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ECTOPIC
PREGNANCY
By:- Abhishek Sharma
◦ Pregnancy begins with a fertilized egg. Normally, the fertilized egg attaches to the lining of the
uterus. An ectopic pregnancy occurs when a fertilized egg implants and grows outside the main
cavity of the uterus
◦ An ectopic pregnancy can't proceed normally. The fertilized egg can't survive, and the growing
tissue may cause life-threatening bleeding, if left untreated.
Symptoms
◦ You may not notice any symptoms at first. However, some women who have an ectopic
pregnancy have the usual early signs or symptoms of pregnancy — a missed period, breast
tenderness and nausea.
◦ If you take a pregnancy test, the result will be positive. Still, an ectopic pregnancy can't continue
as normal.
◦ As the fertilized egg grows in the improper place, signs and symptoms become more
noticeable.
Early warning of ectopic pregnancy
◦ Often, the first warning signs of an ectopic pregnancy are light vaginal
bleeding and pelvic pain.
◦ If blood leaks from the fallopian tube, you may feel shoulder pain or an urge to
have a bowel movement. Your specific symptoms depend on where the blood
collects and which nerves are irritated
Causes
◦ A tubal pregnancy — the most common type of ectopic pregnancy — happens
when a fertilized egg gets stuck on its way to the uterus, often because the
fallopian tube is damaged by inflammation or is misshapen. Hormonal
imbalances or abnormal development of the fertilized egg also might play a
role
Risk factors
◦ Previous ectopic pregnancy.
◦ Inflammation or infection
◦ Smoking
Complications
◦ An ectopic pregnancy can cause your fallopian tube to burst open. Without
treatment, the ruptured tube can lead to life-threatening bleeding.
Diagnosis
◦ A pelvic exam can help your doctor identify areas of pain, tenderness, or a
mass in the fallopian tube or ovary. However, your doctor can't diagnose an
ectopic pregnancy by examining you. You'll need blood tests and an
ultrasound.
Treatment
◦ A fertilized egg can't develop normally outside the uterus. To prevent life-
threatening complications, the ectopic tissue needs to be removed.
Depending on your symptoms and when the ectopic pregnancy is
discovered, this may be done using medication, laparoscopic surgery or
abdominal surgery.
◦ Medication :-An early ectopic pregnancy without unstable bleeding is most often treated with a
medication called methotrexate, which stops cell growth and dissolves existing cells. The
medication is given by injection. It's very important that the diagnosis of ectopic pregnancy is
certain before receiving this treatment.
◦ After the injection, your doctor will order another HCG test to determine how well treatment is
working, and if you need more medication
Thank you

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Ectopic pregnancy

  • 2. ◦ Pregnancy begins with a fertilized egg. Normally, the fertilized egg attaches to the lining of the uterus. An ectopic pregnancy occurs when a fertilized egg implants and grows outside the main cavity of the uterus ◦ An ectopic pregnancy can't proceed normally. The fertilized egg can't survive, and the growing tissue may cause life-threatening bleeding, if left untreated.
  • 3. Symptoms ◦ You may not notice any symptoms at first. However, some women who have an ectopic pregnancy have the usual early signs or symptoms of pregnancy — a missed period, breast tenderness and nausea. ◦ If you take a pregnancy test, the result will be positive. Still, an ectopic pregnancy can't continue as normal. ◦ As the fertilized egg grows in the improper place, signs and symptoms become more noticeable.
  • 4. Early warning of ectopic pregnancy ◦ Often, the first warning signs of an ectopic pregnancy are light vaginal bleeding and pelvic pain. ◦ If blood leaks from the fallopian tube, you may feel shoulder pain or an urge to have a bowel movement. Your specific symptoms depend on where the blood collects and which nerves are irritated
  • 5. Causes ◦ A tubal pregnancy — the most common type of ectopic pregnancy — happens when a fertilized egg gets stuck on its way to the uterus, often because the fallopian tube is damaged by inflammation or is misshapen. Hormonal imbalances or abnormal development of the fertilized egg also might play a role
  • 6. Risk factors ◦ Previous ectopic pregnancy. ◦ Inflammation or infection ◦ Smoking
  • 7. Complications ◦ An ectopic pregnancy can cause your fallopian tube to burst open. Without treatment, the ruptured tube can lead to life-threatening bleeding.
  • 8. Diagnosis ◦ A pelvic exam can help your doctor identify areas of pain, tenderness, or a mass in the fallopian tube or ovary. However, your doctor can't diagnose an ectopic pregnancy by examining you. You'll need blood tests and an ultrasound.
  • 9. Treatment ◦ A fertilized egg can't develop normally outside the uterus. To prevent life- threatening complications, the ectopic tissue needs to be removed. Depending on your symptoms and when the ectopic pregnancy is discovered, this may be done using medication, laparoscopic surgery or abdominal surgery.
  • 10. ◦ Medication :-An early ectopic pregnancy without unstable bleeding is most often treated with a medication called methotrexate, which stops cell growth and dissolves existing cells. The medication is given by injection. It's very important that the diagnosis of ectopic pregnancy is certain before receiving this treatment. ◦ After the injection, your doctor will order another HCG test to determine how well treatment is working, and if you need more medication