How to know that your pregnancy is outside the womb

Ectopic pregnancy is the pregnancy that grows outside the womb , usually in the fallopian tubes, so it is called a tubular pregnancy. And if this disorder is not treated early, it can threaten the life of the woman because it may cause the tube to burst if the fetus’s growth is very large .

This pregnancy requires treatment with medication or surgical intervention depending on the severity of the condition because a medical abortion does not treat an ectopic pregnancy, but you can make sure that your pregnancy is outside the womb through an ultrasound scan (sonar)

In the event that you feel sudden severe pain in the abdomen or back, or if you experience fainting , or if you feel pain in the shoulder area, you may be a candidate for this disease and you must go to the hospital immediately.

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Symptoms of ectopic pregnancy

  • Abdominal pain on one side , which can be persistent and acute and is a symptom of early ectopic pregnancy.
  • Bowel pain.
  • Pain may occur when urinating or discharging.
  • An ectopic pregnancy can cause symptoms similar to digestive system diseases such as diarrhea and vomiting.
  • Dizziness or fainting.
  • Pressure in the anal area.
  • Mild or severe vaginal bleeding that  is different from normal menstrual bleeding, often begins and stops, and can be red or dark in color. Some women mistake it for an irregular cycle and don’t realize that she is pregnant.
  • Signs of ectopic pregnancy are less common.  Shoulder pain. It is not known exactly why the pain occurs, but it usually occurs when lying down, which is a sign that an ectopic pregnancy may cause internal bleeding. Bleeding is believed to lead to irritation of the diaphragmatic nerve, which is found in the diaphragm (the muscles used during breathing that separate the chest cavity from the abdomen). Diaphragmatic irritation causes shoulder pain.

Women exhibit early symptoms of pregnancy, even though pregnancy is ectopic, due to hormonal changes such as: nausea, absence of menstruation, the need to urinate frequently, feeling tired and sometimes a pregnancy analysis gives a positive result even if the pregnancy is outside the uterus.

When symptoms of pregnancy outside the womb begin to appear

Some women who have an ectopic pregnancy do not have any symptoms, if symptoms usually appear between the 5 and 14 weeks of pregnancy.

How pregnancy occurs outside the womb

An ectopic pregnancy occurs when a fertilized egg is implanted and grown in places other than the uterus , usually in the fallopian tube (the fallopian tube is a small pathway through which a fertilized egg passes from its ovary to the uterus).

If the pregnancy continues, the fetus grows and becomes very large relative to the size of the fallopian tube, causing the fallopian tube to burst.

Causes of ectopic pregnancy

  • Previous Fallopian tube surgery .
  • Contraceptive surgeries ( IVF ) – In about 1 out of 200 cases the operation failed, resulting in ectopic pregnancy.
  • Previous surgery to remove an ectopic pregnancy.
  • Fertility treatments , ovulation- stimulating drugs can increase your risk of ectopic pregnancy by almost four times.
  • Type of fertility treatment known as in vitro fertilization ( the IVF ) is not always successful and can lead accidentally in the occurrence of ectopic pregnancy. This occurs in about 1 in 22 cases of IVF.
  • Contraceptive methods such as IUDs are a very effective method of contraception – the success rate is estimated to be around 99 out of 100 cases, but if pregnancy occurs when using these types of contraceptives, the pregnancy is more likely to be outside the womb.
  • There is also a risk if you take the emergency contraceptive pill if it fails to work, leading to a later ectopic pregnancy.
  • Structural problems; ectopic pregnancy is more likely in women who have an abnormal fallopian tube.
  • The possibility of ectopic pregnancy for smokers twice more than non – smokers.
  • Pregnant women over the age of 35.

When to seek urgent medical advice for ectopic pregnancies

  • Unusual vaginal bleeding.
  • Sudden sharp pain in the abdomen.
  • The most serious symptom of ectopic pregnancy is  loss of consciousness that occurs when an ectopic pregnancy causes rupture of the fallopian tube and serious internal bleeding.
  • nausea.
  • Accelerated  heartbeat .

Treatment of ectopic pregnancy

Ectopic pregnancy cannot last for long, and should be eliminated to save a woman’s life.

  • If untreated, there is a risk of severe internal bleeding due to a rupture of the fallopian tube, so urgent surgery must be done to prevent losing large amounts of blood.
  • The fallopian tube can be successfully repaired or removed .
  • Medical abortion with mifepristone-misoprostol does not cause ectopic pregnancy, but is not used to treat ectopic pregnancy. There is no evidence to suggest that a medical abortion leads to unusual complications for women with an ectopic pregnancy.

Prevention of ectopic pregnancy

You cannot prevent an ectopic pregnancy, but the risk of its occurrence can be reduced by:

  • Prevention of pelvic inflammatory disease (PID) . Because it is believed to be the main cause of ectopic pregnancy and this disease occurs due to a sexually transmitted infection such as chlamydia or gonorrhea , which begins in the vagina and spreads to the genitals present at a higher level.
  • Preventing sexually transmitted infections (STD) infections using methods such as condoms.
  • Perform regular periodic checks.
  • Quit smoking.

Complications of ectopic pregnancy

To avoid complications, it is important that the diagnosis be made as soon as possible.

Women at risk include:

  • That has a previous history of ectopic pregnancy.
  • She has a personal or family history of pelvic inflammatory disease.

The psychological impact of ectopic pregnancy

  • The doctor’s procedures in the case of an ectopic pregnancy can have a profound emotional impact not only on the woman herself, but also on her partner, friends, and family.
  •  Psychiatric symptoms are usually worse within four to six weeks after losing a pregnancy, but can sometimes take up to 12 months.