Treatment of ectopic pregnancy mainly consists of 3 ways: surgery, medication and follow-up, in case the pregnancy can naturally miscarriage.
Usually, after the egg and sperm meet, the fertilized egg will continue its journey into the uterus, but in the case of an ectopic pregnancy, the egg stays in the fallopian tube.
The uterus is capable of contracting and developing with pregnancy. Whereas he was not able to develop and expand in the same way. As a result, an ectopic pregnancy continues to grow and become larger, causing the fallopian tubes to stretch, leading to a tear or rupture of the fallopian tube. If this happens, the woman could have serious bleeding and need emergency surgery.
However, in some people, sometimes an ectopic pregnancy will contract and miscarriage spontaneously.
One out of every 100 pregnant women will experience an ectopic pregnancy. It is often difficult for doctors to know the exact reasons for this condition, but those at high risk for ectopic pregnancy are often:
Women after infertility, such as in vitro fertilization (IVF) treatment
People with a history of pelvic infections
Women with fallopian tube problems
In women who have had surgery such as cesarean section, ovarian cyst or appendectomy, ...
Pregnant women while using the IUD, ...
An ectopic pregnancy is a serious complication that needs to be treated as soon as possible. Because if this condition persists, it can lead to serious bleeding and sometimes even death.
Your doctor will consider the direction of treatment based on the severity of your condition, the three most common of which are:
Surgery
Use medication
Surgery is recommended if doctors find that the patient has been bleeding or is likely to be bleeding. Making surgical decisions should be based on the symptoms of the ectopic pregnancy, examination results and test results.
In some women, they may show signs of vaginal bleeding, but that does not mean they are definitely pregnant outside the uterus. Bleeding and pain are also caused by many other causes, such as an ovarian cyst or appendicitis. At this point, surgery is still essential.
The method of laparoscopic surgery for pregnant women outside the uterus is conducted as follows:
Endoscopy is performed while the patient is under general anesthesia
The doctor opened a small cut in the abdomen
Put on glasses to see your internal organs
If an ectopic pregnancy is found, it will be removed. Often it is necessary to remove part or all of the fallopian tubes to control bleeding.
If there are other problems for the pregnant woman, the surgeon may have to enlarge the operating area
If your doctor thinks that your risk of bleeding is very low, you will be treated with medicines to stop your pregnancy from developing. Injections take time for the medicine to work, and it may not always be successful. Some women need multiple treatments or even surgery to completely end an ectopic pregnancy.
Medication treatment should be used only if the ectopic pregnancy is very small and there is no indication that you have internal bleeding.
The drug is not safe for women who are breastfeeding
Do not get pregnant again for three to four months after using the medicine
The drug is not safe for women with a history of underlying medical conditions
You will have blood tests to check your liver and kidneys before starting treatment
After the drug treatment, you will need to have more blood tests and more tests
In some cases, if your doctor finds that your ectopic pregnancy had spontaneously miscarried, you will be followed up. Most spontaneous miscarriages will not cause pain. Your doctor will perform an ultrasound and check if the levels of pregnancy hormones have decreased. You will then have blood tests done until the doctor is sure that the patient's ectopic pregnancy is completely ceased and poses no further risks.
You need to monitor your body signs and seek immediate medical attention if the following conditions occur during treatment:
Severe abdominal pain
Shoulder pain
Bleeding
Dizziness, dizziness, fainting
If you have had an ectopic pregnancy, your risk of complications in future pregnancies is increased. You will still face problems with an ectopic pregnancy in the future as the uterus has been operated on, damaged, and the scars of the fallopian tube affect your reproductive organs.
Therefore, for those who want to continue giving birth, you need to be tested and consulted thoroughly before embarking on the next pregnancy plan.
Doctors often advise her to wait at least 2 months after surgery and 3-4 months after taking the medicine before becoming pregnant again. Therefore, do not forget to use birth control during this time. Women should also take a folate supplement one month before becoming pregnant and during the first trimester of pregnancy.
See more:
Can an ectopic pregnancy be pushed in and can it be held?
Do you know if you have an ectopic pregnancy test? Signs identifying ectopic pregnancy
Ectopic pregnancy: A mother's anxiety in the first pregnancy
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