What should I do if I discover an ectopic pregnancy one month later?

An abnormal pregnancy process in which the fertilized egg implants and develops outside the uterine cavity. Also called "ectopic pregnancy". The most common type of pregnancy is tubal pregnancy. The cause of the disease is often due to inflammation in the fallopian tube lumen or its surroundings, which causes poor patency of the lumen, hindering the normal operation of the fertilized egg, causing it to stay, implant, and develop in the fallopian tube, leading to miscarriage or rupture of the fallopian tube pregnancy. Why does ectopic pregnancy happen? How can we detect and prevent ectopic pregnancy early? What should we do if we discover ectopic pregnancy one month later?

Causes

1. Fallopian tube inflammation

It can be divided into tubal mucositis and perisalpingitis, both of which are common causes of tubal pregnancy. In severe cases, fallopian tube mucositis can cause complete obstruction of the tube lumen and lead to infertility. In mild cases, the fallopian tube mucosa will be adhered and the cilia will be damaged, which will affect the movement of the fertilized egg and cause it to implant there. Salpingitis caused by gonorrhea and Chlamydia trachomatis often involves the mucosa, while infection after abortion or delivery often causes perisalpingitis.

2. Fallopian tube surgery

If tubal recanalization or fistula occurs after tubal sterilization, it may lead to tubal pregnancy, especially laparoscopic electrocoagulation tubal sterilization and silicone ring surgery. For women who have undergone tubal adhesion separation surgery and tuboplasty due to infertility, such as tubal anastomosis and tubal opening, the incidence of tubal pregnancy again is 10% to 20%.

3. Fallopian tube dysplasia or dysfunction

Tubal dysplasia is often manifested as an overly long fallopian tube, poorly developed muscularis, and a lack of mucociliary tissue. Other causes include double fallopian tubes, diverticula or accessory fimbria, which can all be causes of fallopian tube pregnancy. If the secretion of estrogen and progesterone is abnormal, it may affect the normal operation of the fertilized egg. In addition, mental factors can also cause spasms and abnormal peristalsis of the fallopian tubes, interfering with the transportation of the fertilized egg;

4. The fertilized egg wanders

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 larger and can implant in the opposite fallopian tube and form a tubal pregnancy.

5. Compression of the fallopian tube by surrounding tumors, such as uterine fibroids or ovarian tumors, especially adhesion of the tissues around the fallopian tube and ovary caused by endometriosis, can also affect the patency of the fallopian tube lumen and hinder the movement of the fertilized egg. Some studies also believe that defects in the embryo itself, artificial abortion, smoking, etc. are also related to the occurrence of ectopic pregnancy.

prevention

1. Pregnancy and proper contraception

1. Choose a time when both parties are in a good mood and physical condition to get pregnant. If you are not considering becoming a mother for the time being, you must take good contraceptive measures. Good contraception fundamentally prevents the occurrence of ectopic pregnancy.

2. Treat reproductive system diseases promptly. Inflammation is the main culprit for fallopian tube stenosis. Intrauterine operations such as artificial abortion increase the chance of inflammation and endometrium entering the fallopian tube, which in turn leads to adhesion and stenosis of the fallopian tube, increasing the possibility of ectopic pregnancy. Reproductive system diseases such as uterine fibroids and endometriosis may also change the morphology and function of the fallopian tubes. Timely treatment of these diseases can reduce the occurrence of ectopic pregnancy.

3. Try in vitro fertilization. If you have had an ectopic pregnancy before, the possibility of another ectopic pregnancy is enough to destroy a woman's confidence in becoming a mother. In vitro fertilization is an option. After the sperm and egg successfully "get married" in vitro, the fertilized egg can be sent back to the mother's uterus for safe gestation.

4. Pay attention to hygiene during menstruation, delivery and postpartum period to prevent infection of the reproductive system. Determine the location of pregnancy as soon as possible after menopause to detect ectopic pregnancy in time.

What should I do if I discover an ectopic pregnancy one month later? If clinical findings include amenorrhea for 6 to 8 weeks, or vaginal bleeding, syncope and shock only two or three days after the menstrual period, do not take it lightly and go to the hospital for examination and diagnosis in time. If it is confirmed to be an ectopic pregnancy, a salpingectomy will be performed. Salpingectomy is suitable for emergency patients with internal bleeding and shock who have no fertility requirements. Young women who wish to have children can undergo fallopian tube fenestration.