What is an ectopic pregnancy?
Normally, at the beginning of a pregnancy, the fertilized egg travels from the fallopian tube to the uterus, where it implants and grows. In about 2% of pregnancies, however, the fertilized egg attaches to an area outside of the uterus, which results in an ectopic pregnancy (also known as a tubal pregnancy or an extrauterine pregnancy). 1
Nearly all ectopic pregnancies develop in a fallopian tube; the rest occur in an ovary, the cervix, or the abdomen. 2 An ectopic pregnancy cannot support the life of a fetus for very long. If left untreated, a tubal ectopic pregnancy can cause fallopian tube damage and life-threatening blood loss. Therefore, unless the pregnancy is miscarrying on its own, medicine is used to stop the pregnancy from growing, or surgery is used to remove it.
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What causes an ectopic pregnancy?
Fallopian tube damage, often from infection, surgery, or endometriosis, is a common cause of ectopic pregnancy. A damaged fallopian tube can block the fertilized egg's path to the uterus, causing it to implant and grow in the tube.
You have an increased risk of developing an ectopic pregnancy if you smoke, have had an ectopic pregnancy before, have a pelvic infection such as chlamydia or gonorrhea, have endometriosis, or were exposed to DES (diethylstilbestrol) before you were born.
Medical treatments that increase the risk of ectopic pregnancy include fallopian tube surgery, fertility drugs that increase egg production, assisted reproductive techniques, and pelvic or abdominal surgery.
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An ectopic pregnancy can damage a fallopian tube, which can make it harder to become pregnant. A damaged tube also increases the risk that a future pregnancy will be ectopic.
A ruptured ectopic pregnancy needs emergency surgery to prevent life-threatening blood loss.
What are symptoms of an ectopic pregnancy?
The most obvious signs of an ectopic pregnancy are pelvic or abdominal pain and vaginal bleeding. If you have these symptoms, see your health professional immediately.
Ectopic pregnancies can be difficult to identify because they usually cause normal early pregnancy symptoms such as a missed menstrual period, fatigue, breast tenderness, and nausea.
A health professional can detect an early ectopic pregnancy with a series of blood tests for pregnancy hormone (hCG) levels, an ultrasound, or both.
Early diagnosis of an ectopic pregnancy allows time for treatment options that can preserve your fertility and lower your risk of serious complications. If you are considered at risk for an ectopic pregnancy, you will be closely monitored during your first trimester.
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