DEFINITION

A pregnancy that develops outside the uterus. The most common site is in one of the fallopian tubes (see pic). Other rare sites include the ovary or outside the reproductive organs in the abdominal cavity.

SIGNS & SYMPTOMS

Early stages

• Missed menstrual period or a heavy, painful period.
• Unexplained vaginal spotting or bleeding.
• Lower abdominal pain and cramps.

Late stages

• Sudden, sharp, severe abdominal pain caused by rupture of the fallopian tube.
• Dizziness, fainting and shock (paleness, rapid heartbeat, drop in blood pressure and cold sweats). These may precede or accompany pain (sometimes).

WHY IS IT RISKY?

An egg after fertilization becomes implanted outside the uterus - usually in the Fallopian tube. As the fertilized egg enlarges, the fallopian tube stretches and ruptures, causing life-threatening internal bleeding.

PTS MORE AT RISK

• Previous pelvic infections.
• Previous Ectopic pregnancy.
• Adhesions (bands of scar tissue) from previous abdominal surgery.

HOW TO PREVENT

Not very certain but

• Obtain prompt treatment for any pelvic infection.

DIAGNOSTIC MEASURES

• Your own observation of symptoms.
• History, examination and a high degree of suspicion by a doctor.
• Laboratory studies, such as a pregnancy test and Serum Beta-hCG.
• Ultrasound to outline the fetus.
• Surgical diagnostic procedures, such as laparoscopy and culdocentesis.

After surgery
With laparoscopic surgery patient is on the almost immediately and can be active within 5-7 days.

MEDICATION

Nowadays, Methotrexate is used in certain cases of

ACTIVITY

Resume your normal activities, including sexual relations, as soon as possible. Frequent, satisfying sexual activity helps you overcome the loss and promotes healing.
Attempt sexual intercourse soon, but provide adequate lubrication. Spend extra time touching, conversing intimately and caressing. During early encounters, the woman must decide how much penile penetration and vigorous thrusting is comfortable. At first, it may be best if the man only inserts his penis partially into the vagina.

CALL YOUR DOCTOR IMMEDIATELY, IF

• You have symptoms of ectopic pregnancy, especially a rupture. Call immediately. This is an emergency!
• The following occurs after surgery:
• Excessive vaginal bleeding (soaking a pad every hour).
• Signs of infection, such as fever, shivering, headache, dizziness or severe bodyaches.
• Increased frequency of urine lasting more than 1 month. This may be a sign of bladder irritation or infection resulting from surgery.

FAQ's