What are the early signs of ectopic pregnancy?

Written by Tang Mei Xiang
Obstetrics and Gynecology
Updated on September 03, 2024
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Ectopic pregnancy is a common term for what is known as a displaced pregnancy; that is, a condition where the fertilized egg implants outside of the uterine cavity. Therefore, ectopic pregnancy and intrauterine pregnancy are different. In the early stages of an ectopic pregnancy, if there is no splitting of the pregnancy sac or bleeding, there generally are no symptoms. However, the condition can be understood and assessed through some auxiliary examinations. For example, after the cessation of menstruation, an ectopic pregnancy might be accompanied by a small amount of vaginal bleeding, and blood tests for HCG might show that the HCG levels do not double as expected. Or, at a certain gestational week, such as six or seven weeks, an ultrasound might not reveal a pregnancy sac. These are all precursors to an ectopic pregnancy, and if these signs appear, the likelihood of an ectopic pregnancy is very high.

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Written by Tang Mei Xiang
Obstetrics and Gynecology
1min 11sec home-news-image

Can an ectopic pregnancy cause a fever?

Ectopic pregnancy generally does not cause fever symptoms unless there is an infection. The typical signs of an ectopic pregnancy include a history of missed menstruation, minor vaginal bleeding, and abdominal pain. When the ectopic pregnancy in the fallopian tube has not ruptured, the pain is characterized by swelling pain in the lower abdomen. If the fallopian tube pregnancy ruptures, there will be tearing pain, followed by tenderness in the lower abdomen, rebound pain, and abdominal muscle tension, and then fainting and shock can occur. During a gynecological examination, it is possible to feel a mass in the abdomen. Ectopic pregnancies generally require surgical treatment. After surgery, there might be a temporary fever known as "absorption fever," but this type of fever is short-lived and the body temperature does not exceed 38 degrees Celsius. This is a normal physiological reaction after surgery and is not considered a pathological fever.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Ectopic pregnancy signs

Normally, if menstruation does not occur at the expected time and there is irregular, light bleeding, the first step is to go to the hospital for an early pregnancy test. If the test shows two lines, this indicates pregnancy. Pregnancy includes intrauterine pregnancy and ectopic pregnancy. In cases of ectopic pregnancy, there is generally also irregular bleeding and abdominal pain. Therefore, if the early pregnancy test is positive with two lines and there is irregular bleeding and abdominal pain, one must be alert for the occurrence of an ectopic pregnancy. At this time, you can go to the hospital for blood tests to check the HCG levels and progesterone, along with an ultrasound to comprehensively determine the situation. If there is no gestational sac within the uterine cavity and an abnormal mass is found outside the uterus, then hospitalization and appropriate treatment for the ectopic pregnancy are needed.

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Written by Zhao Li Li
Obstetrics
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Do ectopic pregnancies require surgery?

In general, if an ectopic pregnancy is confirmed, further symptomatic examinations and treatments are necessary. Normally, it is recommended to determine the specific location of the ectopic pregnancy and any changes in vital signs under ultrasound examination. If the patient's vital signs are stable, the ectopic site has not ruptured, and there is no intraperitoneal bleeding, conservative medical treatment can be temporarily administered. If severe intraperitoneal bleeding has occurred, accompanied by changes in vital signs, it is advisable to promptly proceed with surgical treatment.

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Written by Tang Mei Xiang
Obstetrics and Gynecology
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How is an ectopic pregnancy caused?

Ectopic pregnancy refers to the implantation of a fertilized egg outside the uterine cavity. A pregnancy located outside the uterine cavity is commonly known as an ectopic pregnancy. The most common type of ectopic pregnancy is a tubal pregnancy, though less common types include abdominal, ovarian, and cervical pregnancies. How does an ectopic pregnancy occur? Inflammation is the most common cause, as it can lead to adhesions in the fallopian tubes or pelvic area, causing abnormal transport in the fallopian tubes. Additionally, ectopic pregnancies can result from scarring after surgeries, such as pregnancies in cesarean section scars, and from anomalies of the uterus, like pregnancies in a remaining part of the uterus.

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Written by Liu Qin
Obstetrics and Gynecology
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Is the probability of ectopic pregnancy high?

Ectopic pregnancy, as the name implies, refers to the implantation of the fertilized egg outside the uterine cavity, not within the uterus. Ectopic pregnancies most commonly occur in the fallopian tubes, accounting for about 95% of cases. Ectopic pregnancy is one of the common emergencies in gynecology and obstetrics, but its incidence is actually not high, approximately 2%-3%. However, because ectopic pregnancy is a leading cause of death in early pregnancies, it is quite alarming. In recent years, however, with the advancement of ultrasound technology, ectopic pregnancies are being diagnosed and treated earlier, significantly enhancing the survival rates and the ability to preserve fertility.