Tubal pregnancy, also known as tubal pregnancy, is a type of ectopic pregnancy in which the embryo implants outside the uterus, in this case, in the fallopian tubes, when this occurs, the development of the pregnancy can be affected, as that the embryo is unable to move through the uterus and the tubes cannot be stretched, and can rupture and endanger the woman’s life.
Certain factors may promote the development of a tubal pregnancy, such as sexually transmitted infections, endometriosis, or having had a tubal ligation in the past, for example. This type of pregnancy is usually identified up to 10 weeks gestation by ultrasound, but can also be discovered later.
- However.
- If the problem is not detected.
- The tube can rupture and is called a ruptured ectopic pregnancy.
- Which can cause internal bleeding.
- Which can be fatal.
The occurrence of a tubal pregnancy may be favored by several factors, the main ones being:
In addition, being over 35 years old, performing IVF and having multiple sexual partners can also promote the development of an ectopic pregnancy.
Some signs and symptoms that can indicate a pregnancy outside the uterus are pain on one side of the stomach, which worsens every day, always in a localized way, and vaginal bleeding, which can start with a few drops of blood, but in a short time. time gets stronger.
The pharmacy pregnancy test detects that the woman is pregnant, but it is not possible to know if it is an ectopic pregnancy, being necessary to perform an ultrasound to check exactly where the baby is, since an ectopic pregnancy can be interrupted before the day 12 week of gestation, there is not enough time for the belly to begin to develop , enough for other people to notice. Learn how to identify the signs and symptoms of an ectopic pregnancy.
Treatment of ectopic pregnancy can be done by using the drug methotrexate, which induces an abortion, or by surgery to remove the embryo and reconstruct the tube.
Surgery to remove the embryo can be performed by laparostomy or open surgery, and is indicated when the embryo is more than 4 cm in diameter, the Beta HCG test exceeds 5000 mUI/ml, or when there are signs of probe failure, putting a woman’s life at risk.
In any case, the baby cannot survive and the embryo must be completely removed and cannot implant inside the uterus.
The doctor may decide to use drugs such as methotrexate 50 mg, in injection form when an ectopic pregnancy is discovered before 8 weeks of gestation, the woman does not have a ruptured tube, the gestational sac measures less than 5 cm. , the beta HCG test is less than 2000 mIU / ml and the embryo’s heart does not beat.
In this case, the woman takes 1 dose of this drug and after 7 days she must undergo a new Beta HCG, until it is undetectable. If the doctor thinks it is safer, he may order another dose of the same medicine to make sure the problem is resolved. Beta HCG should be repeated in 24 hours and then every 48 hours to see if it gradually tapers off.
During this treatment, which can last up to 3 weeks, it is recommended to:
An ultrasound can be done once a week to check if the mass has disappeared because even if the beta HCG values go down, there is still a chance that the tube will break.
If the tubes have not been damaged by an ectopic pregnancy, the woman has a new chance of getting pregnant again, but if one of the tubes has ruptured or injured, the chances of getting pregnant again are much lower, and if both tubes have broken. If they are broken or affected, the most viable solution will be in vitro fertilization. Here’s how to get pregnant after a tubal pregnancy.