Sometimes they can treat an early ectopic pregnancy with an injection of methotrexate, which stops the growth of the embryo. If the pregnancy is farther along, doctors usually need to do surgery to remove the abnormal pregnancy. Whatever treatment she gets, a woman will see her doctor regularly afterward to make sure her pregnancy hormone levels return to zero. This may take several weeks. An elevated level could mean that some ectopic tissue was missed. If so, she might need more methotrexate or surgery.
Most women who have had an ectopic pregnancy can have normal pregnancies in the future. Any woman can have an ectopic pregnancy. But the risk is higher for women who are older than 35 and those who have had:. Some birth control methods also can affect a woman's risk of ectopic pregnancy. This content does not have an Arabic version. Overview Ectopic pregnancy Open pop-up dialog box Close. Ectopic pregnancy In a healthy pregnancy, the fertilized egg attaches itself to the lining of the uterus.
Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Cunningham FG, et al. Implantation and placental development. In: Williams Obstetrics. McGraw-Hill Education; Accessed Dec. Tulandi T. Ectopic pregnancy: Epidemiology, risk factors, and anatomic sites. Common causes of fallopian tube damage that may lead to an ectopic pregnancy include:. Although pregnancy is rare after a tubal ligation or with an intrauterine device IUD , those pregnancies that do develop may have an increased chance of being ectopic.
An early ectopic pregnancy often feels like a normal pregnancy. A woman with an ectopic pregnancy may experience common signs of early pregnancy, such as:. First signs of an ectopic pregnancy may include:. As an ectopic pregnancy progresses, though, other symptoms may develop, including:. Symptoms of miscarriage often are similar to symptoms experienced in early ectopic pregnancy. For more information, see the topic Miscarriage. Normally, at the beginning of a pregnancy, the fertilized egg travels from the fallopian tube to the uterus , where it implants and grows.
But in a small number of diagnosed pregnancies, the fertilized egg attaches to an area outside of the uterus, which results in an ectopic pregnancy also known as a tubal pregnancy or an extrauterine pregnancy. An ectopic pregnancy cannot support the life of a fetus for very long.
But an ectopic pregnancy can grow large enough to rupture the area it occupies, cause heavy bleeding, and endanger the mother. A woman with signs or symptoms of an ectopic pregnancy requires immediate medical care. An ectopic pregnancy can develop in different locations. In most ectopic pregnancies, the fertilized egg has implanted in a fallopian tube. Ectopic pregnancy can damage the fallopian tube, which can make it difficult to become pregnant in the future.
Ectopic pregnancies are usually detected early enough to prevent deadly complications such as severe bleeding. A ruptured ectopic pregnancy requires emergency surgery to prevent heavy bleeding into the abdomen.
The affected tube is partially or fully removed. For more information, see Surgery. Things that can increase your risk of having an ectopic pregnancy include:.
Medical treatments and procedures that can increase your risk of having an ectopic pregnancy include:. Ectopic pregnancy has been linked to the use of medicine used to make the ovary release multiple eggs superovulation.
Experts do not yet know whether this is because many women using it already have fallopian tube damage or because of the medicine itself.
If you become pregnant and are at high risk for ectopic pregnancy , you will be closely watched. Doctors do not always agree about which risk factors are serious enough to watch closely.
But research suggests that risk is serious enough if you have had a tubal surgery or an ectopic pregnancy before, had DES exposure before birth, have known fallopian tube problems, or have a pregnancy with an intrauterine device IUD in place. If you are pregnant, be alert to the symptoms that may mean you have an ectopic pregnancy, especially if you are at risk. If you have symptoms of an ectopic pregnancy or you are being treated for an ectopic pregnancy, avoid strenuous activity until your symptoms have been evaluated by a doctor.
Call or other emergency services immediately if:. Call your doctor now or seek immediate medical care if:. Your family doctor , general practitioner , or an emergency medicine specialist can check you for an ectopic pregnancy. You may be referred to a specialist, such as a gynecologist. Most ectopic pregnancies can be detected using a pelvic examination, ultrasound, and blood tests. If you have symptoms of a possible ectopic pregnancy, you will have:.
Sometimes a surgical procedure using laparoscopy is used to look for an ectopic pregnancy. An ectopic pregnancy after 5 weeks can usually be diagnosed and treated with a laparoscope.
But laparoscopy is not often used to diagnose a very early ectopic pregnancy, because ultrasound and blood pregnancy tests are very accurate. During the week after treatment for an ectopic pregnancy, your hCG human chorionic gonadotropin blood levels are tested several times. Your doctor will look for a drop in hCG levels, which is a sign that the pregnancy is ending hCG levels sometimes rise during the first few days of treatment, then drop. In some cases, hCG testing continues for weeks to months until hCG levels drop to a low level.
If you become pregnant and are at high risk for an ectopic pregnancy , you will be closely watched. A urine pregnancy test—including a home pregnancy test—can accurately diagnose a pregnancy but cannot detect whether it is an ectopic pregnancy. If a urine pregnancy test confirms pregnancy and an ectopic pregnancy is suspected, further blood testing or ultrasound is needed to diagnose an ectopic pregnancy.
In most cases, an ectopic pregnancy is treated right away to avoid rupture and severe blood loss. The decision about which treatment to use depends on how early the pregnancy is detected and your overall condition. For an early ectopic pregnancy that is not causing bleeding, you may have a choice between using medicine or surgery to end the pregnancy.
Using methotrexate to end an ectopic pregnancy spares you from an incision and general anesthesia. But it does cause side effects and can take several weeks of hormone blood-level testing to make sure that treatment has worked. Methotrexate is most likely to work:. If you have an ectopic pregnancy that is causing severe symptoms, bleeding, or high hCG levels, surgery is usually needed. This is because medicine is less likely to work and a rupture becomes more likely as time passes.
When possible, laparoscopic surgery that uses a small incision is done. For a ruptured ectopic pregnancy , emergency surgery is needed. For an early ectopic pregnancy that appears to be naturally miscarrying aborting on its own, you may not need treatment.
Your doctor will regularly test your blood to make sure that your pregnancy hormone hCG, or human chorionic gonadotropin levels are dropping. This is called expectant management. Ectopic pregnancies can be resistant to treatment. If your blood type is Rh-negative , Rh immunoglobulin may be used to protect any future pregnancies against Rh sensitization.
For more information, see the topic Rh Sensitization During Pregnancy. Surgery may be your only treatment option if you have internal bleeding. You cannot prevent ectopic pregnancy, but you can prevent serious complications with early diagnosis and treatment.
If you have one or more risk factors for ectopic pregnancy, you and your doctor can closely monitor your first weeks of a pregnancy. If you smoke, quit to lower your risk of ectopic pregnancy. Women who smoke or who used to smoke have higher rates of ectopic pregnancy.
Using safer sex practices, such as using a male condom or a female condom every time you have sex helps protect you from sexually transmitted infections STIs that can lead to pelvic inflammatory disease PID. PID is a common cause of scar tissue in the fallopian tubes, which can cause ectopic pregnancy. If you are at risk for having an ectopic pregnancy and you think you may be pregnant, use a home pregnancy test.
If it is positive, be sure to have a confirmation test done by a doctor, especially if you are concerned about having an ectopic pregnancy. If you are receiving methotrexate treatment to end an ectopic pregnancy, you may experience side effects from the medicine. See these tips for managing methotrexate treatment to minimize these side effects.
If you experience an ectopic pregnancy loss, no matter how early in a pregnancy, expect that you and your partner will need time to grieve. It is also possible to develop depression from the hormonal changes after a pregnancy loss. I ended a pregnancy for fetus problems, after I had an ectopic pregnancy and few months later another miscarriage. But I have a 5 yo daughter that is perfection and now I am expecting twins out the blue.
Live r pain and once ready try again. Hi Thank you so much for your story it brings hope and faith to me, after your ectopic pregnancy you had one Fallopian tube or your ectopic pregnancy did not damage your tube?.
You are such a strong person and for sharing this story. I hope for your full recovery soon! Sending you hugs xx. Definitely gave me something to think about. The good news, is many many people have full term uncomplicated pregnancies after an ectopic pregnancy.
Thank you for sharing. I had an emergency surgery on Wed for my ectopic pregnancy, after 2 unsuccessful doses of Methotrexate. If I could have known all these, I would have gone through surgery in the first opportunity. My experience with Methotrexate was horrible and painful. Unfortunately, that happened, the doctor removed my right tube and my ectopic pregnancy. I have been in emotional pain because I was so happy with the pregnancy, and as you said Why me?. I am trying to understand and assimilate the situation which could have been worst, so thankful I am alive and I hope to move on sooner.
Again thank you for sharing your story. I felt relieved and supported by others than I neither know but we have the same experience in our life.
Thank you so much for sharing. I feel like this is my story as I can remember all this happening to me in February. Thank you. Thank you for sharing your story, the same thing happened to me in April and I was considered COVID positive during the surgery because my boyfriend had symptoms. Reading stories like yours help me feel less alone! The thought of trying again scares me, but I know that I am stronger because of my experience and if it happens again I will survive!
I wanna say you are so brave for telling your story. I am currently in the recovery process from having a laparoscopy surgery removing my left tube due to an ectopic pregnancy. Having two miscarriages before this one is very very tough…. Thanks for sharing. As of 3days ago I had to be given methotrexate as I was told I had an eptopic pregnancy. My husband and I have been trying for months and we were delighted to find out I was pregnant.
I have longed for a baby for so long. I took a test on the Monday and by Monday night I was loosing. My fear is getting pregnant again and it happening again. Your response concerning the ectopic pregnancy was about 9 months ago. Did things change? Have you been able to have a baby? Did you experience any other miscarriages or pregnancy issues after the ectopic?
I hope things for better for you. Hi Jocelyn. Sending you a big hug. To answer your question, I have not yet been able to get pregnant. My husband and I tried for 6 months to conceive naturally before seeking help from a fertility doctor.
Remain hopeful. It will happen. And if not naturally, there are lots of options! This just happened to me over the past few weeks. We have been trying for almost a year to get pregnant. We were SO excited, but just like you trying to be cautious. We have had our close friends miscarry twice. But, we started making our calenders, buying books, and making plans. Unfortunately, at 5 weeks I thought I miscarried.
I went to the Dr. Due to intense pain and bloating. Long story short they dismissed me and three days later I ended up in emergency surgery for a ruptured ectopic pregnancy and 2L of blood in my abdomen. I ended up losing my left fallopian tube. It is such a hard thing to go through especially when no one around you has gone through it.
It is a really lonely feeling. I am tough most of the time, but other times a wave of tears overcomes me. I hate this process. Please do not give up! I originally ended up knowing this because I woke up one morning after having a dream I was pregnant and it seemed so real that I took a real test.
Voila it was true. I had no symptoms at all. I was cramping so I decided to go to the hospital. They took a test, confirmed my pregnancy and advised me to come back in 2 days to check my HCG levels to make sure they would continue to rise. Not even 2 days after finding out I was pregnant I was having a miscarriage due to fluid in my right Fallopian tube. All I kept hearing was negativity and I became so distraught that I put it in my mind that I would never have a baby, I accepted it and life would have to be that way.
Fast forward a full year later: I started feeling sick early morning and all throughout the day for 3 weeks, horrible nausea and tender breasts. Mind you, I always get the symptom with my breasts because that happens a week before my cycle. The part that started confusing me was I was getting tenderness in my breasts it was too early for my cycle and the tenderness felt full not just sore.
My boyfriend was actually the one that told me I was pregnant. My first thoughts of becoming sick were not aimed at pregnancy even though I was 14 days late. Reason being because of what I was told a year prior. My body felt different all over. It felt like something was actually going on inside of me. I googled my systems and had every textbook sign of pregnancy but again what was told by the doctor last year made me completely dismiss that theory.
I humored my boyfriend and told him to go get a test. I took it and guess what? I was pregnant. Still skeptical I had doubts. Felt this time it would be tubal! Guess what? Baby is doing fine and where he should be! He makes the impossible possible and believers out of non-believers! Stay encouraged. A close family member of mine had an exact story like your own and even with one tube. God blessed her with a beautiful, amazing baby currently 4 years old…. Stay positive and hopeful, the rest will fall into place when you least expect.
Thank u for sharing your experience. It brought back every feeling I felt when I had to endure an ectopic pregnancy with a ruptured fallopian tube resulting in the removal of my left tube. Thank you for sharing your story. I too had this happen recently. I never had any bleeding just severe abdominal pain.
Had I not I too would have died from the amount of bleeding I was experiencing internally. I see myself in your story, with the stocking of the fridge, buying prenatal vitamins and planning everything.
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