postscript:
What is ectopic pregnancy?
Ectopic pregnancy, also known as ectopic pregnancy, is a common gynecological emergency in women of childbearing age.
It occurs most often in the fallopian tubes and occasionally in the ovaries, cervix, abdominal cavity, etc. Embryos outside the uterus cannot survive for a long time, and may break through the attached site to a certain extent, causing serious internal organ bleeding and endangering the life of pregnant women.
Menopause, abdominal pain, and vaginal bleeding are three common features of ectopic pregnancy.
But in fact, the clinical manifestations of ectopic pregnancy are ever-changing. Many patients mistake abnormal vaginal bleeding for menstruation, and some people are insensitive to pain, may not even have too obvious symptoms of abdominal pain, and some are detected after shock with heavy bleeding.
After having an ectopic pregnancy, do you still have a chance to have children?
According to case statistics, the chance of re-ectopic pregnancy is about 15% [1], and 85% are still normal intrauterine pregnancies. If there are multiple ectopic pregnancies, you can choose to have your fallopian tubes removed on the affected side or consider IVF.
Who is more likely to have ectopic pregnancy?
History of multiple miscarriages;
Suffering from diseases of the fallopian tubes;
Re-passage after tubal ligation;
On the neuter ring;
Suffering from endometriosis;
History of ectopic pregnancy;
Have a penchant for smoking and drinking;
There is a history of pelvic inflammatory disease.
Image source: Stand Cool Helo
How to prevent ectopic pregnancy?
1. Actively prevent and treat pelvic inflammatory diseases and reduce the incidence of chronic salpingitis;
2. Patients with a history of tubal surgery, it is best to try pregnancy under the guidance of a doctor, ovulation should be monitored before pregnancy, and the ovaries of non-diseased fallopian tubes can be tried to conceive, which can reduce the chance of re-ectopic pregnancy;
3. Women who take IUD contraception should be checked regularly as required to find pelvic inflammation and treated in time.
Review expert: Yuan Bo | deputy chief physician of the Department of Obstetrics and Gynecology of the Second Affiliated Hospital of Zhengzhou University
bibliography:
[1] Stremick JK, Couperus K, Ashworth SW. Ruptured tubal ectopic pregnancy at fifteen weeks gestational age. Clin Pract Cases Emerg Med. 2019;3(1):62-64. doi:10.5811/cpcem.2019.1.40860
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