Ectopic Pregnancy

A Ectopic Pregnancy is very intense and sad. The fruit can never be saved. It can also be extremely dangerous. In this blog you can read how you can recognize an ectopic pregnancy, what it entails and what you can expect. The end result will always be that you will lose the fruit. Please take the time to process this and give it a place.

What is an ectopic pregnancy?

As the name implies, an ectopic pregnancy is a pregnancy that takes place outside the womb. The fertilized egg is therefore not implanted in the womb but in a different place. In most cases this is in one of the fallopian tubes.

But it can also be implanted in the ovaries, cervix or abdominal cavity. An ectopic pregnancy has the medical term EUG. This stands for Extra (= outside) Uterus (= womb) Gravidity (= pregnancy).

How can the egg settle elsewhere?

How is it possible that the egg settles somewhere else? A very logical question with a logical answer: the fertilized egg is sort of lost. At the moment you ovulate, fertilization can take place. After the egg is fertilized, it makes its way to the womb.

During this trip the fruit starts with parts. When everything runs smoothly, the fruit reaches the uterus. But as soon as breaks occur during the ride and the trip is broken off, the fruit settles in the place where it is at that moment. In many cases that is the fallopian tube.

Causes of an ectopic pregnancy

The risk of an ectopic pregnancy is increased when the fallopian tubes of the woman are damaged. This can be caused by:

  • An inflammation in the lower abdomen.
  • Chlamydia (SOA).
  • Gonorrhea (SOA).
  • Operations in the abdominal cavity or on the fallopian tube.
  • An earlier ectopic pregnancy.
  • Getting pregnant while having a spiral.
  • Getting pregnant while the woman is being sterilized.
  • After a fertility treatment (eg IVF).

In 50% of cases, the cause can not be determined. Unfortunately, this means that every woman has a chance of an ectopic pregnancy. The probability is 1 in 100.

Recognize ectopic pregnancy

In the beginning it is quite possible that you do not realize that there is an ectopic pregnancy because the symptoms are similar to the classic pregnancy symptoms. Maybe you do not even know you're pregnant. The first symptoms often start in the eighth week of pregnancy but can also occur in the fourth week. Which ones are depends on what form EUG you have. In any case, always contact your doctor or midwife immediately if you notice the symptoms. There must be immediate action.

Form 1: Subacute form

The fruit is in the fallopian tube. The fallopian tube is still intact. You can suffer from:

  • Pain in your stomach on one side.
  • Abdominal pain that is worse and different than you are used to with menstrual pain.
  • Bleeding from the vagina.
  • Nausea.
  • Pass out.

Form 2: Acute form

The fruit is in the fallopian tube. Because the fruit has started to grow, the fallopian tube bursts. Immediate action must be taken so that surgery can take place quickly. Symptoms:

  • Severe abdominal pain that suddenly rises, sometimes accompanied by shoulder pain.
  • Feeling of fainting.
  • Increased heart rate.
  • The feeling that you have to defecate, but nothing comes out.
  • Dizziness.
  • To sweat.

Methods for establishing EUG

If you feel that something is wrong, you can always contact your doctor or midwife. They will refer you further. Then the following methods are used to view what is going on:

  • Ultrasound examination:

    By means of an ultrasound examination it is easy to see where the fruit is.

  • Blood test:

    If it is difficult to see where the fruit is during the ultrasound, blood is taken. Subsequently, it is measured how much of the hCG hormone (pregnancy hormone) is in your blood. With an ectopic pregnancy the hCG value rises less rapidly than with a normal pregnancy, but that is not always the case. It can also rise normally or too quickly.

Treatment of ectopic pregnancy

Unfortunately, an ectopic pregnancy can never continue. It can also never be converted into a healthy pregnancy by, for example, moving the fruit. For that reason, the pregnancy is always terminated. Sometimes your body does this yourself, but because it is very dangerous, the gynecologist usually intervenes quickly. If you are still early in your pregnancy, you may be given an injection to ensure that the fruit is broken down and disposed of. This has virtually no side effects. The doctor will advise you when you can start again for a next pregnancy. In acute cases, an operation will be chosen.

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