Signs you have a tubal pregnancy

Tubal Pregnancy

16.03.2016 Andrew Johns 0 Popular

Signs you have a tubal pregnancy

What is a Tubal Pregnancy

The consequences of tubal abdominal pregnancy can be very serious: sometimes it leads to rupture of the fallopian tube and sometimes – to full or partial detachment of the embryo from the fallopian tube’s wall, causing the release of an egg into abdominal cavity. Both cases cause internal bleeding and might even lead to death of a patient, if she won’t receive medical treatment on time.

Tubal Pregnancy Symptoms

The most common symptoms of tubal pregnancy are:

Blood issues are another symptom of possible abdominal pregnancy: their color can differ from dark brown to bright red.

If you have any of these symptoms, you have to contact doctor as soon as possible. The gynecologist has to do ultrasound to find out whether there is a fertilized egg in uterus. Abdominal ultrasound helps to detect fertilized egg in uterus on 6-7th weeks of pregnancy and the vaginal ultrasound helps to detect it on 4,5-5th weeks of pregnancy.

Moreover, gynecologist has to assign you the hCG blood test. HCG or human chorionic gonadotropin is a hormone secreted by placenta during pregnancy: if woman has tubal pregnancy, the level of this hormone is usually lower than during similar uterine pregnancy (and the level raises more slowly too).

Causes and Risk Factors

We don’t know much about causes of ectopic pregnancy, including tubal pregnancy. This abnormality is initially caused by the violation of ovum movement. However, it’s very hard to identify direct causes of tubal pregnancy, that’s why doctors speak about risk factors.

The main anatomical prerequisites for such a state:

  • inflammatory process in the appendages (salpingitis);
  • surgery on the fallopian tubes;
  • intrauterine contraception.

The main cause for tubal pregnancy is acute or chronic salpingitis, or inflammation of the fallopian tubes. A woman after an acute salpingitis has six times more chances to have ectopic pregnancy compared to a healthy woman. Salpingitis affects tubal contraction and patency. At the same time, it violates synthesis of substances responsible for the normal passage of an ovum into the uterus. Hormonal changes in ovarian functions caused by inflammation contributes to violation of fallopian tubes functioning.

Intrauterine contraceptives devices (IUCD) lead to reduction of ciliated cells’ number that are necessary to push the ovum into the uterus. IUCD users run 20 times higher risks of ectopic pregnancy when women opting for other contraceptive means.

Signs you have a tubal pregnancy

Many diseases require surgeries on the appendages increase the risk of a pathology’s development. The probability of such an outcome depends on the intervention techniques, access (laparotomy or laparoscopy) and other factors. If a woman has already had such a pregnancy, the risk of recurrence increases to 16 %.

If a woman has undergone two or more induced abortions, she runs higher risk of ectopic pregnancy. Additional risk factors are infantilism, abnormalities or tumors in the uterus and appendages, endometriosis.

  • use of drugs for ovulation induction in terms of infertility treatment;
  • in vitro fertilization;
  • delayed ovulation;
  • ovum transmigration.

Ovulation inductors used for fertility treatments, including IVF, change secretion of hormones and other substances that are responsible for the fallopian tubes’ contraction. Ectopic pregnancy is likely to develop in every tenth women taking these drugs. Hormonal contraceptives containing progestogen are also likely to contribute to ectopic pregnancy development as they alter fallopian tubes’ contraction.

Transmigration (moving) of the ovum goes, for example, from the ovary through the abdominal cavity in the opposite fallopian tube. And there the fully-formed egg attaches to the cavity. Another option: an ovum formed during the late ovulation gets fertilized and goes to the uterus, but doesn’t have time to get implanted. During the next menstruation such an ovum is “thrown” back into the fallopian tube.

After the implantation it starts ruining the tube’s wall that is not intended for the formation of an embryo. Interruption of tubal pregnancy is inevitable.

Diagnosis of Tubal Pregnancy

Transvaginal ultrasound is the main tool helping to detect tubal pregnancy. First, it’s aimed at identifying intrauterine pregnancy that allows to eliminate the ovum localization into the fallopian tube. Using special vaginal probes an ovum can be detected into the uterus only after 10 days after the fertilization.

To confirm the tubal embryo localization, the doctor focuses on the fallopian tubes examination, checks the presence of fluid in the abdominal cavity. Of course, diagnostics includes the localization of an ovum outside the uterus. However, the percentage of advanced tubal pregnancy does not exceed 5-8 cases out of 100.

Qualitative or quantitative methods of human chorionic gonadotropin measurements are an additional tool used to detect tubal pregnancy. However, there is no absolute values indicating ectopic pregnancy. In most cases of ectopic pregnacy its levels are lower than normal. It’s important to study the state in dynamics. In case of uterine pregnancy, chorionic gonadotrophin concentration doubles every two days and it doesn’t in case of ectopic pregnancy.

The most informative method is a laparoscopy. It allows to define progressing tubal pregnancy and the state after its interruption, estimate the amount of blood loss, the condition of the uterus and appendages. However, laparoscopy should be used only after non-invasive methods have proved unable to establish the diagnosis.

Tubal Pregnancy Treatment and Prevention

Nowadays the only thing the doctors can offer is a surgery (with the possibility of tube preservation). They use laparoscopy surgery: this endoscopic surgery is done with the help of special optical equipment and helps to avoid cutting the anterior abdominal wall. It allows to remove the fertilized egg from the tube with minimal damage and to keep the tube.

Gynecologists believe that if operation is successful the only thing you should fear is possible inflammation that can increase the risk of another abdominal pregnancy.

Ectopic Pregnancy (Tubal Pregnancy)

Facts and definition of ectopic pregnancy (tubal pregnancy)

  • An ectopic or tubal pregnancy is a pregnancy that develops outside a woman's uterus (womb). This happens when the fertilized egg from the ovary does not reach or implant itself normally in the uterus. The products of this conception are abnormal and cannot develop into fetuses.
  • The most common place that ectopic pregnancy occurs is in one of the Fallopian tubes (a so-called tubal pregnancy). Ectopic pregnancies also can be found on the outside of the uterus, on the ovaries, or attached to the bowel.
  • The most serious complication of an ectopic pregnancy is rupture. Leading to intra-abdominal hemorrhage (severe bleeding).
  • The most common signs and symptoms of a tubal pregnancy are abdominal pain and vaginal bleeding.
  • Ectopic pregnancy is usually found in the first 5-10 weeks of pregnancy.
  • An ultrasound imaging test is a common diagnostic test for ectopic pregnancy.
  • There are both medical and surgical treatments available for ectopic pregnancy.
  • Ectopic pregnancy is the leading cause of pregnancy-related deaths in the first trimester of pregnancy in the US.

What causes an ectopic pregnancy?

Ectopic or tubal pregnancy is caused when a fertilized egg lodges in a Fallopian tube or other location instead of continuing its journey to the uterus, where it is supposed to implant. The egg can become stuck when a Fallopian tube is damaged, scarred, or distorted.

What are risk factors for ectopic pregnancy?

Common conditions that are known risk factors for ectopic pregnancy include:

  • Previous tube infections (salpingitis), such as pelvic inflammatory disease (PID), chlamydia, and gonorrhea
  • Previous surgery inside the abdomen, especially involving the Fallopian tubes, ovaries, uterus, lower abdomen, or bowels (Local surgery to the outside of the cervix is not a risk factor.)
  • Use of fertility medications at the time of conception
  • Prior history of tubal pregnancy
  • The use of an intrauterine device (IUD) does not increase the risk of ectopic pregnancy. However, a normal pregnancy is unlikely with an IUD in place, so if a woman becomes pregnant while using an IUD, it is more likely the pregnancy is not inside the uterus.

Signs you have a tubal pregnancy

What are the early warning signs and symptoms of an ectopic pregnancy?

Symptoms of an ectopic pregnancy are often confused with those of a miscarriage or pelvic inflammatory disease.

The most common symptoms of a tubal pregnancy are abdominal and pelvic pain and vaginal bleeding. A ruptured ectopic pregnancy is a true medical emergency. If you suspect you have a ruptured ectopic pregnancy, call 911. Common symptoms of a ruptured ectopic pregnancy include the following:

  • Lightheadedness, dizziness, almost passing out, loss of consciousness
  • Pale complexion, clammy-feeling skin
  • Sweaty
  • Fast heartbeat (over 100 beats per minute)
  • Abdominal or pelvic pain so severe that the woman can't stand up

When to seek medical care if you think you may have an ectopic pregnancy

If you are pregnant and experience any unusual abdominal pain or vaginal bleeding, contact a medical professional immediately. If your health care professional cannot be reached, or if your symptoms become worse, go quickly to a hospital's emergency department.

You must go to a hospital's emergency department for any of the following reasons:

  • Severe abdominal pain
  • Heavy vaginal bleeding
  • Passing out or loss of consciousness
  • Dizziness when standing
  • If you are unable to reach your health care professional in a timely manner

Is there a test that can diagnose an ectopic pregnancy?

Your health care provider or an emergency doctor will want to confirm pregnancy with an HGC test if this has not already been done.

  • If you have severe pain or heavy vaginal bleeding, IV lines will be started. Oxygen will be given, and blood tests will be ordered.
  • The doctor will perform a pelvic exam.
  • An ultrasound of your pelvis will probably be ordered to determine where the pregnancy is located. An ultrasound is a form of imaging using sound waves. Ultrasound is not painful. It is performed by placing a handheld device, or probe, which is connected to a television monitor, against the lower abdomen. A more sensitive ultrasound test is performed using a special probe inside the vagina (birth canal).
  • If the bleeding is severe or becomes life-threatening, you may be taken immediately to the operating room.
  • Sometimes the pregnancy has not developed sufficiently to be seen by ultrasound. If the bleeding and pain are not severe, the doctor may recommend you have special blood tests every 2-3 days to monitor the pregnancy until it has grown large enough so that it should be visible. Another ultrasound will likely be performed at that time to make sure the pregnancy is in the uterus and developing normally.

13 Early Signs and Symptoms of Pregnancy

Women in the early stages of pregnancy may experience a number of different symptoms that may signal a pregnancy. The experience of pregnancy symptoms is highly individualized and differs among women. Examples of early signs and symptoms of pregnancy may include:

  • Abdominal cramping and bloating
  • Frequent urination
  • Temperature (elevated basal body temperature)
  • Changes in nipple color
  • Headaches
  • Signs and Symptoms of a Tubal Pregnancy

    Signs you have a tubal pregnancy

    Detecting tubal pregnancy, also known a ectopic pregnancy, early makes complications less likely, so awareness of the symptoms is essential. According to MedicineNet, symptoms of tubal pregnancy may arise about six to eight weeks after your last missed period, although in some cases it may be later depending on where the blastocyst implants.

    Normal Pregnancy Symptoms

    According to Mayo Clinic in its earliest stages, ectopic pregnancy is likely to present just like any other early pregnancy. You may experience these normal early pregnancy symptoms including a positive pregnancy test. These symptoms can alert you that you are pregnant, but they do not allow you to differentiate between a normal and tubal pregnancy. As the pregnancy progresses, however, other symptoms may occur.

    Vaginal Bleeding

    Approximately 10 percent of all women experience vaginal bleeding during their pregnancy. While this may be a normal occurrence, such as in the case of implantation bleeding, it could also signal something is wrong, such as ectopic pregnancy. During tubal pregnancy, vaginal bleeding may appear abnormal. It may be heavier, brighter red, darker, or less viscous than normal menstrual blood. It may also come and go intermittently or flow continuously. In general, bleeding associated with ectopic pregnancy will occur six weeks or longer after your last normal period. If abnormal bleeding occurs, or you experience it along with other symptoms of tubal pregnancy, seek emergency medical care.

    Many pregnant women experience pain similar to menstrual cramps in the early stages of pregnancy. This cramping is almost never worse than your normal period cramping. While cramps may indicate ectopic pregnancy, according to BabyCenter, certain types of pain may be more likely to indicate you are experiencing a tubal pregnancy and need immediate medical attention:

    • Sharp, stabbing pain in the lower back, or side-upper abdomen
    • Pelvic heaviness or discomfort that occurs intermittently, consistently, or when you are coughing or having a bowel movement
    • One-sided pain in your pelvic or abdominal region
    • Shoulder pain, particularly when you lie down
    • Sudden onset, severe, and/or persistent pain
    • Cramping that is more severe than your normal period cramps
    • Pain or cramping associated with bleeding or other signs of ectopic pregnancy

    Signs of Blood Loss

    During tubal pregnancy, you may experience weakness, dizziness, drops in blood pressure, or episodes of nearly fainting. These can all indicate internal bleeding associated with tubal rupture.

    Signs of shock indicate a medical emergency and are common during a fallopian rupture associated with tubal pregnancy. Call 9-1-1 immediately if you experience the following:

    • Clammy skin
    • Racing, weak pulse
    • Pale or ashen complexion
    • Rapid drop in blood pressure
    • Loss of mental alertness or confusion

    Other Symptoms

    You also may experience other symptoms including the following:

    • Intense rectal pressure
    • Bowel or bladder issues
    • Nausea and vomiting
    • A sense something is not right

    Not all women experience the same symptoms of tubal pregnancy. You know what is normal for your body. If you suspect something is not normal, see your doctor or seek medical treatment, because ectopic pregnancy rupture is a medical emergency.

    Risk Factors

    According to Togas Tulandi, MD, Professor of Obstetrics and Gynecology at McGill University, the condition is the leading cause of maternal death, accounting for four to ten percent of all pregnancy-related deaths. Approximately two percent of early pregnancies are ectopic. Knowing who is at risk for ectopic pregnancy is a valuable tool for assessing symptoms associated with tubal pregnancy. If you experience the above symptoms and have any of the following risk factors, seek immediate medical attention:

    • A history of pelvic inflammatory disease (PID)
    • Previous abdominal surgery
    • Previous ectopic pregnancy
    • Currently using some form of birth control, such as IUD, tubal ligation or birth control pills
    • Reversal of a tubal ligation
    • You are 35 or older
    • You have experienced fertility problems

    Seek Immediate Treatment

    Tubal pregnancies cannot go full term. The further the pregnancy progresses, the more the likelihood of rupture and internal bleeding rises. Without prompt treatment, you can lose an ovary, need a hysterectomy, or go into shock and die. Therefore, tubal pregnancy is an emergency requiring immediate medical care. If you suspect ectopic pregnancy, contact your doctor right away. If you suspect rupture, call 9-1-1.

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    Signs you have a tubal pregnancy

    Signs you have a tubal pregnancy

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    Signs you have a tubal pregnancy

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    Signs you have a tubal pregnancy

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