Ectopic or extrauterine pregnancy, is one that gestates outside the uterine cavity. That is, in a normal pregnancy the egg once fertilized by the sperm nests on the walls of the uterus, where it will grow during the 9 months of pregnancy. In the case of ectopic pregnancy, the fertilized egg fails to reach the appropriate area and stays in the fallopian tube and even other inappropriate areas.
Different cases of ectopic pregnancy may occur, but in any case, pregnancy is not feasible and it is necessary to put an end to it before the consequences are serious for the woman. This type of pregnancy requires medical treatment. Depending on the state of pregnancy and when it is detected to be an extrauterine pregnancy, you will need one or the other medical treatment.
Types of ectopic pregnancy
When the embryo begins to grow before it has reached the uterine cavity, it is an ectopic or extrauterine pregnancy. There are several types of ectopic pregnancy, depending on the area where the fertilized egg anists, the possibilities are as follows:
- Tubal pregnancy: In this case the embryo nestsin the fallopian tubes. This type of extrauterine pregnancy is the one that occurs most often.
- Non-tubal ectopic pregnancy: Which occurs when the embryo is implanted in one ofthe ovaries, in the abdominal cavity or in the cervix.
Most extrauterine pregnancies occur in the fallopian tubes. Although to a lesser extent uncommon they can occur in any of the areas we have mentioned. In any case, once the doctor detects that this is an ectopic pregnancy, it is necessary to start with proper treatment to interrupt pregnancy and thus avoid complications of varying severity to the woman.
Treatments for extrauterine pregnancy
It is usually at week 8 of pregnancy when the specialist discovers that the pregnancy is ectopic. It is at that time when you have to decide what is the best treatment, depending on the situation and the state of gestation. This is a painful and unexpected situation that can leave you blocked and without the ability to react. But you need to be aware that in that case, it is impossible for the pregnancy to come to term and therefore it is necessary to interrupt it as soon as possible.
There are several types of treatment for ectopic pregnancy:
- Through a drug called metrotexate: With the administration of this drug the dissolution of the embryois obtained, which will be expelled naturally through bleeding. This bleeding should not be painful and will be somewhat more abundant than one of your rules. Treatment with metrotexate may be used as long as the first trimester of pregnancy is not overtaken. In more advanced pregnancies, treatment will in any case be surgical.
- Through surgery: In this case, two options may be given,partial salpingectomy, where only the area of the fallopian tube where ectopic pregnancy has occurred is removed. And total salpingectomy, which means that the entire tube will be removed.
In any case, surgery does not necessarily involve infertility. In fact, in most cases partial removal allows the tube to rejoin in the future, thereby expanding the chances of fertility. Even if the fallopian tube is removed completely, the woman will be able to remain fertile through the other egg she still retains.
One of the main symptoms of ectopic pregnancy is the severe abdominal pain that it produces. That is, the symptoms are very obvious and you should not overlook them. In any normal pregnancy there are discomfort, typical and frequent in most cases. But abdominal pain is not a common symptom of pregnancy. Therefore, if you notice strong discomfort, quickly go to your doctor to assess the situation as soon as possible. Your fertility and health are at stake.