Normally, the embryo should be fixed and develop inside the uterine cavity. But under the influence of various reasons, he may not get to the uterus and gain a foothold somewhere in the tube or abdominal cavity. Then an ectopic pregnancy is diagnosed, which for the fetus always ends sadly and requires surgical treatment. After an unsuccessful conception, a woman is impatient to become pregnant again, but this cannot be done until a full recovery course has been taken after an ectopic pregnancy, otherwise the next conception risks being ectopic too.
The concept and causes of ectopic
An ectopic pregnancy is a condition in which a fetal egg develops outside the uterine cavity and is diagnosed in 1.13% of Russians. The embryo continues to develop even with an abnormal location, so an ectopic pregnancy continues until the fetal egg reaches extraordinary sizes and tears apart the organ in which it is fixed.
Several reasons can provoke an abnormal location of the ovum:
- A history of inflammatory adnexal or uterine pathologies,
- Benign neoplasms causing tubal obstruction, cystic lesions of the ovaries, etc.,
- Myomatous processes affecting the connection areas of the tubes with the uterine body,
- Adhesive processes
- Past abortions
- Genital operations previously transferred
- The use of an intrauterine device, etc.
Most often (96%), an ectopic pregnancy is tubular in nature, i.e. the embryo is fixed in the lumen of the fallopian tube. If the pipe bursts, then for a woman it is fraught with death, therefore, early diagnosis and timely measures are extremely important. But even with timely medical intervention, serious complications such as infertility, recurrence of ectopic pregnancy, or adhesive processes cannot always be avoided.
Signs of an ectopic
Obstetric statistics show that most often an ectopic is localized in the cavity of the tube, and mainly in the right. Symptomatic manifestations of ectopic conception are due to the specific location of the ovum, gestation period, development or termination of pregnancy. If there is an independent interruption, then the clinical picture develops according to two scenarios - tube abortion or rupture. Signs of tubal abortion are manifested by severe pain and bleeding. Such symptoms are considered typical, but sometimes the ectopic conception proceeds like a normal uterine pregnancy.
The patient feels breast tenderness and hypersensitivity, nausea-vomiting, weakness and tenderness in the abdomen, which proves the progression of pregnancy. Typically, interruption occurs at 4-6 weeks, less often at 7-8 weeks. A tube abortion begins with a sharp pain of a cramping nature, he can pound his wife, sometimes cold sweat appears and disturbs dizziness, and after a few hours bleeding begins. If interruption during ectopic conception occurs in the early stages up to 4 weeks, then the embryo dies and resolves.
But if interruption does not occur until 7-8 weeks, then the fetal egg grows to large sizes and breaks the fallopian tube. An ectopic pregnancy ends in a third of patients with this diagnosis. The patient is literally twisted from a sudden sharp pain radiating throughout the body, up to the collarbone, anus or hypochondrium. Severe bleeding opens, nausea-vomiting, dyspnea and weakness are very disturbing. The woman turns pale, and some patients even have cyanosis. The girl’s pressure drops, her stomach swells, but when she feels it remains soft, but painful.
How to treat ectopic pregnancy
Therapy for ectopic conception is based solely on the surgical approach.
- The operation can be performed laparoscopic (microsurgical) or laparotomy (open access with dissection of the peritoneum) by.
- Depending on the condition of the tube, the doctor decides whether to cut the tube and remove the fetal egg or remove it. But according to statistics, with the preservation of the tube, subsequent pregnancy often becomes ectopic and develops precisely in the preserved tubular tissues.
- Usually, if the second fallopian tube is in excellent condition and does not have problems with patency, then the patient undergoes a tubectomy, i.e., removal of the tube with an embryo fixed in it.
- Also, removal is indicated with irreversible changes in the tube or with a relapse of the ectopic conception in the same tube.
- If in the pelvic cavity there is a pronounced adhesion process, then tubectomy is also recommended.
The laparoscopic method is preferable to laparotomy surgery. The minimal risks of blood loss and complications, the absence of postoperative scars are just a few of the advantages of laparoscopic access.
Ectopic conception is always unviable, so surgery is inevitable. Any operation can be complicated by inflammatory processes or bacterial infection, therefore, it is necessary to undergo a course of antibacterial therapy during the rehabilitation process. This is very important, because it will allow the female body to recover faster and protect the body from unwanted diseases.
Immediately after surgery, the patient is prescribed antibiotic therapy with a wide range of drugs that will protect the pelvic organs during postoperative rehabilitation. Only a doctor prescribes these drugs, because self-medication can become useless or lead to the development of complications.
The method of hydrotubation is a procedure, the essence of which is the introduction of a special fluid through the uterine cavity into the tube to check the patency of the tube gaps. Such manipulations are carried out in order to control the recovery processes after surgical interventions on the tubes or in the uterine cavity. Hydrotubation helps to determine if there are adhesions or inflammation, as well as the patency of the pipes. But hydrotubation can be carried out only after checking the smear from the vagina. If the microflora has pathogenic microorganisms, then hydrotubation is contraindicated.
Such a procedure is indispensable for the prevention of adhesions and inflammatory processes, because along with the liquid, antibacterial drugs and other drugs necessary for the prevention are injected into the pipes. A good alternative to hydrotubation today is a laparoscopic examination.
The patient’s diet deserves special attention.
- On the first day after surgery, only water is allowed,
- On the second day, you can gradually start to eat easily digestible foods like kefir, yogurt and cereals,
- For 3-4 days, croutons, a broth of vegetables or chicken, boiled fish or meat are added to the menu.
A sparing diet is extremely important for the rehabilitation and recovery period. Nutrition should become balanced, therefore, foods rich in minerals and vitamins are gradually introduced into the diet. The daily menu should include pomegranates, asparagus, dairy products, fish, nuts and dried fruits.
In more detail, what you can eat in the first days after surgery, you need to find out from your doctor. It is necessary to eat food in small portions of 4-5 r / day. Then digestion will become more efficient, food will be easier to digest and easier to digest, which will ensure maximum penetration of nutrients into the patient's body. Thanks to this, the girl’s immune defense will be significantly strengthened, which will speed up the body's recovery processes.
Physiotherapeutic treatment involves the provision of a set of special measures that contribute to the rapid recovery of the body after an illness or surgery. Physiotherapeutic procedures are indicated for the prevention of adhesions and inflammations. Physiotherapeutic rehabilitation includes procedures such as galvanization and electrophoresis, ultrasound therapy or interference therapy, mud therapy, paraffin baths or phototherapy, ozokerite baths.
Galvanization involves exposure to the body with a low current of up to 60 V. Electrophoresis also involves exposure to the body of a current with low voltage in combination with the administration of medications like Lidase, Novocain, Dexamethasone, etc. Low-frequency impulses are used in interference therapy, which improve blood circulation and have bactericidal and anti-inflammatory properties . Phototherapy involves exposure to sunlight, and ultrasound treatment is performed using ultrasonic vibrations. Mud, paraffin and ozocerite applications provide a warming effect, improve blood flow and tissue nutrition.
In the first couple of weeks after surgery, a woman can not overload the body with any physical activity or sports training. A gradual return to previous activity should be slow. If the girl was previously fond of sports or fitness, then the first training session can be started only after a month and a half after the operation, provided that the patient will not have any complications.
Also, during the first month, you need to abandon lifting or dragging weights and other physically hard work, especially when carrying out a laparotomy operation, after which it is recommended to wear a special postoperative bandage or belt. In addition, it is necessary to avoid any concussions, injuries or bruises. For the prevention of adhesions, it is useful to perform special therapeutic exercises.
Sexual Intimacy and Protection
Sexual contacts after surgery on the tubes are allowed only a month after surgery.
- Sex after the necessary period of abstinence is permissible only if you feel great and there are no complications in the reproductive organs.
- The body needs time for a full recovery, if sexual intimacy takes place before the due date, then complications may begin and a repeated intervention by the surgeon will be necessary.
- The intensity of sexual activity after a month of rest must be increased gradually, eliminating sudden movements that can lead to pain.
Although in general, the external organs of the reproductive system and the uterine body during ectopic conception are not damaged. The main requirement for sexual intimacy is contraception and protection against genital infections. After ectopic therapy, the onset of conception is unacceptable for six months. Condoms will help to avoid sexual infection, but girls are also advised to take hormonal contraceptives, which reduces the likelihood of a recurrence of ectopic conception in the future by 90%. But for this, COC must be taken for at least a year after treatment.
In addition to the contraceptive effect, birth control drugs minimize the risk of developing genital inflammation. A similar effect is due to the fact that while taking COC during menstruation, the cervical canal dilates less, the patient loses less blood, which is a favorable environment for bacterial microorganisms.
The hormonal background in each girl is individual, and after surgery and processes associated with ectopic conception, the hormonal status changes dramatically. Therefore, there are no deadlines for critical days to arrive. If the operation went without complications, then the first menstruation comes after 28-40 days from the time of the operation.
If blood discharge appeared earlier, then this indicates the onset of uterine bleeding, which is not related to menstruation and requires urgent intervention. No less dangerous if, after surgery, menstrual blood is missing for more than a month and a half. This happens with a prolonged recovery period amid postoperative complications.
How long does recovery take
In fact, the postoperative recovery period takes only a couple of weeks, after 7 days the stitches are removed from the girl. Approximately a couple of months after laparotomy, sudden movements and weight lifting must be avoided, otherwise the risk of seam divergence increases. In general, recovery can take several months.
Removing the pipe in the presence of a passable second leaves the woman the opportunity to become pregnant naturally, so do not treat this condition as a sentence. Although doctors are allowed to become pregnant approximately six months after the treatment of ectopic conception, it is better to wait at least a year with pregnancy so that the patient's body, hormonal background and reproductive system are fully restored. Practice shows that patients who become pregnant six months after an ectopic pregnancy are more likely to experience recurrence of ectopic pregnancy than planning a pregnancy a year later.
Possible complications during the rehabilitation period
Recovery - 2 months
During recovery after surgery to remove part of the tube during ectopic pregnancy, problems can occur. Often the temperature holds, the stomach and suture are very sore, spotting appears. Women feel a general malaise, a constant urge to urinate and nausea.
If after scalping an ectopic pregnancy, the side hurts, then the removed fallopian tube may become the cause. There are more serious complications. Internal bleeding due to trauma to the abdominal cavity, infection of the joints, adhesions that cause intestinal obstruction appear.
Rehabilitation after termination of an ectopic pregnancy is long and requires restoration of the body processes due to removal of the tube. It is necessary to be regularly observed by a doctor. He will issue a sick leave, say what drugs are prescribed, and what you can eat.
Treatment after termination of an ectopic pregnancy involves the use of medications. They are necessary because surgical interventions are fraught with inflammation and bacterial infections. Medications will help the body recover in the postoperative period after an ectopic pregnancy and prevent complications during rehabilitation.
A wide range of medicines are used - Metronidazole, Cefuroxime, Tienam. Preparations after removal of the tube during ectopic pregnancy should be prescribed only by a gynecologist. Self-medication will harm the body or be useless.
The duration of the course is determined after the results of the analyzes. Antibiotics will not allow the development of infectious and inflammatory pathologies in the pelvic organs. The intensity of treatment depends on the state of health and complications.
Procedures and Examinations
Recovery after an ectopic pregnancy is carried out using physiotherapy, herbal medicine, massage. Such treatment will accelerate the rehabilitation of the body, prevent adhesions and inflammation.
- mud therapy
- ultrasound therapy
It is necessary to be monthly observed by a gynecologist and undergo examinations. They allow you to identify complications. The duration of the course of procedures depends on the specific situation.
Usually it is required to donate blood for infections, hormones, undergo an ultrasound examination of the abdominal cavity, internal organs. During each visit to the gynecologist, an examination is carried out on an armchair. Sometimes a laparoscopic examination method is prescribed.
In order not to have to lie in the hospital again, you need to limit physical activity for 2 to 3 weeks. Women may have a question why it is impossible to play sports after removing the tube during an ectopic pregnancy, because it heals. But in this situation, physical education will harm health, and due to intense exercise, a seam can break up.
It is allowed to return to activity at least in a month. In this case, complications after surgery should be absent. If the side hurts during physical exertion, you need to postpone them until complete recovery.
After surgery, do not wear heavy items. Avoid even minor bruises and injuries. Doctors give recommendations to engage in physical therapy (exercise therapy) to prevent adhesions.
Watch your period
After an ectopic pregnancy, it is important to control the cycle. Without regular menstruation, conception will not be possible. Any deviations should be monitored by a gynecologist and treated to restore the reproductive function of the body.
The first cycle after an ectopic pregnancy begins approximately 30-40 days after surgery. Если выделения пришли через 3 недели, скорее всего, это не менструация, а кровотечение из матки. В этом случае требуется консультация гинеколога.
Когда цикл после внематочной беременности задерживается, также нужно обратиться к врачу. Причина, возможно, в гормональном сбое. После внематочной беременности не рекомендуется пользоваться тампонами. The first six months during menstruation is best to choose pads.
Sex after ectopic pregnancy
Regardless of how many days they are discharged after surgery for pipes, it is necessary to observe sexual rest during the recovery period. It is necessary for a complete recovery. Anal and vaginal sex after an ectopic pregnancy operation is allowed at least a month later.
You can begin sexual life only in the absence of complications and good health. The body needs time to fully recover from an ectopic pregnancy. Otherwise, the treatment may be delayed.
Eliminate sudden movements causing discomfort. Carefully choose postures for sex, increase the intensity gradually. It is important to protect yourself from genital infections and rule out pregnancy.
Oral drugs plus condoms
It is best to use a condom and oral medications after an ectopic pregnancy. The former will protect against infection, and the latter will not allow conception. So you can completely protect your body.
Oral contraceptives are taken for at least a year after the termination of an ectopic pregnancy. Drugs protect against conception and reduce the risk of genital inflammation. For 12 months of taking contraceptives, the likelihood of catching such diseases is reduced by 50 - 70%.
How long does rehabilitation take?
Recovery after laparoscopy of an ectopic pregnancy takes at least 2 months. Judging by the reviews of doctors, in some cases more time is required. The body has experienced severe stress, so it needs to be fully rehabilitated.
The timing depends on how the woman survived the operation to remove an ectopic pregnancy, and the presence of complications. Concomitant diseases may need to be treated. In this case, the process will stretch for 3-4 months.
Sutures are removed approximately a week after surgery. Do not try to do this procedure yourself. The results are unpredictable: from scars to infection and blood poisoning.
Planning your next pregnancy
No need to be upset in advance due to an unpleasant diagnosis. Pregnancy after an ectopic conception and tube removal surgery is possible. If the surgery went without complications, there is a chance to conceive a baby in a natural way.
You need to plan your baby at least 6 months after the treatment of an ectopic pregnancy. It is advisable to postpone the process for a year so that the hormonal background and the body return to normal. Women who become pregnant after 6 months increase the risk of recurrence of an ectopic fetal location.
You will need to take tests for hormones and blood, do GHA - hysterosalpingography (examination of the fallopian tubes), ultrasound to see the condition of the abdominal cavity and uterus in the photo. It is necessary to eliminate all adhesions remaining after the operation. Will have to be prepared for constant diagnostic manipulations and visits to the gynecologist.
See a gynecologist
Doctors' opinion on rehabilitation
Specialists know how to restore the body, how long it takes, and what needs to be done. They advise you to undergo diagnostics every month to monitor your health. Doctors may refer for additional examinations to specialized specialists.
It is important to take care of yourself, exclude the bath and saunas, alcohol, heavy physical exertion and stress. The more time passes before conception, the better. It is necessary to prepare the body for pregnancy as much as possible in order to exclude relapse.
about the author: Borovikova Olga
gynecologist, ultrasound doctor, geneticist
She graduated from the Kuban State Medical University, an internship with a degree in Genetics.
40-50% of women who survived surgical intervention in connection with an ectopic pregnancy, subsequently suffer either from infertility, or from repeated pathological conceptions. That is why systematic and competent rehabilitation measures are important.
After the operation, standard therapeutic measures are necessary, in addition, special procedures must be carried out that prevent the formation of adhesions and scars at the site of sutures or the site of curettage.
Everything should be done so that the fallopian tubes after the operation function normally and remain passable.
Given that inflammation is one of the factors in an ectopic pregnancy, all possible measures are necessary to stop it in an intact fallopian tube.
Eight weeks after surgery, it is possible to conduct ultrasound treatment, inductothermy. Proteolytic enzymes and biostimulants are prescribed. This therapy should be repeated three to four months later. After this, procedures with ozokerite or with therapeutic mud are recommended.
And although this treatment usually lasts about six months, it provides in the vast majority of cases the opportunity to organize the work of reproductive organs. Since the likelihood of developing a new ectopic pregnancy is high, for this period the patient needs a reliable method of contraception.
A diet, or at least a balanced diet, including fruits and vegetables, as well as the necessary amount of vitamins, trace elements, for a full rehabilitation is very important. It is necessary to eat food with vitamins A, B, E, folic and succinic acid, ascorutin are also needed. You should pay attention to asparagus, cauliflower, celery, pomegranates, fish and seafood, nuts, dairy products and cottage cheese, fresh and dried fruits.
Be sure to conduct an endocrine examination of the body.
Go through recovery procedures, conduct phytotherapy sessions, visit a sanatorium, and relax at sea.
Pay special attention to your health:
- have more rest
- get enough sleep
- eat right.
Only a qualified gynecologist and some other specialized doctors can answer the question of what to do after an ectopic pregnancy. Try to follow all their recommendations.
Thus, we have shown that after an ectopic pregnancy can be given birth. However, much remains to be done for this.
The main thing is not to get lost and do not give up!
The opportunity to get pregnant gives a woman planning family and pregnancy, making plans for future births, makes her feel optimistic about life. A woman, receiving a surge of strength from a positive mood, becomes more sociable and cheerful. The likelihood of becoming pregnant after an ectopic pregnancy is growing along with the mood, and is no longer seen as something distant and unrealizable, the whole body is being restored at full speed and preparations are being made for pregnancy. Problems and troubles recede into the background.
Treatment after an ectopic pregnancy
If you suspect an ectopic pregnancy, the woman is urgently placed in clinical conditions.
After diagnosis, an emergency surgery is usually prescribed.
If necessary, you can use:
- anti-anemia drugs.
After the operation of an ectopic pregnancy, rehabilitation treatment is carried out, which is an excellent prophylactic against repeated ectopic pregnancy.
The postoperative period can cause any consequences: both good and bad. If everything is more or less clear with a good scenario, then a bad one can cause certain complications after surgery: the most common complication after surgery is Rh sensitization. For women whose blood Rh is negative, anti-Rh0 (D) -immunoglobulin is administered for prophylaxis purposes.
Monthly after an ectopic pregnancy
Judging by the reviews of the patients, menstruation begins in different ways for everyone:
- someone comes right after the operation,
- someone has vaginal discharge
- and someone may not have a period of more than a month.
However, sooner or later, she must come. Of course, the absence of menstruation is another reason to appear to your gynecologist.
Early detection of ectopic pregnancy with laparoscopy increases the chances of maintaining the fallopian tube.
A normal pregnancy immediately after an ectopic is in principle possible, but nonetheless not desirable. The body must be given time to restore all its functions. The rehabilitation period, as we have said, should be at least six months. In any case, such questions should be discussed only with your doctor.
Postpartum recovery • How to get in shape • My rules?
A normal pregnancy after two ectopic can well take place, but we should not forget that after a double negative impact on the walls of the tube (if it still exists), the probability of conception of a normal fetus is sharply reduced (at least twice).
An ectopic pregnancy after Postinor can occur under the same conditions as normal. Recall that after taking Postinor, it is recommended to begin pregnancy planning in about three to four months. In this case, you should definitely be observed by a gynecologist, and attend all screening studies in a timely manner. A sick leave after an ectopic pregnancy is also issued by the attending physician, taking into account the severity of all the consequences.
Sex after an ectopic pregnancy
Sex life after an ectopic pregnancy refers to a number of restrictions:
1. The body needs a recovery period, as after any other operation.
2. Sexual abstinence should be maintained for at least a month.
3. Failure to do so may result in repeated surgery.
4. Sexual activity after a month of abstinence should increase slowly, avoiding any painful manifestations.
The external genitalia and the uterus are not damaged during ectopic pregnancy.
The main feature of sex during this period is careful contraception. A doctor can help you with this.
Now that we have found out that it is possible to give birth after an ectopic pregnancy, let's see what restorative actions you need to do.
Ectopic pregnancy in the isthmic section of the tube (in the cult). Appendages on the left removed 3 years ago.
- preoperative period
- Increased drowsiness,
- Breast enlargement and tenderness.
Between the third and eighth weeks of a pathological pregnancy, rupture of the fallopian tube may occur. In this case, a woman appears:
- Cramping or cutting pains in the lower abdomen (soreness can also be felt in the liver or in the anus - this is one of the characteristic signs of hemorrhage in the abdominal cavity),
- Internal bleeding
- Painful shock.
Ectopic Pregnancy Treatment
For the treatment of ectopic pregnancy, laparoscopic surgery is usually used. Moreover, during the operation, both the fetal egg located in the tube and the entire tube can be removed. The pipe is removed in cases where a rupture has already occurred.
Chemotherapy using methotrexate is also possible. The result of treatment is the cessation of development and resorption of the ovum. However, this method of treatment is effective only in the early stages of such a pregnancy.
In each case, therapy is determined based on the individual characteristics of the development of pathology.
Monthly recovery after an ectopic pregnancy
It is quite difficult to calculate the exact timing of the restoration of menstruation after an ectopic, because the hormonal background in different women has its own characteristics and, in addition, undergoes serious changes due to the development of the pathological process and the treatment.
And yet there is an algorithm that allows you to calculate the possible date of the first menstruation after an ectopic pregnancy.
For the first day of the cycle, the day of the operation is taken, after which the number of days is added to it, which normally corresponds to the duration of the cycle familiar to the woman. Five days are taken from the resulting date and ten more are added. The calculated period of time should be the period when it is expected that a woman will begin her period after an ectopic.
In general, if the process proceeded without any obvious complications and under a favorable set of circumstances, the periods after an ectopic pregnancy are restored to the interval between 28 and 40 days after the termination of this pregnancy.
Bleeding that begins earlier (before the expiration of 25 days after the operation) is evidence of not monthly after an ectopic, but uterine bleeding, and requires medical attention.
Consultation with a specialist is also necessary if the periods after the ectopic do not begin at the calculated time interval.
Delayed period after ectopic
The recovery period after an ectopic pregnancy is individual for each woman and depends on a sufficiently large number of factors. The absence of menstrual bleeding after treatment should be a cause for concern and requires medical attention. However, in most women, it begins on time or there is a slight delay in the period after the ectopic.
The delay in menstruation after an ectopic is most often due to the fact that the pregnancy itself was diagnosed quite late, due to which the recovery period was somewhat extended.
In addition, the delay is often provoked by a woman experienced stress caused by an ectopic pregnancy. In such cases, the restoration of the cycle can take from one and a half to two months.
- 1.6 What causes an ectopic pregnancy
Symptoms of an ectopic pregnancy
Often learning about the pathology of pregnancy, a woman becomes discouraged, accepting a disappointing diagnosis as a sentence. But in reality, everything is not so sad - if you react in the right way in time, then in the future it will be possible to live a full life and give birth to many more children. But for this you need to clearly understand how to determine an ectopic pregnancy in the early stages. Let's look at how the diagnosis of an ectopic pregnancy is made, and how it manifests itself
What is called an ectopic pregnancy
First of all, we need to consider how a normal pregnancy occurs, which we need to distinguish from a pathological one. A fertilized egg moves down the fallopian tube and enters the uterine cavity, after which it is attached to the most favorable place in the mucous membrane. This stage is called implantation.
But occasionally this mechanism fails for some reason, and the fetal egg is implanted in an absolutely wrong place. Most often this is the fallopian tube. However, in some cases, the ovary or abdominal cavity may become the attachment point. This pathology is called by doctors an ectopic pregnancy, which must be recognized as soon as possible.
Methods for accurate diagnosis
Today, an ectopic pregnancy is diagnosed at the earliest possible date. The first step is to take a pregnancy test (referring to a blood test for the content of chorionic gonadotropin, or a simple test). This makes it possible to understand whether there is a pregnancy, or whether alarming symptoms indicate other health problems.
If the pregnancy is confirmed, and pain and spotting are observed, then it is necessary to conduct an ultrasound examination using a transvaginal sensor. If an attached egg is not observed in the uterine cavity, it is necessary to wait a few days and re-examine using ultrasound. At this time, the fetal egg should already be in the uterine cavity, therefore, if the result is repeated, the woman needs to be hospitalized.
As a rule, in a hospital, a disappointing diagnosis can be called into question. Then the diagnosis of ectopic pregnancy is made by laparoscopy. This is the name of the operation, during which anesthesia examines the pelvic organs. When confirming the diagnosis of an ectopic pregnancy, laparoscopy from the diagnostic procedure goes into medical manipulation.
More recently, the only prospect was surgery to remove the fallopian tube. This process is called laparotomy and for this abdominal operation, it is required to open the abdominal cavity. However, modern laparoscopic surgery allows for gentle operations that are performed through several points on the abdominal wall
Laparoscopy can be performed in several ways:
- complete removal of the fallopian tube (tubectomy),
- plastic surgery, in which the fetal egg is removed, after which the integrity of the fallopian tube is restored,
Thus, the patient has the opportunity to preserve the most important organ of the reproductive system.
Causes of pregnancy outside the uterus
Various factors can lead to an ectopic pregnancy, from which the following main causes can be distinguished:
- Pelvic diseases of an inflammatory nature. Such diseases often lead to a negative change in the function and structure of the walls of the fallopian tubes. При этом у них значительно снижается способность к сокращению. А это значит, что имеется большая вероятность неправильной транспортировки оплодотворенной яйцеклетки в маточную полость. И тогда имплантация происходит в маточной трубе.
- Патологические изменения свойств оплодотворённой яйцеклетки.
- Personal features of the anatomy: abnormally long, convoluted or bent fallopian tubes combined with general underdevelopment of the reproductive organs, known as infantilism.
The use of assisted reproductive techniques such as in vitro fertilization (IVF) or stimulation of ovulation can also lead to the appearance of an ectopic pregnancy.
Recovery period after ectopic pregnancy
For a smoother passage of the postoperative recovery period and improvement of the condition of the fallopian tube, medication and certain physiotherapy are prescribed. Even if a tubectomy was performed (complete removal of the tube), it still means that the remaining fallopian tube will need treatment, especially after severe intra-abdominal bleeding.
Recovery after hacking Joomla! site
Particular attention during the rehabilitation period requires contraception. At least within six months, pregnancy is strictly contraindicated, and it is advisable to prevent it.
In order for the woman to have no further critical problems with conception, which leads to obstruction of the fallopian tubes, and also to avoid recurrence of ectopic pregnancy, a special course of rehabilitation therapy is prescribed. It includes both physiotherapy and taking medications that can prevent the appearance of adhesions.
With this approach, the future conception and bearing a child will pass without problems.
What causes an ectopic pregnancy
What could be the consequences of the pathological attachment of a fertilized egg? If the diagnosis of ectopic pregnancy has occurred late, the fetus will stretch the walls of the tube, which is not intended for such loads. As a result, tissue rupture occurs. Very rarely, as a result of rupture, the embryo enters the abdominal cavity with blood. All this is accompanied by severe pain, internal bleeding, shock and fainting. In this case, it is necessary to urgently hospitalize a woman for surgical intervention. It is quite clear that such an outcome of events may well lead to a variety of complications.
So, any woman needs to be vigilant, be sensitive to her body and consult a doctor at the first symptoms. And then nothing will threaten your health.
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- Complications of pregnancy after pregnancy and planning a normal pregnancy
Today, women (girls) are subjected to great stresses, and a constant lack of time and money subsequently leads to infection with various infections. Infections of various types give rise to a variety of diseases: colds, allergies, dysentery, whooping cough, and many others. But the most terrible of them are diseases of the female genital organs, because because of them, fertility is significantly reduced. Therefore, we will consider how pregnancy occurs and occurs after an ectopic pregnancy in a woman and the likelihood of becoming pregnant after WB.
This disease can be defeated without consequences.
The consequence of the development of various infections at present is an increase in the number of cases of ectopic pregnancy. Most importantly, after an ectopic pregnancy, many of the women cannot become pregnant. If you do not learn how to deal with these diseases, then in the future this may lead to the gradual extinction of the nation and even humanity. And since women in our time more and more refuse to lead the right lifestyle or do not want to give birth at all, such an outcome is possible in a couple of hundred years.
The concept and causes of ectopic pregnancy
Ectopic pregnancy (WB) is a pregnancy in which the fetus develops not in the uterus, but in the fallopian tubes. The consequence of such a pregnancy can be a rupture of the fallopian tube and severe bleeding into the abdominal cavity.
The main cause of ectopic pregnancy in girls (women) is damage to the fallopian tube. After conception, the egg should move for 4 or 5 days through the fallopian tube, after which it must attach to the wall of the uterus. If the fallopian tube is damaged, then an impenetrable barrier appears on the path of the egg, because of which it cannot pass into the uterus. This means that the egg, having no other choice, attaches to the wall of the fallopian tube. Thus, a woman develops an ectopic pregnancy, which sometimes causes menstruation (they are the first sign of WB).
The main types of obstacles that arise when an egg passes through the fallopian tube: the appearance of scar tissue and scars, adhesions on the tubes.
Scar tissue and, therefore, scars occur as a result of sharp strong blows to the abdomen, as well as after abortion (abortion with complications) or any serious infectious diseases of the fallopian tubes.
Adhesions on the pipes arise due to inflammatory processes that were caused by staphylococci and other bacteria. Inflammatory processes cause an increase in the temperature of the uterus and fallopian tubes, after which adhesions begin to form. If you do not consult a doctor on time, then the woman may remain infertile.
The main signs (symptoms) of an ectopic pregnancy
Since an ectopic pregnancy is very dangerous for a woman’s health, you need to know her symptoms and consult a doctor in time. In another case, the pipe ruptures, with all the ensuing consequences.
An ectopic pregnancy is not easy to recognize, since its main symptoms coincide with those that appear during menstruation and with a possible miscarriage together. These symptoms include strong, similar to contractions of pain in the lower abdomen and spotting from the genital tract. There may also be spotting that is not typical of normal (in color, smell, and viscosity) menstruation. There may also be unilateral ongoing pain in the lower abdomen.
If a woman has one of these symptoms, this means that she must urgently and immediately consult a doctor. If you do not recognize the symptoms in time, the embryo will grow and thereby stretch the tube until it bursts. If the tube ruptures, you can observe symptoms such as a sharp pain in the lower abdomen, which spreads upward, severe sweating, dizziness, diarrhea, blood flow, and even fainting. After bleeding increases and a constant fainting state, pain in the lower abdomen can be given to the shoulder. All this indicates serious bleeding. And if you do not immediately call an ambulance, then this will lead to death.
The risk of an ectopic pregnancy and which women are more exposed to it
Ectopic pregnancy can occur in any woman, but there is a certain category of them, which is at the greatest risk of a pathological pregnancy.
This category includes women who suffered from salpingoophoritis, endometriosis, had a cesarean section, who have an intrauterine device that has bad habits (smoking, alcohol). An ectopic pregnancy can also occur if you become pregnant with in vitro fertilization (or IVF) or you have already had such a pregnancy before, because in this case the likelihood of a second pregnancy increases by 10 or 15 percent.
Methods of recovery and preparation for a second pregnancy (or IVF)
After an ectopic pregnancy, the doctor usually recommends that you refrain from sex for at least 1 or 2 months, and you can become pregnant after six months or a year. It all depends on how complicated the WB removal operation was. After that, you should go to the sea or to the sanatorium and have a good rest, restore strength, and after that you can again try to get pregnant (or do IVF), because your body will be normal.
In addition, you need to be protected for at least a year. Birth control pills are best for this, which, among other things, will help you recover faster and avoid an unwanted pregnancy.
After treatment, all women want to know how to get pregnant after an ectopic pregnancy and whether this is possible at all. Yes, this is a very complex issue, so it all depends on the complexity of the WB. But nevertheless, doctors believe that after WB, the ability to give birth to children falls by 2 times, in addition, the likelihood of repeated ectopic pregnancy also increases by about 10-15 percent, as mentioned above.
In some women, after WB, hormone problems begin, and menstruation after an ectopic pregnancy can be more painful and accompanied by bleeding, which will also reduce the ability to conceive quickly. In such cases, the doctor will recommend that you draw up a plan according to which you can observe how your periods go, determine the cycle, and then calculate the dates of your ovulation, which will allow you to become pregnant or have a second IVF. Another doctor may recommend that you undergo restoration of psychological health, because a lot depends on it.
Pregnancy planning is a very big responsibility that falls on the shoulders of a woman.
How can you accelerate the conception of a baby after WB or planning a pregnancy
In order to know when your body is ready for fertilization (or for IVF), you can use the following methods:
The first is ovulation tests, their effect is the same as in pregnancy tests. That is, two strips mean that the day of ovulation has come, which means you can conceive again. In this case, the test must be done both in the morning and in the evening, then the result will be more accurate.
The second is basal temperature measurement. To do this, you need to start a notebook and several times a day, at the same time, measure the basal temperature, and record the results in a notebook. As soon as menstruation ends, a new cycle begins. Based on the results, you will make a schedule and determine the day of ovulation. This is the cheapest method available, therefore it is better to confirm this day using the ovulation test.
The third is observing your own feelings. After an ectopic pregnancy, you can become pregnant, and transferring it will cause your body to become more sensitive to its own sensations. If not, then you can observe the discharge (color, viscosity, quantity and smell), sensations in the abdomen, in the ovary (usually aching).
Be sure to make an appointment with a doctor
It is important to consult your doctor about the position that best suits you for conception. And do not immediately run after the sex to the bathroom, give time for the sperm to reach the egg.
If none of the methods helped you, then pass tests for infertility. Your husband must pass such an analysis, too, since a woman is not always incapable of reproducing offspring.
With infertility, you better use IVF, and after a while you can still become a mother.
Go to the forum and, based on the experience of other women, use one of the tips. Nowadays, the forum is very common. On it you can share your story and find what you need.
Complications of pregnancy after pregnancy and planning a normal pregnancy
In WB, a woman removes the fetus in any case, the only difference is that sometimes only the fetus is removed through a small incision, and sometimes the entire fallopian tube with the fetus. Moreover, if the WB is the second or third and you have already removed one fallopian tube, then you can also remove the second. In this case, the chance of becoming pregnant in a natural way is 0. But this does not mean that you need to forget about motherhood, because even with two removed fallopian tubes, a woman can give birth, though only artificially. For this you need to use in vitro fertilization (or IVF). Read the women's forum where they say that this method helped them become moms. At the same time, remember that if you have only one fallopian tube left, then most often it becomes more active, which can cause an even faster pregnancy.
In order to find a moment for IVF, use planning, as soon as your periods end, you don’t need to be lazy to keep a schedule of your basal temperature.
If your periods did not go according to the schedule, then consult a doctor immediately (and write to the forum, the experience of others will be useful to you), as this may affect your attempt to get pregnant, including through IVF.
Thus, IVF is your chance to get pregnant if it doesn’t come naturally. Your period and your sensations will help you find out the date of ovulation. Read the forum, women love to share experiences.