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Kadın Hastalıkları ve Doğum Uzmanı - Op. Dr. Nazlı Oral Korkmaz

Ectopic Pregnancy Treatment

Ectopic Pregnancy Treatment

An ectopic pregnancy is a problematic pregnancy. Normally fertilization takes place in the fallopian tubes. In other words, sperm from the vagina passes through the uterus and reaches the tubes. The egg from the ovary to the tube meets the sperm in the fallopian tubes and fertilization takes place. Ectopic pregnancy treatment must be performed as soon as possible.

 

What Is Ectopic Pregnancy?

Such a pregnancy, defined as abnormal, must necessarily be treated with timely and correct treatment in terms of affecting the future fertility of the expectant mother and causing her to lose her life when the diagnosis is not made at an early stage. In case of suspected ectopic pregnancy, pregnancy hormone (beta-HCG) values in the blood are looked at together with the abdominal examination. In addition, the pregnancy sac is evaluated by ultrasound to see where it is located in the uterus. Most of the time, the results of examinations and tests can immediately diagnose ectopic pregnancy.

Ectopic pregnancy treatment should be performed by methods such as observation, surgery, and medication from the moment of detection of pregnancy. Laparoscopic surgery, which is one of the most up-to-date and modern surgical methods in the application of a treatment, is the first preferred treatment method with the suitability of conditions in young and women who want to become pregnant again.

 

How Is Ectopic Pregnancy Treated?

Ectopic pregnancy treatment is performed in two ways.

Medical treatment: methotrexate is used in drug treatment. Methotrexate is applied by taking into account various values such as the level of the pregnancy hormone, the size of the gestational sac, the presence of the heartbeat of the embryo in the gestational sac, whether the fallopian tube where the gestational sac settles is torn. The drug prevents the growth of pregnancy tissue, ensuring its absorption and termination of pregnancy.

 

Drug therapy can be used to treat ectopic pregnancy, which is detected early and does not start bleeding. A dose of methotrexate is given in the form of an injection. Before taking methotrexate, blood tests should be performed to measure the level of HCG and the functions of certain organs. An October dose of methotrexate may be given if HCG levels do not decrease sufficiently after the first dose is given. Methotrexate is not given to people who are breastfeeding or have liver problems.

Surgical treatment: surgery during ectopic pregnancy is usually performed with laparoscopic. Another option is to remove ectopic pregnancy tissue by open surgery.

 

Symptoms Requiring Ectopic Pregnancy Treatment

This condition, which is commonly seen in women between the ages of 20 and 30 and 2% of pregnancies today, may not show any symptoms at the initial stage. Even if it shows, it can be confused with some diseases and normal pregnancy. In later parts, it causes groin/abdominal pain or cramps in the relevant areas, tears in the fallopian tube with continued growth, and eventually bleeding, respectively. Although it shows the same symptoms as the symptoms in a Normal pregnancy, some of the symptoms are seen in an ectopic pregnancy.

Ectopic pregnancy symptoms are not unique symptoms. There are serious symptoms that vary depending on the degree of ectopic pregnancy, such as vaginal bleeding, unilateral pain in the lower abdomen, delayed menstruation, pain in the head of the shoulder, a pregnancy test is often positive, fainting, nausea, and feeling of fainting.

Menstrual bleeding, which is not in normal amount during regular menstruation, is one of the first symptoms that attracts attention. Women who have previously had a normal pregnancy process may notice the symptoms of ectopic pregnancy much more easily. Growth of pregnancy in the tube leads to pain in the groin and lower abdomen due to rupture of the tube or the flow of blood from the end of the tube into the abdominal cavity.  Pain is felt prominently in the right or left lower groin. The pain can be sharp or staggered. Depending on the rate of bleeding in the abdomen, there may be dizziness and fainting. The pain can spread all over the abdomen and shoulder.

 

What Are the Causes of Ectopic Pregnancy?

An ectopic pregnancy occurs when a fertilized egg sticks to a fallopian tube or another place, rather than continuing its progress to the uterus, which needs to be implanted. The egg can become trapped when a fallopian tube is damaged, deformed, or degraded. For such reasons, ectopic pregnancy treatment is preferred.

 

Who's at Risk?

If you have an ectopic pregnancy, you may have a high risk of developing an ectopic pregnancy:

  • Pregnancy
  • Being obese or very overweight
  • Individuals who have recently had hip or back surgery
  • People with diabetes are seven times more likely to have an ectopic pregnancy, which can be caused by nerve damage associated with diabetes.
  • Women aged between 30 and 60.
  • People who wear heavy belts for work

 

How Is It Diagnosed?

To diagnose an ectopic pregnancy, a doctor will ask you questions about your symptoms and perform a manual examination. Other conditions you may have, the medications you take, and if you recently had an operation, you may be asked questions about your health history. Your doctor may also ask questions about your lifestyle, such as whether you wear a heavy belt for your job, a tight corset, or socks. If a doctor cannot confirm a diagnosis based on your symptoms and health history, he or she may also recommend the following tests:

  • Imaging tests such as X-rays or MRI to create hip images
  • Nerve conduction velocity tests that use electrical impulses to locate damaged nerves
  • EMG tests to help measure electrical discharges of November muscles surrounding the hip.

Kadın Hastalıkları ve Doğum Uzmanı - Op. Dr. Nazlı Oral Korkmaz

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