On what term is defined by an ectopic pregnancy

Ectopic pregnancy is in most cases difficult to diagnose. Just answer the question, what term is defined by an ectopic pregnancy may not even health professionals - simply because every woman is a complication occurs individually, and symptoms can appear at different stages.

Early deadlines

In general, an ectopic pregnancy is determined in the early stages - the first symptoms usually appear for a period of five to fourteen weeks. Nevertheless, in some cases of ectopic pregnancy may not be accompanied by distinct symptoms and diagnosed at the time of rupture of the fallopian tube, caused by the development of the ovum in the cavity of the pipe and not in the uterus. Rupture of the fallopian tube is accompanied by a strong internal bleeding and severe pain is considered to be hazardous to health, and in some cases, a woman's life and requires immediate hospitalization.

Usually priznkai ectopic pregnancy and symptoms appear within six to eight weeks after the last normal menstrual period. However, when the fertilized egg attaches to the fallopian tube is not (for example, ovarian or abdominal ectopic pregnancy, and pregnancy in rudimentary horn of the uterus), ectopic pregnancy symptoms can appear later.

• Ectopic pregnancy is determined for a period of five to fourteen weeks of pregnancy
• Ectopic pregnancy can be asymptomatic and discovered incidentally during an ordinary ultrasound
• A pregnancy test is almost always positive

The symptoms in the early stages

Some of the typical symptoms, which indirectly determined by an ectopic pregnancy in the early stages, include:

• Amenorrhea (absence of menstruation). In some cases, an ectopic pregnancy is vaginal bleeding at the time of appearance coincides with the beginning of the next menstrual period, which complicates timely diagnosis of ectopic pregnancy.
• Pain in the abdomen or pelvic area, which can be mild or severe.
• Abnormal vaginal bleeding in some cases more abundant than normal menstruation.

Less common symptoms, when they appear, however, it is necessary to consider the possibility of ectopic pregnancy considered dizziness Dizziness - if the ground is slipping from under his feet   and fainting, nausea Nausea - there may be problems with the nervous system   or diarrhea Diarrhea (diarrhea) - a familiar nuisance Pain in the shoulder when making a horizontal position (the so-called referred pain caused by irritation of the diaphragm).

Pregnancy test

If an ectopic pregnancy results of a home pregnancy test is almost always positive, since the so-called hormones of pregnancy in all cases the location of the ovum produced by the body and enter the blood. A negative pregnancy test automatically means no pregnancy - although in rare cases, in fact, at one chance in a million, even with the negative results of the pregnancy test comes ectopic pregnancy.

The pregnancy test is performed at home, lets just define pregnancy, but did not find out whether the pregnancy proceeds normally, or any factors caused the attachment of a fertilized egg in the uterus is not, and in the cavity of the fallopian tube. For accurate diagnosis of ectopic pregnancy and determine the location of the ovum may have different methods of research and analysis - is usually determined by the ectopic pregnancy using transvaginal ultrasound.

Human chorionic gonadotropin

Pregnancy tests detect the presence of specific hormone - human chorionic gonadotropin. Chorionic gonadotropin is observed in the blood or urine of women after an average of two weeks after conception Conception, ovarian cycle, fertilization and genetics of a child That makes the result of a pregnancy test positive. The placenta usually begins to produce human chorionic gonadotropin in seven to fourteen days after fertilization. This hormone is produced in either case - and in normal pregnancy, when the egg attaches to the endometrium (the inner layer of the uterus), and ectopic pregnancy.

In some cases, when a pregnancy test is not performed too long, the level of gonadotropin becomes so low that define it by conventional pregnancy tests impossible - usually the peak levels of human chorionic gonadotropin in the blood reaches the tenth to twelfth week of pregnancy, and then gradually decreases . This can lead to a negative pregnancy test result, although the development of the ovum in the fallopian tube cavity continues.

Diagnostics

To diagnose an ectopic pregnancy sometimes is difficult - very often it is complicated by the lack of distinct symptoms or the appearance of symptoms similar to the passage of other health problems (including gastroenteritis, appendicitis, abortion).

Largely successful diagnosis of an ectopic pregnancy depends on the woman: the more you will be able to tell your doctor about changes in the body, symptoms of disturbing you, the more complete will be the clinical picture and the easier it will be to confirm the ectopic pregnancy. Generally, for the diagnosis of ectopic pregnancy after the detection of the first clear signs used transvaginal sound study, blood test for human chorionic gonadotropin, and, in some cases, laparoscopy.

The main methods of diagnosis of ectopic pregnancy

• Transvaginal ultrasound - a procedure that involves injecting a special device in the vagina, which allows to obtain images of the uterus and surrounding tissues and organs. Transvaginal ultrasound examination in most cases to determine the exact location of the pregnancy.
• Blood tests. If the distinct symptoms of ectopic pregnancy appeared during the first few weeks after conception, your doctor may recommend a blood test for serum specific hormone - human chorionic gonadotropin produced by placental tissue. Chorionic Gonadotropin is usually below normal, ectopic pregnancy, or if there is a risk of miscarriage Miscarriage - can you protect yourself from it? .
• Laparoscopy. If other diagnostic methods do not allow to confirm the ectopic pregnancy, laparoscopy is recommended Laparoscopy - why is it necessary?   - Procedures involving the direct examination of the uterus and fallopian tubes Fallopian tubes: an important part of the reproductive system   with a special device (a laparoscope). The laparoscope is inserted into the abdomen through a small incision in the area below the navel. Usually, laparoscopy is performed under general anesthesia.

Diagnosis of ectopic pregnancy - a complex, multi-stage procedure, which in most cases begins with an ordinary ultrasound. If at this stage of the pregnancy we can say for sure - the images obtained using ultrasound, there are fetal membranes in the uterus - is minimal chance of an ectopic pregnancy.

Repeated studies

If the uterus is observed yolk sac, but no fetus, it may require a second ultrasound examination is usually performed in a week. The same second ultrasound is required in those cases where in the uterus is no signs of pregnancy. In such cases, the initial diagnosis is put - the pregnancy of unknown location.

Ultrasonography is usually accompanied by blood tests for the determination of human chorionic gonadotropin. The first analysis determines the baseline hormone, a second analysis performed forty-eight hours, shows the dynamics of growth or decline of gonadotropin levels.

If repeated ultrasound examination showed the absence of the fetus in the uterus and the presence of free fluid in the abdominal cavity or the formation in one of the fallopian tubes, ectopic pregnancy is confirmed.

Treatment Options

If the status of women in the ectopic pregnancy is stable, pulse and blood pressure Blood pressure - dangerous if his swing?   normal, internal bleeding and acute pain is not observed, there may be several different treatment options - including medical termination of ectopic pregnancies. Unfortunately, quite often an ectopic pregnancy is diagnosed already at a late stage, when the development of the fetus outside the uterus led to the rupture of the fallopian tube, and internal bleeding - at this stage requires emergency surgery. In such cases, to determine the exact location of an ectopic pregnancy, laparoscopy is used, followed by partial or complete removal of the fallopian tube.