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30 March 2025

Ectopic Pregnancy: Symptoms to Watch For, Know Before... Minimize the Risks


30 March 2025
Updates

Ectopic Pregnancy is a condition that many women may not expect to experience, as the early symptoms are similar to a normal pregnancy, making it hard for mothers to notice. Today, we will explain what ectopic pregnancy is, what symptoms indicate you may be facing this condition, and how to prevent or reduce the risk of it happening.

Who is at risk of an ectopic pregnancy?

What causes an ectopic pregnancy?
An ectopic pregnancy can occur in mothers who are older, have a history of previous ectopic pregnancies, or have abnormalities in the fallopian tubes. It can also happen in patients with a history of pelvic infections.

How is an ectopic pregnancy treated?
Treatment options include chemotherapy to stop the growth of cells or surgery to repair or remove the fallopian tube.

How can an ectopic pregnancy be prevented?
While an ectopic pregnancy cannot be fully controlled, there are ways to reduce the risk. These include practicing safe sex, maintaining good health, avoiding smoking, and closely monitoring your health during pregnancy. If you experience heavy bleeding, it is important to consult a doctor immediately.

What is an ectopic pregnancy?

Ectopic pregnancy is a condition where the fertilized egg does not implant in the uterine cavity but instead implants in another area, usually in the fallopian tube or near the ovary. This causes the embryo to be unable to grow properly. If left untreated, it can lead to damage to the fallopian tube and may even be life-threatening.

What causes an ectopic pregnancy?

An ectopic pregnancy can be caused by several factors, including:

  • Abnormalities in the fallopian tubes, preventing the fertilized egg from traveling and implanting in the uterus.

  • Pelvic inflammatory disease caused by sexually transmitted infections.

  • Scarring and adhesions from previous surgeries.

  • A history of previous ectopic pregnancies.

  • Tubal ligation or female sterilization procedures.

  • Use of medications and hormonal treatments.

  • Hormonal imbalances during pregnancy.

  • Pregnancy at the age of 35 or older.

  • Use of intrauterine devices (IUDs) for birth control.

Diagnosis of ectopic pregnancy

  • Medical History
    The doctor will ask about your basic medical history, such as when your last menstrual period was, whether you have any underlying medical conditions, if you are currently taking any medications, and if anyone in your family has a history of ectopic pregnancy.

  • Pelvic Examination
    The doctor will perform a pelvic exam using a speculum to check for abnormalities or examine areas where you are experiencing pain, as well as nearby areas that may show signs of abnormalities, such as the fallopian tubes or ovaries.

  • Blood Test for hCG Hormone and Ultrasound
    The doctor will take a blood sample to check for pregnancy. If the hormone levels indicate pregnancy, an ultrasound will be performed to check for the embryo in the uterus. If no embryo or signs of an embryo are found, the doctor may diagnose it as an ectopic pregnancy.

Treatment of ectopic pregnancy

  • Medication Treatment
    Medication treatment involves using chemotherapy drugs, such as Methotrexate, which inhibits cell growth. If the medication does not show a response, the doctor may consider surgery as the next step.

  • Surgical Treatment
    In surgery, the doctor will make an incision in the fallopian tube, remove the embryo, and repair the tube. This method preserves the fallopian tube but carries a risk of recurrent ectopic pregnancies. Alternatively, the fallopian tube may be removed. Surgical procedures can be divided into two types: open abdominal surgery and laparoscopic surgery. Laparoscopic surgery involves smaller incisions and allows for faster recovery compared to open surgery.

  • Treatment of Other Complications
    Treatment of complications includes managing shock due to severe blood loss, which may require blood transfusions. For infections, anti-inflammatory drugs and antibiotics may be administered to control the infection.

Prevention of ectopic pregnancy

Ectopic pregnancy is a condition that cannot be completely controlled, but the risk factors that may cause damage to the abdominal organs and reproductive system, leading to an ectopic pregnancy, can be reduced through the following:

  • Practice safe sex: Use condoms during every sexual encounter and avoid frequently changing sexual partners to prevent sexually transmitted infections (STIs) and pelvic inflammatory diseases.

  • Maintain good health: Avoid smoking, as smokers or those with a history of smoking have a higher risk of ectopic pregnancy compared to non-smokers.

  • Monitor pregnancy symptoms: Pregnant women should be aware of symptoms such as severe abdominal pain or abnormal vaginal bleeding. If these occur, they should consult a doctor immediately.

Frequently Asked Questions

Can you detect an ectopic pregnancy with a pregnancy test?
Yes, a pregnancy test will show two lines, just like a normal pregnancy, because an ectopic pregnancy is still a type of pregnancy. However, the embryo does not implant in the uterus, but rather in another location, such as the fallopian tube.

Can you keep the baby in an ectopic pregnancy?
No, it is not possible to keep the baby in an ectopic pregnancy. If a doctor confirms it is an ectopic pregnancy, they will proceed with treatment or surgery as quickly as possible to prevent harm to the mother.

Do you experience pregnancy symptoms with an ectopic pregnancy?
In the early stages of an ectopic pregnancy, you may experience pregnancy symptoms, such as nausea, just like a normal pregnancy. However, if left untreated, the symptoms may worsen.

How common is ectopic pregnancy?
Ectopic pregnancy is not very common, but it is more likely to occur in individuals with blocked fallopian tubes or a history of infections. Families planning to have children should consider getting both external and internal health checkups. Early detection of any abnormalities can allow for timely treatment.

Conclusion

An ectopic pregnancy occurs when the embryo does not implant in the uterus but instead attaches to the fallopian tube, preventing the embryo from developing. The initial symptoms are similar to a normal pregnancy, such as a missed period, vomiting, headaches, and breast tenderness. However, if left untreated, the symptoms may worsen, including heavy vaginal bleeding, pelvic pain, dizziness, fainting, and shock.

If any pregnant woman experiences these symptoms, she should promptly consult a doctor for a thorough diagnosis. If an ectopic pregnancy is confirmed, the doctor will provide timely treatment. For any further questions, you can contact us via Line: @beyondivf.

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If you are concerned at any stage – we recommend booking a doctor appointment or a free nurse consultation. The sooner you make a plan the better your chances in the long term.

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Body Mass Index calculator

Being overweight or underweight can reduce fertility, so it is important to keep your body weight within the normal healthy range.

Body Mass Index (BMI) is an indication of your body weight and can be calculated by dividing weight by height. You should aim for a BMI of between 20 and 25, as this will optimise your chances of conception.

Woman’s BMI below 19

Even in these modern times, nature knows best. If a woman's BMI falls below 19, the body senses famine and ovulation is switched off to prevent the risk of having a baby with malnutrition. Excessive exercise can reduce body fat and increase muscle mass to a point where periods cease for the same reason. Risk of miscarriage is also increased in women with a low BMI.

Being underweight

If a woman's BMI falls below 19, the body senses famine and ovulation is switched off to prevent the risk of having a baby with malnutrition. Excessive exercise can reduce body fat and increase muscle mass to a point where periods cease for the same reason. Risk of miscarriage is also increased in women with a low BMI.

BMI’s greater than 30

This can reduce fertility by 50%. Pregnancy for women with a 30+ BMI is often associated with problems such as maternal diabetes, high blood pressure, big babies and increased risk of caesarean section.

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