi.
How is ectopic pregnancy formed? Ectopic pregnancy, as the name implies, the pregnant egg is not implanted into the normal uterine cavity. After sexual intercourse, the sperm passes through the uterine cavity of the cervix, enters the ampulla of the fallopian tube and becomes pregnant with the egg. After the combination of the two, they are sent to the uterine cavity for implantation through the official cavity, and a normal pregnancy sac needs to be implanted in the uterine cavity to obtain a normal intrauterine pregnancy. If there is a problem in the transportation process, resulting in the fertilized egg not implanted in the uterine cavity, but implanted outside the uterine cavity, it is called ectopic pregnancy.
The occurrence of ectopic pregnancy is related to many aspects. The most common ectopic pregnancy is tubal pregnancy, which we call tubal ectopic pregnancy. If there is inflammation in the fallopian tube, it will lead to problems in the transportation of fertilized eggs.
In addition, it will also affect the ectopic pregnancy in life. For example, the quality of the embryo itself is defective, the quality of the fertilized egg itself is problematic, or the spirit is highly nervous, especially afraid, and especially anxious after the same room. There are also some women in diet and life, especially those who smoke. Nicotine can lead to the reverse peristalsis of oviduct cilia, which affects the probability of increasing ectopic pregnancy. So the occurrence of ectopic pregnancy is not a single factor.
What should I do after ectopic pregnancy? Keep a happy mood during pregnancy, quit smoking and drinking in life, and have a balanced nutrition. Another aspect is to do a good job of pre-pregnancy examination, especially salpingography, which must be checked.
Hello, many reasons can cause ectopic pregnancy, such as gynecological inflammation, obstruction of one fallopian tube, poor sperm quality and so on. The treatment principle of ectopic pregnancy is mainly surgical treatment, among which there are two surgical methods: one is to remove the affected fallopian tube; One is to preserve the affected fallopian tube, that is, conservative surgery.
What is the cause of ectopic pregnancy? What should women do to prevent this disease? Don't worry, let's continue.
There are three reasons for ectopic pregnancy. This symptom should have an impact on fertility, and it is easy for women to have ectopic pregnancy. I suggest you pay more attention to the health problems of uterus and ovaries. If you find this symptom, the sooner you treat it, the better.
Preventive measures for ectopic pregnancy Pregnant mothers should be prepared in the first trimester, especially try to avoid some harmful substances. In addition, pregnant mothers should reasonably match their diet and can appropriately supplement folic acid to provide nutrition for the body. Of course, pregnant mothers should not touch irritating food.
Causes of ectopic pregnancy During normal pregnancy, sperm and eggs combine at the junction of ampulla and isthmus of fallopian tube to form a fertilized egg. 30 hours after fertilization, the fertilized egg moves to the uterus under the impetus of oviduct peristalsis and oviduct epithelial cilia. If the fertilized egg does not enter the uterine cavity before the late blastocyst, it is easy to have ectopic pregnancy. The causes of ectopic pregnancy include tubal inflammation, tubal dysplasia or abnormal function, and contraceptive failure of intrauterine devices. Disease factors and bad living habits will increase the risk of ectopic pregnancy in women.
1, tubal inflammation. It can be divided into tubal mucositis and peritubal inflammation, both of which are common causes of tubal pregnancy. Severe oviduct mucositis will lead to complete blockage of the lumen, leading to infertility. Perisalpingitis is mainly located in the serosa layer or seromuscular layer of fallopian tube, which often causes adhesion around fallopian tube, distortion of fallopian tube, stenosis of lumen and weakening of muscle peristalsis of tube wall, which affects the operation of fertilized eggs.
2. History of tubal pregnancy. Women with tubal pregnancy are more likely to have tubal pregnancy again after surgical treatment.
3. Place the intrauterine device. The use of IUD itself will not increase the incidence of ectopic pregnancy, but if a woman is pregnant due to the failure of IUD contraception, then the probability of ectopic pregnancy is even greater.
4. Tubal dysplasia or abnormal function. Dysplasia of fallopian tubes is often characterized by too long fallopian tubes, muscular dysplasia and lack of mucocilia. The function of fallopian tube is regulated by estrogen and progesterone. If the regulation fails, it will affect the normal operation of fertilized eggs.
5. fertilized eggs can swim. The egg is fertilized in one fallopian tube, and the fertilized egg enters the opposite fallopian tube through the uterine cavity or abdominal cavity, which is called fertilized egg migration. If the migration time is too long, the fertilized egg will grow, and then it can be implanted into the contralateral fallopian tube to form tubal pregnancy.
6, the cause of the disease. The oppression of tumors around fallopian tubes, such as uterine fibroids or ovarian tumors, sometimes affects the patency of fallopian tubes and hinders the operation of fertilized eggs. Endometriosis will increase the possibility of fertilized eggs implantation in fallopian tubes.
7. Multiple induced abortions. Repeated and frequent induced abortion can lead to endometrial damage. If the embryo is not easy to implant in the uterine cavity, it will be transferred to other places for implantation and ectopic pregnancy will occur.
8. Bad living habits. Smoking, drinking, taking ovulation drugs, etc. Will increase the incidence of ectopic pregnancy.
How ectopic pregnancy causes ectopic pregnancy is related to tubal inflammation, tubal surgery, intrauterine device placement, tubal dysplasia or abnormal function, fertilized egg migration and tumor compression around fallopian tube.
1, chronic salpingitis
Clinically, it can be divided into oviduct mucositis and peritubal inflammation, both of which are common causes of ectopic pregnancy. Severe oviduct mucositis will completely block the oviduct, leading to infertility. In light cases, the adhesion of mucosal folds leads to narrowing of the lumen and poor peristalsis, which affects the normal operation of fertilized eggs in fallopian tubes and causes intermediate obstruction and implantation there. Perisalpingitis is mainly located in the serosa layer or seromuscular layer of fallopian tube. Inflammatory exudation causes adhesion around the fallopian tube, which leads to the distortion of the fallopian tube, narrowing of the lumen and weakening of the peristalsis of the tube wall, thus affecting the operation of fertilized eggs.
2. Tubal surgery
Various forms of tubal sterilization may lead to tubal pregnancy if tubal fistula or recanalization is formed. However, after tubal sterilization, anastomosis recanalization or tubal ligation may lead to tubal pregnancy due to lumen stenosis.
3, intrauterine device placement
With the wide application of intrauterine devices, the incidence of ectopic pregnancy has increased, which may be related to salpingitis caused by placement.
4. Tubal dysplasia or abnormal function.
Dysplasia of fallopian tubes is often characterized by too long fallopian tubes, muscular dysplasia and lack of mucocilia. Double fallopian tubes, diverticulum or umbrella can all be the causes of tubal pregnancy.
5. fertilized eggs can swim
An ovary ovulates, and if the fertilized egg migrates to the opposite fallopian tube through the uterine cavity or abdominal cavity, it is called fertilized egg migration. Because of the long migration time and enhanced development, the fertilized egg can be implanted into the contralateral fallopian tube and develop into tubal pregnancy.
6. Others
Peritubal tumors, such as uterine fibroids or ovarian tumors, affect the patency of fallopian tubes and hinder the operation of fertilized eggs. Endometriosis, previous history of ectopic pregnancy and assisted pregnancy techniques are also related to the occurrence of ectopic pregnancy.
Signs of ectopic pregnancy What are the signs of ectopic pregnancy in women? The manifestations of ectopic pregnancy vary from person to person. Once a woman feels abnormal after pregnancy, she will go to the hospital.
Signs of ectopic pregnancy: sudden pain and bleeding in the lower abdomen, but the amount and time of bleeding vary from person to person. Generally, the initial amount of bleeding is very small, and when the fertilized egg is implanted into the fallopian tube, it will cause massive bleeding. In addition to vaginal bleeding, there will be abdominal pain. There will be pain in the lower abdomen at first, and sometimes there will be oppression in the anus.
After the rupture of ectopic pregnancy, patients will feel severe abdominal pain and massive internal bleeding, and appear pale, rapid pulse, blood pressure drop and other shock phenomena. Under normal circumstances, ectopic pregnancy will rupture in the 6-8 weeks after pregnancy. Ectopic pregnancy rupture can puncture the tubal wall from the umbrella end of the fallopian tube to the abdominal cavity or abortion, which threatens the life of the patient and is a more serious disease than abortion.
If a woman has severe abdominal pain and massive bleeding after pregnancy, the possibility of ectopic pregnancy rupture should be considered and must be treated in time to avoid danger:
Measure 1: Before the ambulance arrives, keep your head down and your feet up, and keep quiet to prevent bleeding. It is also important to keep warm with blankets.
Measure 2: There is a saying in obstetrics and gynecology that a typical ectopic pregnancy is the most atypical. Because the symptoms of ectopic pregnancy are often vague, patients should report the details since the onset to the doctor.
Measure 3: Ectopic pregnancy is also easily confused with other abdominal pain problems, so we should pay attention to the distinction. Intussusception is severe abdominal pain with bloody stool; The pain of appendicitis starts from the heart and gradually moves to the lower right abdomen. Gallstones are pain in the right upper abdomen. And ectopic pregnancy, that is, the rupture of ectopic pregnancy, is severe pain and bleeding in the lower abdomen.
The diagnosis method of ectopic pregnancy When there is no abortion or rupture of ectopic pregnancy, the clinical manifestations are not obvious and the diagnosis is difficult, so the diagnosis can only be made through auxiliary examination.
It is not difficult to diagnose ectopic pregnancy after abortion or rupture. If you have difficulties, you should closely observe the changes in your condition. If vaginal bleeding continues, abdominal pain intensifies, pelvic mass increases, and hemoglobin shows a downward trend, it will help to make a diagnosis. The following inspection methods can also be used for auxiliary diagnosis:
1, hCG determination: Urine or blood hCG is very important for early diagnosis of ectopic pregnancy. In ectopic pregnancy, the hCG level of patients is lower than that of intrauterine pregnancy. If the doubling time is longer than 7 days, the possibility of ectopic pregnancy is greater. The doubling time is less than 1.4 days, and the possibility of ectopic pregnancy is extremely small.
2. Determination of progesterone: Determination of serum progesterone is helpful to judge the development of normal pregnant embryos. In ectopic pregnancy, the serum progesterone level is low, mostly between 10-25ng/ml. If the serum progesterone value is >: 25ng/ml, the probability of ectopic pregnancy is less than1.5%; If the value is 2000IU/L, and the intrauterine pregnancy sac is not found by transvaginal ultrasound, the diagnosis of ectopic pregnancy is basically established.
4. Laparoscopy: the gold standard for diagnosing ectopic pregnancy during laparoscopy, and surgery can be performed under a microscope at the same time of diagnosis. However, about 3%-4% of the patients missed the diagnosis because of the small gestational sac, which may be misdiagnosed as pregnancy due to tubal dilatation and color change, which should be paid attention to.
5. Puncture of posterior fornix of vagina: it is suitable for patients who are suspected of having intra-abdominal bleeding. Intra-abdominal bleeding is most likely to accumulate in the rectocele. Even if the amount of bleeding is small, blood can be drawn through the posterior fornix of vagina. In the case of old ectopic pregnancy, small pieces or unconsolidated old blood can be drawn. When there is no internal bleeding, the amount of internal bleeding is small, the hematoma position is high, or there is adhesion in the rectovaginal cavity, blood can not be drawn, so the negative puncture of the posterior fornix of vagina can not rule out tubal pregnancy.
It should be noted that it is impossible to detect ectopic pregnancy with early pregnancy test paper. Early pregnancy test paper can judge whether pregnant or not by detecting hCG content in human body, but it can't judge the implantation position and implantation situation of fertilized eggs. When a woman has an ectopic pregnancy, the early pregnancy test paper will be positive. It is suggested that women should be further diagnosed by B-ultrasound and blood hCG as soon as possible after discovering pregnancy.
Pregnancy is actually a very happy thing, but sometimes it is not as beautiful as you think. There are often some unexpected things in it, and even the good expectations of prospective fathers and mothers have been broken. That feeling is heartbreaking. They are all pregnant, but ectopic pregnancy casts a shadow on many people's psychology and body, especially women. It is very happy to know that you are pregnant, but if you are diagnosed with ectopic pregnancy, it is really a big blow to the expectant mother. And now there are more and more people with ectopic pregnancy. What is the reason? There are four main reasons for the increasing number of ectopic pregnancy, and the last three reasons should be paid attention to.
First, genetic reasons
If you are a woman and your mother or grandmother has had an ectopic pregnancy, you should pay attention to the fact that genetic inheritance will not only inherit height, appearance and so on. , but also genetic diseases and even atavism. Therefore, it is best for mothers and women who want children to have a physical examination before pregnancy. Pay attention to personal hygiene during pregnancy to avoid gynecological diseases and ectopic pregnancy.
Secondly, women themselves and their husbands often smoke and drink.
Smoking and drinking is not just a man's patent. Now many women smoke and drink, but women who are going to get pregnant must pay attention to it, and it is best to quit, and so should their husbands, otherwise they will increase their chances of getting sick because of frequent secondhand smoke. Statistics show that the incidence of smokers is almost 2 to 4 times that of non-smokers, so in order to avoid ectopic pregnancy, we should make preparations before pregnancy.
Third, improper contraceptive methods.
If the contraceptive method is improper, women often use birth control pills, which will affect the hormone level of women's body, cause harm to women's fallopian tubes and easily lead to ectopic pregnancy, so the best contraceptive method should still choose to use condoms.
Four times, multiple abortions.
Nowadays, no matter on TV or on the street, almost all people are promoting painless abortion, which is easy to be induced for some little girls or young women who don't know this knowledge. In fact, abortion does not have as many benefits as you think, but it will do great harm to your health, especially those "small clinics", which may not even have business licenses and medical knowledge. Do you really trust to give your body to such a person?
Pregnancy itself is a major event, so whether during pregnancy or during pregnancy preparation, women should learn to protect their bodies, eat properly, strengthen exercise, and have regular pregnancy tests to protect their health and safety.
The normal pregnancy process of women is that sperm and eggs combine and gradually move into uterine cavity for normal implantation and development, but not all women can conceive normally. Or there is a pregnancy, just an abnormal intrauterine pregnancy, but an ectopic pregnancy.
The so-called ectopic pregnancy usually means that the fertilized egg begins to develop in the fallopian tube and the growth is not implanted in the uterus. If not treated in time, it will pose a certain threat to women's lives, so we must not be careless. What are the early manifestations of ectopic pregnancy?
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Ectopic pregnancy also has pregnancy reaction.
If we want to distinguish ectopic pregnancy from intrauterine pregnancy, we should mainly observe the abnormality of some symptoms. There are some similarities between the early symptoms of ectopic pregnancy and the symptoms of normal intrauterine pregnancy, which will be a bit difficult to distinguish, such as menopause, regardless of intrauterine pregnancy or ectopic pregnancy.
However, after 6-8 weeks of pregnancy, many women will think that menstruation is coming, and the amount of bleeding the next day is still very small. It is recommended to do a specific examination, at least to rule out whether it is an ectopic pregnancy. Vaginal bleeding after pregnancy is one of the symptoms of ectopic pregnancy.
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abdominalgia
After ectopic pregnancy, women often feel abdominal pain, which is caused by the gradual development of embryos and the continuous expansion of fallopian tubes. Rupture of fallopian tubes leads to abdominal pain in women, and even severe pain leads to syncope and even shock in women. In this case, you should seek medical attention in time, otherwise your life will be in danger.
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Irregular vaginal bleeding
After female ectopic pregnancy, there will be irregular bleeding in the vagina, which is most likely caused by the death of the embryo in the abdomen. The amount of bleeding is not very colorful, but it will last for a long time.
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What is the general situation of ectopic pregnancy?
1, tubal inflammation: There are two main types of tubal inflammation, namely tubal mucositis and peritubal inflammation, both of which may cause female ectopic pregnancy. If the patient's condition of tubal mucositis is quite serious, it is easy to cause lumen blockage and eventually lead to infertility. If the inflammation around the fallopian tube mainly occurs in the serosa layer or seromuscular layer of the fallopian tube, the normal operation of the fertilized egg will be greatly affected.
2. History of tubal pregnancy: If women have a history of tubal pregnancy before, these people will recover after a period of treatment, but the probability of tubal pregnancy again is much higher than other women.
3. Placement of IUD: Inserting IUD into a woman's body will not increase the chance of ectopic pregnancy, but if a woman is still pregnant unexpectedly after placing IUD, the chance of ectopic pregnancy is very high.
4. Tubal dysplasia or abnormal function: The common manifestations of tubal dysplasia are too long fallopian tube, muscular dysplasia and lack of mucinous cilia. If the female fallopian tube is dysplasia, it will have a great impact on the normal operation of fertilized eggs, leading to ectopic pregnancy.
5. Migration of fertilized eggs: If the eggs produced in a woman's ovary are fertilized in one fallopian tube, then the fertilized eggs enter the opposite fallopian tube through the uterine cavity or abdominal cavity, so that the eggs and sperm combine outside the uterus, thus forming an ectopic pregnancy.
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What if there is an ectopic pregnancy?
At present, there are many treatments for ectopic pregnancy, such as conservative treatment with drugs, which is a treatment for early ectopic pregnancy. Of course, it is also suitable for people who have not ruptured the fallopian tube, the diameter of the tubal pregnancy mass is less than 3 cm, and there are no obvious symptoms of internal bleeding. Blood HCG is less than 2000U/L, which is suitable for use. This treatment does little harm to the patient, but it is easy to cause tubal obstruction when the embryo is polarized to death in situ, which has a great influence on fertility. Therefore, this method must be used with caution, especially for those who have fertility requirements.
It can also be treated by oviduct fenestration and suture. When the fallopian tube is not ruptured or the crack is small, hysteroscopy can be used for treatment. First, the ovum tube is cut to take out the embryo, and then it is sutured, so that the function of fallopian tube is well maintained. Hysteroscopy can reduce certain risks, and it is painless and bleeding-free. In addition, the healing speed is faster and there is no scar, which reduces the recurrence rate of the disease.