Ectopic Pregnancy - Things to Know

Posted by Prapti Chauhan on May 21st, 2021

The word ‘ectopic’ means ‘in an abnormal place or position’. When the embryo develops in any place other than the uterus it is called an ectopic pregnancy, or EP. On average, one out of 50 pregnancies or 2% of pregnancies is ectopic. Unfortunately, ectopic pregnancies are terminated or else it can become fatal for the mother. There is only a handful of reported cases where the mother has been able to carry an ectopic pregnancy full term and deliver. Those cases are considered medical miracles.

Signs of ectopic pregnancy

The initial signs of ectopic pregnancy are similar to that of a normal pregnancy. The usual pregnancy symptoms such as missed periods, nausea, fatigue and tenderness of the breasts are there. It is hard to diagnose ectopic pregnancy in the early stages. Between the fourth and tenth week, symptoms indicating an ectopic pregnancy may start to appear. Certain symptoms should not be ignored as they can indicate ectopic pregnancy:

  • A sudden wave of pain in one side of the abdomen.

  • Vaginal bleeding that is often confused as periods but the blood is lighter in color.

  • Vaginal spotting is a common occurrence among many pregnant women but if you feel fatigue and dizziness along with spotting then it is a cause of concern.

  • Changes in the normal bowel and urination pattern can also indicate an ectopic pregnancy. Diarrhea or discomfort in the rectal area is also an indication. Many feel pressure in the rectal area.

  • One unique symptom is shoulder pain. Although research has not been able to establish the relationship between shoulder pain and ectopic pregnancy, it has been observed that women often feel pain on the tip of the shoulder.

  • Fatigue, weakness and dizziness are also common symptoms.

  • Pain in the pelvic region or lower back.

  • Fainting.

  • Irregular blood pressure.

Diagnosis of Ectopic Pregnancy

An ultrasound is the best way to confirm an ectopic pregnancy. Your radiologist may use a transducer, a wand-like object, to perform a trans-abdominal or transvaginal ultrasound. A transvaginal ultrasound is an internal procedure where the transducer is inserted inside the vagina to see the placement of the embryo. An ultrasound should be performed only after the fifth week from the last periods. If required, your radiologist may repeat the ultrasound after a couple of weeks.

Treatment of Ectopic Pregnancy

Ectopic pregnancy can rupture the fallopian tube and cause fatal bleeding. Unfortunately, the only treatment for ectopic pregnancy is termination. The pregnancy can be terminated with medicines or surgically. Your doctor may give you a medicine called methotrexate to stop the growth of the embryo. Within fifteen days, the embryo cells will be reabsorbed by the body. If the embryo has grown too big for medicines to work then surgery is the only solution.

Who are at Risk?

  • Women above 35 years

  • Smokers

  • Multiple sexual partners

  • Sexually transmitted diseases such as gonorrhea

  • Underwent fertility treatment such as in-vitro fertilization (IVF)

  • Pelvic inflammatory disease

  • Underwent tubal ligation

  • Uses contraceptives such as intrauterine device (IUD)

  • Had previously undergone pelvic surgery

  • Suffers from endometriosis

  • Had a previous ectopic pregnancy

Ectopic pregnancy cannot be prevented but you can at least be careful and get diagnosed early to avoid severe rupture and bleeding. However, the one silver lining is that researchers are now using ectopic pregnancies as a valuable source for stem cell research.

Author Bio: Prapti Chauhan is a professor of Genetics in Bangalore. She has contributed to several online research papers. However, she passionately develops content on pregnancy, childbirth, childcare, public cord blood banking, umbilical cord lining, and more. 

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Prapti Chauhan

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Prapti Chauhan
Joined: May 21st, 2021
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