Ectopic pregnancy Shymkent

Ectopic pregnancy

Ectopic pregnancy is a pathological condition where the fertilized egg and subsequently the embryo attach outside the uterine cavity. This occurrence is most common in the fallopian tubes, often leading to tube rupture and subsequent bleeding, necessitating urgent surgery. Statistics show that two out of a hundred pregnancies are ectopic, and this condition remains a significant contributor to maternal mortality. Reducing such mortality is a priority in public health. The utilization of modern diagnostic and treatment methods helps mitigate the risks to the health and life of a woman. However, women who have experienced an ectopic pregnancy may encounter certain disruptions in their reproductive function later on.

Reasons

• Acquired pathology of the fallopian tubes;
• Hormonal changes;
• Inflammation of appendages, venereal diseases;
• Surgical operations on abdominal organs;
• Endometriosis;
• Abdominal tumors located in the pelvis;
• Abortions;
• Use of intrauterine devices (IUD);
• Uncontrolled infertility treatment with medications;
• History of ectopic pregnancies;
• Tobacco smoking;
• Chronic alcohol dependence;
• Neurological diseases;
• Sedentary lifestyle;
• Age over 35;
• Stress.

Diagnostics

Includes the following studies:

• Ultrasound of the pelvic organs (for early detection of ectopic pregnancy);
• Determination of the level of hCG (human chorionic gonadotropin) in the blood: in ectopic pregnancy, the concentration of hCG increases more slowly than in a normal pregnancy;
• Diagnostic laparoscopy (if internal bleeding is suspected).

Treatment

You should be aware that suspicion of ectopic pregnancy categorically excludes self-medication. If ectopic pregnancy is suspected, immediate medical attention is essential, and if confirmed, prompt surgical intervention is typically required.

With timely diagnosis, surgery can be performed using a minimally invasive laparoscopic approach. The recovery period after surgery typically lasts no more than 3 weeks.

After an ectopic pregnancy, planning a new pregnancy is possible, but it is advisable to wait at least six months. Despite the potential risk of miscarriage or another ectopic pregnancy, the chances of conceiving and carrying a fetus to term are generally quite high.

However, if the fallopian tubes were removed or their patency was disrupted after the operation, the only viable option for getting pregnant may be through in vitro fertilization (IVF).