Ectopic pregnancy is a condition that can generate many doubts and concerns. At the Malavé Institute of Assisted Reproduction, we are dedicated to providing accurate information and support to those who need it. In this article, we will explore in depth what an ectopic pregnancy is, its causes, symptoms, diagnosis and treatment options.
What is an Ectopic Pregnancy?
An ectopic pregnancy occurs when an embryo implants and continues its development outside the endometrial cavity. Although it is a rare condition, it is important to be aware of it and to know how to act if it occurs. Its incidence reaches 1-2% of pregnancies, and it is the most frequent cause of maternal death during the first trimester of pregnancy. 98% of EPs are located in the fallopian tube, most frequently in the ampullary portion (80%). Other rarer locations include the ovary, cervix, abdominal cavity and caesarean scar.
Symptoms of Ectopic Pregnancy
The symptoms of an ectopic pregnancy can vary and can sometimes be confused with those of a normal pregnancy or other health problems. Some of the most common symptoms include:
- Irregular vaginal bleeding
- Abdominal pain
- Amenorrhoea
*A large proportion of patients are asymptomatic at diagnosis.
It is important to remember that these symptoms may not be obvious at first. However, as the embryo grows in the wrong place, the signs and symptoms become more noticeable.
If you experience any of these symptoms, especially if you have a positive pregnancy test result, it is important to seek gynaecological assessment as soon as possible.
Causes of Ectopic Pregnancy
Although the exact cause of ectopic pregnancy is unknown, there are several factors that may contribute to its occurrence
- Damaged fallopian tubes: Damaged fallopian tubes from a previous injury or surgery can prevent the egg from reaching the uterus, which can result in an ectopic pregnancy.
- Malformed wombs: This can make it difficult for the fertilised egg to travel to the uterus.
- Sexually transmitted infections: Infections such as gonorrhoea or chlamydia can cause inflammation and scarring in the fallopian tubes, which can increase the risk of ectopic pregnancy.
- Endometriosis: Endometriosis increases the likelihood of EE because it sometimes affects the tubes directly (implants) or indirectly (adhesions).
Diagnosis of Ectopic Pregnancy
The diagnosis of ectopic pregnancy is based on clinical, ultrasound and analytical data. By gynaecological examination, abdomino-transvaginal ultrasound and serial analytical control of BHCG.
Treatment at the Malavé Institute
The treatment of ectopic pregnancy depends on how early it has been detected. At the Malavé Institute of Assisted Reproduction, we offer the following treatment options:
Medicamentos
Los embarazos ectópicos que se diagnostican de forma temprana y cumplen una serie de criterios ecográficos, analíticos y de estabilidad hemodinamica, pueden ser tratados de forma conservadora con un fármaco llamado Metotrexato. Este detiene el crecimiento celular y disuelve las células existentes. Se administra con una inyección. Es muy importante que sea posible tener un seguimiento adecuado de la paciente con controles analíticos y ecográficos en días exactos.
Surgical Procedures
Salpingostomy and salpingectomy are two surgical procedures usually performed by salpingostomy or salpingectomy. laparoscopic In some critical situations, open surgery may be necessary.
It is important to remember that each case is unique and treatment is personalised according to the patient's individual needs. At the Malavé Institute of Assisted Reproduction, our team of highly trained professionals is ready to provide you with the support and care you need during this time.
If you have any further questions or need more information, please do not hesitate to contact us. We are here to help you.
