It's not just about saving your fertility it's about saving your life.
Watch this video closely I'll have important recommendations at the end.
Tubal pregnancy can be a really dangerous problem. Bleeding from a tubal pregnancy
causes almost 10% of pregnancy related deaths.
It is the number one cause of death in the first trimester of pregnancy.
Diagnosing and treating a tubal pregnancy, before it starts bleeding,
can literally save your life
Tubal pregnancy is not as common as early miscarriage.
About 1 in every 50 pregnancies in the U.S. is a tubal pregnancy. However certain women may have
a much higher risk for tubal pregnancy. Smokers have four times as many tubal
pregnancies as non-smokers so their risk is about one in 12.
If you had a tubal pregnancy before, your risk for having another tubal pregnancy is about one in five.
If you became pregnant after you had your tubes tied, your risk for tubal
pregnancy is one in three. Other factors that increase the risk for a tubal
pregnancy include: being over age 35, having a history of infertility,
surgery on a fallopian tube, scar tissue in the abdomen from infection or surgery or endometriosis,
previously having a sexually transmitted infection,
having multiple sexual partners, getting pregnant when using an IUD or intrauterine device.
Not all women who have a tubal pregnancy will have symptoms.
Those who do have symptoms commonly report vaginal bleeding and pain.
The pain could just be cramps or be more severe.
Pain could be in the abdomen or pelvic region or even back pain.
Unfortunately, these are the exact same
symptoms of early miscarriage. Without ultrasound, it is impossible to
tell the difference between a tubal pregnancy and an early miscarriage.
So getting an ultrasound is really, really important! I can't stress this enough!
If you are pregnant and having pain and/or bleeding,
contact your doctor to be evaluated right away!!
Once the tubal pregnancy has been diagnosed, there were a few different
ways it can be treated.
If the tubal pregnancy is already
bleeding or causing lots of pain, then surgery is going to be needed.
If it's a very early tubal pregnancy that is not yet causing any problems then a
medication called methotrexate can be a very successful treatment.
One thing to be aware of regarding methotrexate: it can stay in your body
for a long time, so you won't be able to attempt pregnancy again for several months.
So if you are anxious to get pregnant again quickly, even if you are
not having any problems, you might want to consider surgery.
There's no way to prevent an ectopic pregnancy
but there are some ways to decrease your risk.
Limit your number of sexual partners. Always use a condom during sex to
prevent sexually transmitted infections. Don't smoke. If you do, quit before you
try to get pregnant.
If you have had a previous tubal pregnancy or multiple tubal pregnancies,
you might want to consider treatment with IVF.
It won't eliminate the chance of a tubal pregnancy, but it will significantly
lower the risk. Women have ectopic pregnancies
particularly if they have been attempting to conceive for a long period
of time, often ask whether the pregnancy can be removed from the tube and then
transplanted into the uterus where it might grow normally. Unfortunately this
is not possible with present medical science
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