Are There Any Treatments For Tubal Pregnancy
There is no treatment for tubal pregnancy. It is not viable and has to terminate.
Ectopic pregnancy cannot continue for long. The reason being, the growing embryo dies due to lack of space and nutrients.
The longer this pregnancy lasts, the more hazardous it is for your health.
Surgery is required if any remains of Tubal pregnancy persist.
Can A Baby Survive An Ectopic Pregnancy
Unfortunately, there is no way to save an ectopic pregnancy. It will always need to end in the loss of the pregnancy. Thats because the early embryo does not have the space or the right environment to develop and thrive where it is located. Only embryos that implant in the uterus can survive. If an ectopic pregnancy goes undetected, it can cause serious problems for the mother.
Complications of undetected ectopic pregnancy include:
- Rupture of a fallopian tube
- Need for fallopian tube removal
- Severe internal bleeding
- Blood transfusion
- In rare cases, death of the mother
In the UK, ectopic pregnancy is the leading cause of death in the first trimester of pregnancy, but it is still an incredibly rare occurrence. The Ectopic Pregnancy Trust says that around two women a year die from an ectopic pregnancy and around 12,000 ectopic pregnancies occur every year.
Coping With Pregnancy Loss
Although it occurs early on, an ectopic pregnancy is a loss just like any other miscarriage especially if youve been planning for a child. You may feel sad or shocked, and healing emotionally can take time. Lean on your friends and family for support following a pregnancy loss, and consider a support group or grief counseling.
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When Does An Ectopic Pregnancy Occur
Most ectopic pregnancies are diagnosed during the first trimester of pregnancy between 6 to 10 weeks. In the cases of abdominal ectopic pregnancies that grow to full term, some arent diagnosed until the baby is born, and this can be very dangerous. This is because there can be many complications during the birthing process of an abdominal pregnancy, especially if preparations arent taken beforehand.
Can You Reverse A Tubal Ligation
Tubal ligation is meant to be permanent, and you should not plan to do it if you want to become pregnant in the future, per ACOG. It’s possible to reverse a tubal ligation with another surgical procedure, but there’s no guarantee that it will work. According to the American Pregnancy Association, the success rate is estimated to be between 25% and 80%, and the procedure would increase the risk of ectopic pregnancy.
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What Are The First Symptoms Of An Ectopic Pregnancy
The first symptoms of an ectopic pregnancy are the same as any early pregnancy. You will miss your menstrual cycle and stop having periods. You may feel tired, have tender breasts, and have some nausea or vomiting. Sometimes you may not even suspect you are pregnant. So then, how can you tell if you have an ectopic pregnancy?
Some people with an early ectopic pregnancy may have vaginal bleeding, mild lower abdominal pain or cramping, or low back pain. Pain or cramping on just one side of the body are concerning signs that strongly suggest an ectopic pregnancy.
As an ectopic pregnancy grows, the pain and bleeding can worsen and also lead to dizziness or fainting. Although it seems strange, you may also feel pain in the shoulder. This happens when inflammation in the abdomen irritates the diaphragm and triggers pain in a set of nerves in the shoulder. Any of these symptoms should be checked out right away.
One of the greatest risks to a pregnant person with an ectopic pregnancy is the rupture of a fallopian tube. When this happens, theres a large amount of bleeding. Sometimes this is vaginal bleeding, but it may also happen inside of the body. A ruptured ectopic pregnancy is an emergency that requires surgery and other kinds of medical support right away. Even if an ectopic pregnancy isnt ruptured yet, it needs immediate treatment to prevent serious complications.
When Should I Call The Doctor
If you believe you’re at risk for an ectopic pregnancy, meet with your doctor to talk about your options before you become pregnant. If you are pregnant and have any concerns about the pregnancy being ectopic, talk to your doctor it’s important to find it early. Your doctor might want to check your hormone levels or schedule an early ultrasound to ensure that your pregnancy is developing normally.
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What Causes An Ectopic Pregnancy
An ectopic pregnancy usually happens because a fertilized egg couldnt quickly move down the fallopian tube into the uterus. The tube can get blocked from an infection or inflammation. The tube can get blocked from:
- endometriosis, when cells from the lining of the uterus implant and grow elsewhere in the body
- scar tissue from previous abdominal or fallopian surgeries
- rarely, birth defects that changed the shape of the tube
How Will I Feel After Ectopic Pregnancy
Ectopic pregnancy is a kind of early pregnancy loss. Many people have the same feelings as those who experience other kinds of pregnancy loss, like miscarriage, especially if they wanted to be pregnant.
You may feel a mix of emotions, including disappointment, shock, fear, grief, and/or relief. These are all normal, and usually feel less intense over time. Your doctor or local Planned Parenthood health center can suggest resources and support groups to help you with your emotions.
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Pregnancy After Tubal Ligation
If youve finished building your family, its common to take more permanent measures to prevent pregnancy. From having an IUD inserted to surgical procedures like a tubal ligation or male vasectomy, there are plenty of options. But what if your situation changes? If you decide that youd like to have another baby whether its to add to your own family or to help someone else as a gestational surrogate can you get pregnant after a tubal ligation? Read on for everything you need to know about conception and IVF after tubal ligation.
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Take Care Of Your Body
Its also important so you can make good choices for your body to support your pregnancy and give your baby a healthy start in life. If you discover you are pregnant, you should follow the guidelines below.
Start prenatal vitamins
Prenatal vitamins include an extra amount of folic acid, which is important for the development of your babys brain and nervous system. Ask your doctor what type of prenatal vitamins they recommend.
Avoid alcohol and certain medications
Avoid alcohol and certain medications if you are pregnant. Alcohol significantly affects fetal brain development. Some medications can also cause birth defects. Read more about medications in pregnancy.
Avoid smoking and drugs
Avoid recreational drugs, smoking, vaping, and marijuana when pregnant. These can also cause developmental issues and birth defects in babies. Smoking harms lung development and restricts blood flow to the placenta.
Eat right and exercise
When you let your provider know youre pregnant, you will get helpful information about a healthy diet and exercise during pregnancy. Youll receive a list of foods, activities, and environmental exposures to avoid. Youll receive information about avoiding work-related exposures, too . Your provider will see if you are up-to-date on vaccinations or if there are any other recommended vaccinations you should receive.
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What Else Should I Know
Any woman can have an ectopic pregnancy. But the risk is higher for women who are older than 35 and those who have had:
- surgery on a fallopian tube
- infertility problems or medicine to stimulate ovulation
Some birth control methods also can affect a woman’s risk of ectopic pregnancy. Those who become pregnant while using an intrauterine device might be more likely to have an ectopic pregnancy. Smoking and having multiple sexual partners also increase the risk of an ectopic pregnancy.
Can You Have A Normal Pregnancy After An Ectopic Pregnancy
Absolutely, you can go on to have a healthy and normal pregnancy after an ectopic pregnancy. Once you have conceived again after a previous ectopic pregnancy, you will be recommended to have an early scan to check the location of your pregnancy
There is no evidence that a previous ectopic pregnancy will have any effect on the development of your next pregnancy. It will not affect your birth options or plans, either.
Treating Blocked Fallopian Tubes
If your fallopian tubes are blocked by small amounts of scar tissue or adhesions, your doctor can use laparoscopic surgery to remove the blockage and open the tubes.
If your fallopian tubes are blocked by large amounts of scar tissue or adhesions, treatment to remove the blockages may not be possible.
Surgery to repair tubes damaged by ectopic pregnancy or infection may be an option. If a blockage is caused because part of the fallopian tube is damaged, a surgeon can remove the damaged part and connect the two healthy parts.
Dr Monteiths Recommendations: Relax And Just Have Sex
Although waiting a year for some women is extremely anxiety provoking, most women can save themselves the risks and costs associated with unnecessary testing to see if their tubes are open.
If you want to know how you can tell if your tubes are open after tubal reversal surgery then you should listen to Dr. Monteiths recommendations:
Relax and just have sex. Getting pregnant is the best way to know if your tubes are open.
Sperm are natures best at finding open fallopian tubes and fertilizing eggs. When a sperm fertilizes an egg you get a positive pregnancy testand any positive pregnancy test is proof that at least one tube is open.
If you would like to optimize your chances of getting pregnant after tubal reversal then you should consider having your partners sperm checked and documenting ovulation.
You can easily document your ovulation with over the counter ovulation testing kit.
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Will An Ectopic Pregnancy Reduce My Chances Of Getting Pregnant
If you have had surgical management of a previous ectopic pregnancy that meant your tube was removed then it has commonly been believed that this can reduce your chances of getting pregnant. However, research comparing removal of the tube and saving the tube in 446 women has shown this not to be the case.
Another, larger study of 1,229 women came to the same conclusion that the outcomes for both procedures were broadly the same.
Once you have had one ectopic pregnancy, you are at a 10 percent increased risk for another. However, this means that 90% of pregnancies after ectopic pregnancy will be normal and healthy, this is according to the Miscarriage Association.
Conceiving after medical management
If you are given methotrexate to manage ectopic pregnancy, you are advised to wait three months before trying to conceive again. This is because it can affect future pregnancies if you do not wait and conceive too early. It also depletes your body of folic acid, which is essential for preventing birth defects.
When To Call 911
Ectopic pregnancy can cause a fallopian tube to rupture. If that happens, you could have major pain and severe bleeding, and you would need medical care right away. Here are some possible signs of this:
- Pain in your rectum or an intense urge to have a bowel movement could mean youre bleeding internally.
- Pain in your shoulder could also be an emergency. While it might not sound pregnancy-related, if one of your fallopian tubes bursts, blood can pool near your diaphragm and irritate nerves that run to your shoulder.
- If your pain is severe, sharp, and sudden, or if you feel lightheaded or dizzy, or if youve fainted, call 911 immediately. These are all signs you could be going into shock.
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Yes You Can Reverse Tubal Ligation
Sometimes, the desire to have a baby happens later in life, after you’ve had your tubes tied.
Since tubal ligation is considered a permanent form of birth control, it does require a minimally invasive surgical procedure to reverse it, so you can try to become pregnant. This involves reconnecting the blocked segments of the fallopian tubes to the remainder of the fallopian tubes.
If successful, a reversal may allow the egg and sperm to meet again. But this depends on your age, type of tubal ligation performed, and the length of your remaining tubes. According to Brigham and Women’s Hospital, approximately 50% to 80% of women can get pregnant after a reversal.
Ectopic Pregnancy Tests And Diagnosis
A pregnancy that’s ectopic is usually diagnosed at about four to six weeks into pregnancy. Ectopic pregnancy tests and diagnosis often include:
- A pelvic exam
- A transvaginal ultrasound, which can pick up an ectopic pregnancy as early as five weeks after your last menstrual period a wand is placed inside your vagina to check for a developing embryo outside of the uterus.
- Blood tests to check the level of the hormone human chorionic gonadotropin , the hormone made by the placenta that increases during pregnancy. A lower-than-normal increase in hGC levels may indicate an ectopic pregnancy.
- Other blood tests to check for signs of blood loss
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Can You Get Pregnant If Your Tubes Are Tied
The chances are slim: about 1 in 1,000 after the first year and between 2-10 in 1,000 after 5 years. While most women can successfully have a tubal ligation, reversal so that you can intentionally become pregnant is not a guarantee. It requires enough healthy tissue on both ends of the tube for it to reconnect and open all the way through to function properly. Even then, 20% of women will have so much scar tissue that the flow of the tube is blocked. HSG is done again after a reversal to check for proper flow.
There is also a greater risk for ectopic pregnancy after a tubal reversal. Typically, a fertilized egg attaches to the lining of the uterus in an ectopic pregnancy, it most often attaches in the fallopian tube. The pregnancy cannot proceed normally, and if left untreated it can be life threatening. After a tubal reversal, the risk for an ectopic pregnancy is about 10 to 20 percent.
So how likely is it to get pregnant after a tubal ligation? Ultimately, the success rate for pregnancy following a tubal reversal is about 40 percent in women under 37.
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Know The Signs And Symptoms
The classic and first signs of an ectopic pregnancy, regardless of where it occurs, are often abdominal or pelvic pain, and abnormal vaginal bleeding. These warning signs typically occur early between weeks 6 and 8 of pregnancy. The fallopian tube is narrow, explained Dr. Khady Diouf, M.D., an associate ob-gyn at Brigham and Womens Hospital in Boston. For a pregnancy to start there and get really advanced or big before someone has a sign is rare.
However, symptoms may occur later if the fertilized egg has implanted in a more unusual location, such as in the abdominal cavity. Some patients may get pain elsewhere, such as in the back. Its different for everyone, said Dr. Ecker. Not all women with an ectopic pregnancy experience these symptoms some might have no symptoms at all. Others may mistake them for something else, like a miscarriage.
I think its a pretty decent rule that if youre having bleeding and pain thats not very brief and is more than just mild, then you need to see a health care provider, explained Dr. Ecker.
If an ectopic pregnancy grows and causes the fallopian tube or other organ its growing in to rupture or bleed heavily, you might have more intense abdominal pain and bleeding and also dizziness, light-headedness, pain in your shoulder or low blood pressure.
Who Is At Risk For Having An Ectopic Pregnancy
Any woman can have an ectopic pregnancy. But the risk is higher if you:
- Are older than 35
- Have more than one sex partner. This can put you at risk for getting a sexually transmitted infection . An STI is an infection you can get from having sex with someone who is infected. STIs can lead to pelvic inflammatory disease , an infection that can damage the fallopian tubes, uterus and other organs.
Medical conditions that increase your risk for having an ectopic pregnancy include:
- You’ve had a previous ectopic pregnancy.
- You’ve had surgery on a fallopian tube, or you have problems, like a birth defect in a fallopian tube. A birth defect is a health condition that is present at birth. It can change the shape or function of one or more parts of the body. It can cause problems in overall health, in how the body develops, or in how the body works.
- You have scars inside the pelvic area from a burst appendix or from past surgeries. Your appendix is part of your digestive tract that helps you process the food you eat.
- You’ve had endometriosis. This is when tissue from the uterus grows somewhere outside the uterus.
- You had trouble getting pregnant, or you had fertility treatment to help you get pregnant.
- You got pregnant while using an intrauterine device or after tubal ligation . An IUD is a form of birth control that your provider places inside your uterus. Tubal ligation is surgery to close the fallopian tubes to prevent you from getting pregnant.