What are the early signs of ectopic pregnancy?

Written by Tang Mei Xiang
Obstetrics and Gynecology
Updated on September 03, 2024
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Liu Qin
Obstetrics and Gynecology
1min 6sec home-news-image

Causes of ectopic pregnancy

Ectopic pregnancy refers to the implantation of a fertilized egg outside the uterine cavity, among which tubal pregnancy is the most common type, accounting for about 95% of ectopic pregnancies. There are many causes of ectopic pregnancy, with the main cause being inflammation of the fallopian tubes. The inflammation can cause the mucous membrane of the fallopian tube to become sticky, narrowing the lumen of the tube, or impairing the function of the cilia inside the tube, leading to obstruction of the fertilized egg's movement within the tube and resulting in implantation at that location. Other causes include surgery on the fallopian tubes, poor development or abnormal function of the fallopian tubes, further development of assisted reproductive technologies, and the use of emergency contraceptive pills, also known as contraceptive failure, among others. (The use of medications should be under the guidance of a doctor.)

doctor image
home-news-image
Written by Zhao Li Li
Obstetrics
42sec home-news-image

How is an ectopic pregnancy treated?

If symptoms of an ectopic pregnancy are confirmed, further examinations are necessary before symptomatic treatment can be administered. Normally, it is essential to first determine the specific status of the ectopic pregnancy, whether there is any rupture, whether the patient's vital signs are stable, and whether there is significant internal bleeding in the abdominal cavity. If the symptoms are not severe and there is no rupture, localized conservative medicinal treatment can be administered. However, if the symptoms are severe, accompanied by hemorrhagic shock or substantial internal bleeding in the abdomen, emergency surgical treatment is required.

doctor image
home-news-image
Written by Tang Mei Xiang
Obstetrics and Gynecology
49sec home-news-image

Can an ectopic pregnancy be carried to term?

Ectopic pregnancy refers to the implantation of a fertilized egg outside the uterine cavity, commonly known as ectopic pregnancy. An ectopic pregnancy is when the pregnancy sac implants outside the uterine cavity. Because the muscle layer outside the uterine cavity is very thin, it restricts the growth of the pregnancy sac during its development. Furthermore, the trophoblast invades the local blood vessels, causing the vessels to rupture and miscarriage to occur very early in the pregnancy, potentially endangering the patient's life. Therefore, an ectopic pregnancy is an abnormal pregnancy that cannot be sustained. If an ectopic pregnancy is detected, it should be treated as early as possible.

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
44sec home-news-image

ectopic pregnancy rate

The probability of an ectopic pregnancy occurring is generally quite low, with an incidence rate of about 2%-3%. An ectopic pregnancy refers to a fertilized egg that does not implant within the uterine cavity, and occurs outside the uterine cavity; the most common site for an ectopic pregnancy is the fallopian tube, followed by the ovaries and the abdominal cavity. These are the common sites for ectopic pregnancies. The main causes of ectopic pregnancies are chronic inflammation or congenital diseases, which lead to adhesions and blockages in the fallopian tubes, affecting the migration of the fertilized egg.

doctor image
home-news-image
Written by Su Wen
Obstetrics and Gynecology
1min home-news-image

Early symptoms of ectopic pregnancy

Ectopic pregnancy, also known as extrauterine pregnancy, refers to the implantation of the gestational sac outside the uterine cavity. For example, in the fallopian tubes, ovaries, or the cornual region, etc., leading to a series of symptoms known as ectopic pregnancy. Typically, symptoms of an ectopic pregnancy include a history of amenorrhea, where most individuals have a long or short history of missed periods. The second symptom is bleeding, which can be irregular, minor vaginal bleeding or significant bleeding, as well as bleeding within the abdominal cavity, which can lead to hemorrhagic shock in severe cases. Additionally, abdominal pain may occur, manifesting as sudden, tearing-like lower abdominal pain, or irregular referred pain.