{"id":839,"date":"2020-08-26T22:18:15","date_gmt":"2020-08-27T04:18:15","guid":{"rendered":"https:\/\/americanpregnancy.org\/?p=839"},"modified":"2021-12-09T13:36:53","modified_gmt":"2021-12-09T19:36:53","slug":"ectopic-pregnancy","status":"publish","type":"post","link":"https:\/\/americanpregnancy.org\/healthy-pregnancy\/pregnancy-complications\/ectopic-pregnancy\/","title":{"rendered":"Ectopic Pregnancy"},"content":{"rendered":"<p>An <strong>ectopic pregnancy<\/strong> occurs when the fertilized egg attaches itself in a place\u00a0other than inside the uterus. Most cases occur in the fallopian tube and are thus sometimes called tubal pregnancies. The fallopian\u00a0tubes are not designed to hold a growing embryo; thus, the fertilized egg in a\u00a0tubal pregnancy cannot develop properly and must be treated. An ectopic\u00a0pregnancy happens in <strong>1 out of 50 pregnancies<\/strong>.<\/p>\n<h2><strong><span style=\"color: #333333; font-size: 26px;\">Ectopic Pregnancy Symptoms<\/span><\/strong><\/h2>\n<p>Although you may experience typical <a href=\"https:\/\/americanpregnancy.org\/pregnancy-symptoms\/early-signs-of-pregnancy\/\">signs\u00a0and symptoms of pregnancy<\/a>, and a pregnancy test result may be positive, an ectopic pregnancy can&#8217;t continue as normal. The following symptoms may be used\u00a0to help recognize a potential ectopic pregnancy:<\/p>\n<ul>\n<li><span class=\"closebullets\">Sharp or stabbing pain that may come and go and vary in intensity. (The pain may be in the pelvis, abdomen, or even the shoulder and neck due to blood from a ruptured ectopic pregnancy pooling under the diaphragm).<\/span><\/li>\n<li><a title=\"Bleeding During Pregnancy\" href=\"https:\/\/americanpregnancy.org\/pregnancy-complications\/bleeding-during-pregnancy\/\">Vaginal bleeding<\/a>, heavier or lighter than\u00a0your normal period<\/li>\n<li>Gastrointestinal symptoms<\/li>\n<li>Weakness, <a title=\"Pregnancy and Dizziness\" href=\"https:\/\/americanpregnancy.org\/pregnancy-health\/dizziness-during-pregnancy\/\">dizziness<\/a>, or fainting<\/li>\n<\/ul>\n<p>It is important to contact your doctor immediately if you are experiencing\u00a0sharp pain that lasts more than a few minutes or if you have <a href=\"https:\/\/americanpregnancy.org\/pregnancy-complications\/bleeding-during-pregnancy\/\">bleeding<\/a>.<\/p>\n<h3>What are the Causes?<\/h3>\n<ul>\n<li>An infection or inflammation of the fallopian\u00a0tube can cause it to become partially or entirely blocked.<\/li>\n<li>Scar tissue from a previous\u00a0infection or a surgical procedure on the tube may also impede the egg&#8217;s\u00a0movement.<\/li>\n<li>Previous surgery in the pelvic area or on\u00a0the tubes can cause adhesions.<\/li>\n<li>Abnormal growths or a birth defect can result in an abnormality in the tube&#8217;s shape.<\/li>\n<\/ul>\n<h3>Who is at risk for Having an Ectopic Pregnancy?<\/h3>\n<ul>\n<li>Maternal age of 35-44 years<\/li>\n<li>Previous ectopic pregnancy<\/li>\n<li>Previous pelvic or abdominal surgery<\/li>\n<li><a title=\"PID: Pelvic Inflammatory Disease\" href=\"https:\/\/americanpregnancy.org\/womens-health\/pelvic-inflammatory-disease\/\">Pelvic\u00a0Inflammatory Disease (PID)<\/a><\/li>\n<li>Several induced abortions<\/li>\n<li>Conceiving after having a <a title=\"Pregnancy After Tubal Ligation\" href=\"https:\/\/americanpregnancy.org\/preventing-pregnancy\/pregnancy-tubal-ligation\/\">tubal ligation<\/a>\u00a0or while an <a title=\"Intrauterine Devices: IUD\" href=\"https:\/\/americanpregnancy.org\/preventing-pregnancy\/intrauterine-devices\/\">IUD<\/a> is in place<\/li>\n<li><a title=\"Smoking During Pregnancy\" href=\"https:\/\/americanpregnancy.org\/pregnancy-health\/smoking-during-pregnancy\/\">Smoking<\/a><\/li>\n<li><a title=\"Endometriosis\" href=\" https:\/\/americanpregnancy.org\/womenshealth\/endometriosis.html\">Endometriosis<\/a><\/li>\n<li>Undergoing fertility treatments or are using fertility <a title=\"Medication\" href=\"https:\/\/americanpregnancy.org\/medication\/\">medications<\/a><\/li>\n<\/ul>\n<h3>How is it Diagnosed?<\/h3>\n<p>Ectopic pregnancies are diagnosed by your physician, who will probably\u00a0first perform a pelvic exam to locate pain, tenderness, or a mass in\u00a0the abdomen. Your physician will also use an ultrasound to determine\u00a0whether the uterus contains a developing fetus. The measurement of <a title=\"hCG levels\" href=\"https:\/\/americanpregnancy.org\/getting-pregnant\/hcg-levels\/\">hCG levels<\/a> is\u00a0also important. An hCG level that is lower than expected\u00a0is one reason to suspect an ectopic pregnancy.<\/p>\n<p>Your doctor may also test your progesterone levels because low levels could be a sign of an ectopic pregnancy. In addition, your physician may do a culdocentesis, which is a procedure that involves inserting a needle into the very top of the vagina, behind the uterus and in front of the rectum. The presence of blood in this area may indicate bleeding from a ruptured fallopian tube.<\/p>\n<h3>What are the Treatments?<\/h3>\n<ul>\n<li><span class=\"closebullets\">Methotrexate\u00a0may be given, which allows the body to absorb the pregnancy tissue\u00a0and may save the fallopian tube, depending on how far the pregnancy\u00a0has progressed.<\/span><\/li>\n<li>If the tube has become stretched or has\u00a0ruptured and started bleeding, part or all of it may have to be removed. In this case, bleeding needs to be stopped promptly, and\u00a0emergency surgery is necessary.<\/li>\n<li>Laparoscopic surgery under general anesthesia\u00a0may be performed. This procedure involves a surgeon using a laparoscope\u00a0to remove the ectopic pregnancy and repair or remove the affected\u00a0fallopian tube. If the ectopic pregnancy cannot be removed by a\u00a0laparoscopically, another surgical procedure called a\u00a0laparotomy may be done.<\/li>\n<\/ul>\n<h3>What About My Future Pregnancies?<\/h3>\n<p>Your hCG level will need to be re-checked on a regular basis until it reaches zero if you did not have your entire fallopian tube removed. \u00a0An hCG level that remains high could indicate that the ectopic tissue was not entirely removed, which would require surgery or medical management with methotrexate.<\/p>\n<p>The chances of having a successful pregnancy after an ectopic pregnancy\u00a0may be reduced, but this will depend on why the pregnancy\u00a0was ectopic and your medical history. If the fallopian tubes have\u00a0been left in place, you have approximately a 60% chance of having\u00a0a successful pregnancy in the future.<\/p>\n<h4 class=\"citation-date\"><!--more-->Want to Know More?<\/h4>\n<ul>\n<li><strong><a href=\"https:\/\/americanpregnancy.org\/getting-pregnant\/how-to-get-pregnant\/\">How to Get Pregnant<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/americanpregnancy.org\/infertility\/what-you-need-to-know-about-infertility\/\">What You Need to Know About Infertility<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/americanpregnancy.org\/home-page-featured\/7-common-discomforts-pregnancy\/\">7 Discomforts of Pregnancy<\/a><\/strong><\/li>\n<\/ul>\n<hr \/>\n<p><strong>Compiled using information from the following sources:<\/strong><br \/>\nMedlinePlus [Internet]. Bethesda (MD): National Library\u00a0of Medicine (US); [updated 2006 Feb 21]. Pregnancy Loss; [updated\u00a02006 Feb 22; reviewed 2006 Feb 7; cited 2006 Feb 22]. Available from:\u00a0https:\/\/www.nlm.nih.gov\/medlineplus\/pregnancyloss.html<br \/>\nWilliams Obstetrics Twenty-Second Ed. Cunningham, F.\u00a0Gary, et al, Ch. 10.<br \/>\nMedlinePlus [Internet]. Bethesda (MD): National Library of\u00a0Medicine (US); [updated 2006 Feb 21]. Ectopic Pregnancy; [updated 2010 Feb\u00a021;] Available from <a title=\"National Library of Medicine\" href=\"https:\/\/www.nlm.nih.gov\/medlineplus\/ency\/article\/000895.htm\">https:\/\/www.nlm.nih.gov\/medlineplus\/ency\/article\/000895.htm<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>An ectopic pregnancy occurs when the fertilized egg attaches itself in a place\u00a0other than inside the uterus. Most cases occur in the fallopian tube and are thus sometimes called tubal pregnancies. The fallopian\u00a0tubes are not designed to hold a growing embryo; thus, the fertilized egg in a\u00a0tubal pregnancy cannot develop properly and must be treated. [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":69752,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[203],"tags":[],"faq-categories":[8401],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v20.11 (Yoast SEO v20.11) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ectopic Pregnancy | American Pregnancy Association<\/title>\n<meta name=\"description\" content=\"An ectopic\u00a0pregnancy happens in 1 out of 50 pregnancies. 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