Before we speak about tubal pregnancy, let’s clarify what is normal pregnancy. During normal pregnancy, the fertilized egg from the ovary travels through Fallopian tube to the uterus. In the uterus, the embryo implants (attaches) to the uterine lining (uterine wall) and starts to grow. As it was mentioned, travel through Fallopian tube to the uterus is very important part of normal pregnancy. Sometimes fertilized egg (embryo) meet obstacles inside of Fallopian tube (inflammation, narrowing of the tube, scars, damages) and cannot reach the uterus. Actually, the fertilized egg experience trouble passing through damaged Fallopian tube to the uterus. In these cases, the implantation happens in Fallopian tube and embryo starts growing. This type of pregnancy called “tubal pregnancy” (ectopic pregnancy). There is no way to save tubal pregnancy – pregnancy development is not possible in Fallopian tube and at certain moment growing embryo damages or bursts the tube and causes heavy internal (abdominal) bleeding that could be deadly. It is pretty dangerous situation which requires urgent hospitalization.
Tubal pregnancy is the leading cause of pregnancy-related deaths in the first trimester of pregnancy in many countries.
Tubal pregnancy causes
Abdominal pain during ectopic pregnancy
In general, any damage of Fallopian tubes can cause tubal pregnancy including the following:
If you have pelvic inflammatory diseases, treat it in-time and properly;
Remove the contraceptive IUD before you decide to have a baby;
Avoid surgical interventions on reproductive organs.
Ectopic pregnancy treatment
Ectopic pregnancy can be treated medically (with specific medications) or surgically.
Specific medication can be used only if the tubal pregnancy was found early (before the tube is damaged). In most cases, one or more shots of a medicine called methotrexate (Rheumatrex, Trexall) will end the pregnancy – this medication cause the tissue to stop growing and allow the body to expel it. Methotrexate is a chemotherapeutic drug that interferes with cell division and growth and has been successfully used in the treatment of leukemias, lymphomas and other cancers. Unfortunately, this medication has several side effects and medical monitoring would be needed.
Bigger ectopic pregnancy (beyond first few weeks) usually requires surgical interventions – through laparoscopy or by abdominal incision.
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Disclaimer: It is strongly recommended to consult your doctor for professional advice. Above mentioned information and recommendations are just general and should be adapted to each person according to personal health indicators and status.