Ectopic embarrassment of tubal shame is a gestation that is implanted outside the uterus in the fallopian tubes, and is doomed not to develop because the embryo cannot move as the uterus and tubes cannot dissolve as the uterus does. tubes to break and endanger a woman’s life.
The main causes of ectopic embarrassment are the use of an IUD, endometriosis, having a sexually transmitted infection such as chlamydia or being connected to the fallopian tubes.
- The ectopic embargo is usually identified up to 10 weeks gestation by ultrasound.
- But can also be discovered later; However.
- If the problem is not detected early.
- There may be a rupture of the nucleus.
- Which can cause internal bleeding and can be fatal.
The ruptured ectopic embargo occurs when the embryo develops in the tubes and is large enough to break the woman’s fallopian tubes; in this case, the woman shows the following signs and symptoms:
If the uterus falls, but no signs of ruptured tubes, symptoms may include:
In case of suspicion, you should go to the hospital immediately so that your doctor can perform an ultrasound confirming the ectopic embargo and indicate the most appropriate treatment to solve the problem. The best way to know if the embryo is developing is the ultrasound performed by your doctor, but in all cases, the hCG beta test gives a positive result.
The fall of the tubes or ovaries could develop until 14 weeks gestation, if possible, it is not possible to save the life of this embryo, as there are no drugs in the procedures that can move the embryo. the uterus. When ectopic shame develops elsewhere than without the tubes, such as the abdominal cavity, they could be diagnosed later, but still by ultrasound.
Possible causes of ectopic embarrassment include
Pelvic surgery scar;
Pelvic inflammation;
Endometriosis, which is the growth of endometrial tissue in the uterus;
Previous ectopic pregnancy;
Salpingitis: inflammation or deformity of the fallopian tubes;
Complications of chlamydia. Learn more about this STI;
Fallopian tube surgery;
Malformation of the fallopian tubes;
In case of infertility;
Have your horns connected
There are also factors that increase the risk of women having an ectopic embargo, such as age 35, in vitro fertilization, and multiple sexual partners, learning more about tube inflammation could make screening difficult.
Treatment of ectopic shame, which develops in the fallopian tube or ovary, can be performed by using the drug Methotrexate, which induces abortion and surgery to remove the embryo and reconstruction of the tube.
The doctor could decide on the use of drugs such as injectable methotrexate 50 mg, when the ectopic embargo is discovered before 8 weeks of gestation, the woman does not have rupture of the tube, the gestational sac is less than 5 cm and the HCG beta test is less than 2,000 mUI / ml and the embryo heart at the end.
In this case, the woman takes 1 dose of this medicine and after 7 days should perform a new Beta HCG, which will not be detectable, if the doctor deems it necessary, can provide 1 additional file to make sure the problem is resolved. HCG beta should be repeated within 24 hours and every 48 hours to check that it is gradually decreasing.
During this treatment that can last up to 3 weeks, it is recommended to:
Do not have a vaginal examination, as it can cause the tissue to break down;
Having no intimate contact
Avoid sun exposure as the medicine can stain the skin;
Do not take anti-inflammatory medications due to the risk of anemia and gastrointestinal problems related to the medicine.
An ultrasound may be performed once a week to check that the mass has disappeared, even if hcG beta levels have been reduced, there is still the possibility of rupture of the tube.
Surgery for embryo removal may be performed by open laparotomy surgery, indicating in the following situations: when the embryo is more than 4 cm in diameter; The Beta HCG test is more than 5000 mUI/ml; when there are signs of a horn breaking, which puts a woman’s life at risk.
In any case, the baby cannot survive and the embryo should be removed completely, it cannot be implanted inside the uterus.
If the horns in the fallopian tubes suffered doo during the ectopic approach, the woman has the opportunity to become pregnant, however, if there has been a rupture or injury to one of the fallopian tubes, the possible decrease, in case both tubes are injured, the most viable solution will be in vitro fertilization.
Ectopic shame is a rare condition, but the most common is that it develops in one of the fallopian tubes, but it could also develop in other parts of the body and, for this reason, there may be ectopic discomfort in the ovary, an extrauterine disorder. abdominal discomfort or cervical slope, that is, when the fetus grows in the uterus. Less common types of ectopic embargoes:
Interstitial ectopic shame: occurs when the embryo develops in the interstitial segment of the tube. In this case, there is an increase in Beta HCG and treatment is usually done with drugs and potassium chloride at different doses;
Cervical shame: when the embryo ruptures in the uterus, which can cause heavy bleeding. Treatment may be performed with embolization, local injection of methotrexate with cureta;
Ectopic embarrassment in the C-section scar: this is very rare, but this can happen and requires treatment with medications with methotrexate and folic acid, for about 1 week;
Ovarian shame: sometimes it is only discovered during school and therefore no methotrexate is used;
Heterotopic shame: When the embryo develops between the uterus and the tube, but is usually only diagnosed after rupture of the tube and by the most commonly used treatment in surgery.
In addition to these types, there is also an ectopic abdominal embargo, that is, when the baby develops in the peritoneum between organisms, this is a very rare condition and each case must be evaluated individually, this is a complicated question because as the baby grows, the mother’s body produces pills and blood vessels rupture, and can be life-threatening; however, there are reports of women who managed to give birth to the baby at 38 weeks of gestation, performing a C-section for childbirth.