ectopic pregnancy symptoms

Written by Zhang Lu
Obstetrics
Updated on October 20, 2024
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Ectopic pregnancy is not a normal state of pregnancy. Normally, the gestational sac should be located in the middle of the uterine cavity. An ectopic pregnancy refers to the implantation of the gestational sac outside the uterine cavity. Common types of ectopic pregnancy include tubal pregnancy, ovarian pregnancy, and abdominal pregnancy, with over 99% of ectopic pregnancies being tubal pregnancies. The symptoms of an ectopic pregnancy include the following aspects: 1. In the early stages of an ectopic pregnancy, there are no clinical symptoms because the early gestational sac is relatively small and does not stimulate the fallopian tube or the local area, thus causing no symptoms. 2. When the gestational sac grows to a certain size, it compresses the tube cavity, causing mild abdominal pain. This pain intensifies as the gestational sac grows and can lead to tearing pain, indicating a ruptured tubal pregnancy. 3. During an ectopic pregnancy, because the gestational sac cannot develop normally, the levels of estrogen and progesterone in the body are relatively low, leading to endometrial withdrawal bleeding, which manifests as a small amount of bright red vaginal bleeding.

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Written by Jia Rui
Obstetrics and Gynecology
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What are the early signs of an ectopic pregnancy?

The precursors of an ectopic pregnancy can manifest as unilateral lower abdominal dropping pain, and there may be irregular vaginal bleeding. After 50 days of pregnancy, the gestational sac is not visible in the uterine cavity, and the symptoms of an ectopic pregnancy are atypical. Some people may experience severe bleeding and go into shock. In cases of ectopic pregnancy, it is imperative to go to the hospital for an ultrasound to determine the size and location of the gestational sac and confirm whether it is an ectopic pregnancy. Timely hospitalization and treatment are necessary if an ectopic pregnancy is confirmed.

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Written by Yan Qiao
Obstetrics and Gynecology
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How much does an ectopic pregnancy cost approximately?

The treatment of ectopic pregnancy is divided into three types: cord treatment and conservative drug treatment, open abdominal surgery, and laparoscopic surgery. For cord treatment, no medication is needed; regular monitoring of ultrasound and HCG levels until they return to normal is sufficient, and generally, this incurs no excessive costs. For conservative drug treatment, the main medications used are mifepristone combined with methotrexate, and it can also be combined with traditional Chinese medicine treatment. These medications are very affordable. For the treatment of ectopic pregnancies, we still recommend hospitalization. The cost of conservative drug treatment is about 2,000 to 3,000 yuan. Of course, depending on the specific conditions of the patient, if multiple treatment courses are needed, the cost may increase, but the increase is relatively small, and it also depends on the individual. Regarding surgical treatment, open abdominal surgery is generally around 8,000 yuan according to the standards of a third-grade A-level city hospital. Laparoscopic surgery, slightly more expensive by about 1,000 to 2,000 yuan, is controlled at around 10,000 yuan. Of course, these are costs according to our own hospital’s standards, and our hospital is also a third-grade A-level city hospital. This is generally the situation.

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Written by Zhao Li Li
Obstetrics
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Can an ectopic pregnancy be carried to term?

Currently, an ectopic pregnancy has been confirmed. An ectopic pregnancy refers to the implantation or pregnancy occurring outside the uterine cavity, typically indicating poor embryonic development. Most commonly, the pregnancy implants in the fallopian tubes, known as a tubal pregnancy. Generally, around eight weeks after cessation of menstruation, the pregnancy sac can cause the fallopian tube wall to burst, leading to significant bleeding due to rupture. Therefore, in ectopic pregnancies, there is no normal embryonic tissue in the uterine cavity, and there is no possibility of childbirth. Once an ectopic pregnancy is confirmed, it is necessary to administer timely medical or surgical treatment to avoid severe bleeding and life-threatening situations. (Medication should be used under the guidance of a professional doctor.)

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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.

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Written by Zhang Lu
Obstetrics
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What should I do about an ectopic pregnancy?

Ectopic pregnancy, as the name suggests, refers to the implantation of the gestational sac outside the uterine cavity, with the more common types including tubal pregnancy, ovarian pregnancy, and abdominal pregnancy. Ectopic pregnancy is mainly diagnosed through ultrasound and blood tests. If an ectopic pregnancy is confirmed or highly suspected, treatment should begin, primarily choosing between conservative medication treatment or surgical treatment based on the severity of the condition. 1. If the condition is mild, with HCG levels less than 1000 U/L and the mass volume smaller than 3 cm, conservative medication treatment can be chosen. 2. If the condition is severe, with a larger mass volume and significantly elevated HCG levels, surgical treatment is recommended. Currently, with the advancement of minimally invasive surgery, the majority of ectopic pregnancies can be treated using laparoscopy.