Methods for determining an ectopic pregnancy.
Content
Pregnancy is the condition of the body in which an embryo grows inside the uterus. There is both normal - uterine pregnancy and ectopic.
It is associated with a violation of the functioning of the phallopium pipes or the failure of the fetal egg.
How long can you determine an ectopic pregnancy?
- Only in 20% of cases it is possible to diagnose an ectopic pregnancy before the phallopievo pipe bursts. This is due to the fact that at the very beginning, signs are such as in uterine pregnancy
- A woman is delayed in menstruation, toxicosis is observed. Most often, a pregnancy test gives a positive result
- This is due to the fact that the embryo is growing and developing, respectively, hCG is in the blood, it is precisely to it that the pregnancy test reacts
- In 30% of cases, women notice smearing discharge and take them for scarce menstruation. This happens even before the breakdown rupture
- Most often, a woman is delivered to the department gynecologists with sharp abdominal pain, with a fall of blood pressure and a frequent pulse
- On the palpation of the abdominal cavity, its pastorality is observed, in the area of \u200b\u200bthe bursting pipe a small but fuzzy seal is sometimes observed, while there is no pain in the area of \u200b\u200bappendages and uterus
- In time, it is possible to determine an ectopic pregnancy in its progressive case. This is when the fetal egg is located inside the phallopium pipe
- It grows until the elasticity of the pipe allows. In this case, immediately after the delay of menstruation, a woman may observe aching pain on the right or left side
- When probing the appendages, you can find a seal. The pain gives to the rectum and lower back. There may be small bloody vaginal discharge
- This is due to the rejection of a small amount of endometrium. With an ectopic pregnancy, the level of progesterone is less than with normal pregnancy
- That is why the endometrium gradually leaves the uterine cavity
You can determine an ectopic pregnancy both at 4 weeks and 12. It all depends on the location of the fetal egg. There are cases when a woman wore a child of 5 months between ligaments of the uterus. But most often, if you consult a doctor in time, you can find an ectopic pregnancy at 4-8 weeks.
Ways to determine an ectopic pregnancy yourself:
- Buy a pregnancy test. The most commonly discovered a barely noticeable second strip
- Buy a test after 2 days and repeat the procedure
- With normal pregnancy, the level of hCG doubles after 2 days, respectively, the strip will become intense
- With an ectopic pregnancy, the hCG level grows very slowly, and a barely noticeable second strip will be visible on the test
Ectopic pregnancy: how long does the pipe burst
The duration of the pipe rupture is different. The phallopiev pipe first and at the end has a different diameter, respectively, the egg can break the organ at 4 or 12 weeks.
Terms of rupture of the pipe during an ectopic pregnancy:
- Estmic department. If the embryo is attached to this section of the pipe, then the gap occurs at 4-6 weeks
- Interstitial department. The pipe bursts usually at 8-12 weeks. In this section the diameter of the organ is the largest, and the elasticity of the walls is the most significant
- Ampular department. This part is located directly at the ovary. The gap occurs at 4-8 weeks
If the embryo is fixed in the middle of the pipe, then the woman can suspect the wrong course of pregnancy even before it is interrupted.
- Such an outcome is most favorable, since the doctor will be able to save the organ and without consequences to remove the fetal egg. In this case, the woman takes pills stopping the growth of the fetal egg
- After that, anti -inflammatory therapy is carried out. During menstruation, the egg from the pipe is excreted into the uterus and is carried away with the blood
- Thus, it is possible to save the pipe and the chances of getting pregnant and take out a healthy baby increase
When can you determine an ectopic pregnancy on an ultrasound?
- It all depends on the quality of the equipment and the experience of the specialist. In most cases, with a modern apparatus, you can suspect an ectopic pregnancy at 2 weeks
- This is possible using a transvaginal sensor. But the error at such a period is high, since the fetal egg is very small and it is impossible to consider its contents
- On a transabdomal inspection, when the inspection is carried out without placing a sensor in the vagina, an ectopic pregnancy can be diagnosed at 5-8 weeks
- That is why it is worth giving preference to proven clinics with good equipment and transvaginal sensor
What does the doctor see an ultrasound:
- Lack of fetal egg in the uterus. But often, a clot of blood or liquid in the uterine cavity is taken for a fruit egg
- The presence of a seal in a pipe or neoplasm on the ovary
- The endometrium does not correspond to any phase of the menstrual cycle
Typically, an ectopic pregnancy is finally determined after the tests for hormones and when examining a doctor.
How long can a gynecologist determine an ectopic pregnancy?
If after the test you noticed a barely pink strip several times, go to the doctor. During the usual examination, it is not always possible to determine an ectopic pregnancy.
What does the doctor see when examining:
- The uterus is increased, while its increase in its increase may not correspond to the gestational age
- The cervix has a bluish tint
- In the area of \u200b\u200bthe fallopian tubes and ovaries, the seal is felt. Patient Palpation feels pain
Typically, several methods of detecting pregnancy are used at the same time.
Signs of ectopic pregnancy:
- Detection of an ultrasound of the fetal egg in the fallopian tube
- Weak growth of the uterus that does not correspond to the gestational age
- After passing the analysis for hormones, the growth of hCG is small. With normal pregnancy, the indicators after 2 days differ significantly
In 5% of cases of the completion of an ectopic pregnancy, I diagnose infertility with tubular abortion (pipe rupture).
As you can see, you must be attentive to your body. In case of smearing bloody discharge and pain after delayed menstruation, you must consult a doctor.