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Ectopic Pregnancy
Ectopic pregnancies are serious obstetric emergencies that need immediate expert care to preserve the mother’s safety and avoid complications. We at Medintu help you to get the best possible care for your loved ones through our esteemed obstetricians and gynaecologists.
What is an Ectopic Pregnancy?
Ectopic pregnancy is a complicated pregnancy wherein the embryo or fertilised egg gets implanted in a site other than the uterus. An ectopic pregnancy can be life-threatening to the mother and child. Therefore, it needs a lot of attention and care in the early stages. Signs and symptoms of ectopic pregnancy need to be detected earlier. Depending on the age of pregnancy, the gynaecologist or obstetrician will decide on a means of managing the pregnancy.
Diagnosis of Ectopic Pregnancy
Ectopic pregnancies are difficult to diagnose compared to normal pregnancies. They can be diagnosed during regular gynaecological checkups or on a visit to the general surgeon, as the most common complaint is a pain in the abdomen. The following signs and symptoms may indicate the presence of an ectopic pregnancy.
1. Pain in the abdomen
2. Abdominal mass
3. Missed period
4. Bloating
5. Nausea
6. VomitingÂ
7. Light vaginal bleeding
If the gynaecologist suspects an ectopic pregnancy, she or he might suggest the following tests:
• Urine Test: It is done as part of the first investigation. The doctor might request a sample of your midstream urine in a small urine collecting container for a urine pregnancy strip test. If the patient is pregnant, a specific hormone called human chorionic gonadotropin causes another pink line to appear on the urine strip, giving a positive pregnancy test.
• Blood Test: A blood test to confirm the presence of human chorionic gonadotropin is more sensitive, and the doctor might prescribe it if in their clinical exam they suspect an ectopic pregnancy.
• Ultrasound: The ultrasound scan is the most standard investigation to find out about a pregnancy. It can help determine if the gestational sac, or a small balloon-like structure into which the baby grows, is inside the uterus or somewhere else. It can be done by placing the probe on the abdomen, and the vaginal presence of a gestational sac also confirms the pregnancy.
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Why choose Medintu ?
Medintu is one of the fastest-growing medical service portals in the country. We have a network of the best gynaecologists in India. Any obstetric or gynecology-related complaints? Medintu is here for you.
Ectopic pregnancies are complicated surgeries, so we bring specialists in to take the best possible care of your loved one. We respect the sensitivity of the time, and our doctors make sure that care is not only physical but also gentle with counseling and compassionate support. For the best obstetric care, visit Medintu
Gynecologists For Ectopic Pregnancy
Medintu offers highly reputable gynecologists who perform Ectopic Pregnancy with precision, compassion, and integrity.
Dr. Anagha Nawal
Dr. Y Rathipriya
Dr. Darshna Amol Wahane
Dr. Sujatha
Ectopic Pregnancy Treatment
Ectopic pregnancy can be managed either by giving medicine or by the use of surgical methods. Medical management is only restricted to the very initial periods and if the fetus is not growing or dead. Surgical management is usually preferred in later stages and also when the patient comes in as an emergency case.
Medical treatment:Â
Methotrexate is the drug of choice for early ectopic pregnancy or one in which the fetus is already dead, which is verified by stagnant B-HCG levels. The dose of methotrexate given is based on the weight of the patient and can be given as a single dose or in small intervals over a few days. Methotrexate is usually successful in terminating the pregnancy, and if the pregnancy still persists, surgical intervention can be made.Surgery:
Surgery for an ectopic is usually an emergency surgery, either following the patient’s admission to the emergency room with pain in the abdomen or on the detection of an advanced ectopic in a routine gynecological examination. Surgery for ectopic pregnancy is a major surgery, and the treatment is usually called a salpingectomy, where the part of the fallopian tube is cut out along with the embryo or fetus. If the ectopic is external, like the ovary, the ovary may unfortunately be removed. This surgical procedure is called an oophorectomy. The approach to surgery might be open abdominal surgery or laparoscopic surgery. The laparoscopy may be chosen for more stable patients, despite the age of gestation being small. For patients with a lot of bleeding and other complications, open abdominal surgery may be done.
What are the side effects of an Ectopic Pregnancy?
- An ectopic pregnancy is a pregnancy loss and takes a very heavy toll on the mother’s health, both mentally and physically. The following side effects may be seen following an ectopic pregnancy:
1. Depression, PTSD, and anxiety could be some of the serious but common side effects that may be seen after the termination of the ectopic pregnancy.
2. Sometimes, in cases where the embryo implants itself on the ovary, an oophorectomy is done, and that can significantly affect the future fertility of the female.
3. Increased chances of further ectopic pregnancies: an ectopic pregnancy once can increase the chances of subsequent pregnancies being ectopic.
FAQs
What is the cost of ectopic pregnancy treatment in India?
The cost of ectopic pregnancy treatment in India varies from 40,000–60,000 rupees. The cost may vary based on the procedure, the doctor, the clinic, and its location.
How effective is surgery for ectopic pregnancy?
Surgery for ectopic pregnancy is very effective, as the entire ectopic embryonic tissue is removed thoroughly during surgery.
How soon can I conceive after an ectopic pregnancy?
Pregnancy can be stressful for the body, whether successful or not. It is advised to wait at least another 3 months before trying to conceive again.
How long does an ectopic pregnancy surgery take?
Ectopic pregnancy surgery usually takes 40–60 minutes. Including the preoperative preparation and setting up the OT, it may take 2-4 hours.
Is bleeding after ectopic pregnancy surgery normal?
Yes . Some mild bleeding following ectopic pregnancy surgery is normal for up to 10 days. Any further bleeding needs the attention of an OBGYN.