Ectopic Pregnancy

Symptoms

Symptoms of ectopic pregnancy are similar to those of a normal early pregnancy. Classic early ectopic pregnancy symptoms include:
 
  • Lower abdominal or pelvic pain (present in more than 90 percent of cases)
  • Late menstrual period (present in up to 90 percent of cases)
  • Vaginal bleeding or spotting (present in up to 80 percent of cases).

 

(Click Ectopic Pregnancy Symptoms to learn about other symptoms and signs of ectopic pregnancy.)

 

Diagnosing an Ectopic Pregnancy

In order to diagnose an ectopic pregnancy, the doctor generally begins by asking a number of questions and performing a physical exam, looking for signs or symptoms of an ectopic pregnancy. If the doctor suspects an ectopic pregnancy, he or she may recommend certain tests, such as:
 
  • Blood tests, such as checking blood hCG (human chorionic gonadotropin) and progesterone levels
  • Ultrasound
  • Culdocentesis (a procedure that checks for abnormal fluid in the space just behind the vagina)
  • Laparoscopy (see Laparoscopy for an Ectopic Pregnancy).

 

Treating an Ectopic Pregnancy

When an ectopic pregnancy occurs, medical or surgical treatment is necessary to prevent serious or even life-threatening complications. In most cases, ectopic pregnancies are now treated medically with a drug known as methotrexate. Methotrexate stops the growth of the embryo and is successful in treating ectopic pregnancies in up to 94 percent of women.
 
If methotrexate is not an option, the ectopic pregnancy can be treated with surgery. During surgery, a fallopian tube may have to be removed along with the embryo. If only one fallopian tube is removed, the woman should still be able to become pregnant in the future if her other tube and ovary are normal. However, she will be at increased risk (about 10 to 20 percent) of having another ectopic pregnancy.
 
(Click Ectopic Pregnancy Surgery for more information about surgical treatment options for ectopic pregnancy.)
 
Pregnancy and Pain

Ectopic Pregnancies

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