Ectopic pregnancy - pregnancy pathology in which the fertilized egg develops outside the uterus. Fairly frequent and dangerous disease, with internal bleeding and shock.
The causes of ectopic pregnancy are:
a variety of inflammatory processes in the uterine appendages
Disorders of the gonads
induced abortions (especially repeated)
hypoplasia of the genital apparatus
deferred surgery (appendectomy), and gynecological surgery
long-term use of contraceptive intrauterine devices.
Risk factors include infertility, sexual dysfunction (coitus interruptus), psychological factors (eg, fear of pregnancy), sexual intercourse during menstruation.
The consequences of an ectopic pregnancy may include:
inflammatory adhesions in the abdomen, pelvis
repeat ectopic pregnancy
infertility.
The most frequently fertilized egg develops into one of the divisions of fallopian tube (in the funnel, and the uterine peresheechnoy parts), in rare cases - in the ovary or abdomen, as well as in a rudimentary uterine horn. The conditions for the development of the ovum outside the uterus unfavorable, so for 4-5 (rarely 8) weeks of this pregnancy is violated.
Should alert the recurrent attacks of abdominal pain in one of the inguinal regions, scanty dark bloody discharge from the vagina with the existing delay the next menstrual period (at least without delay), the constant breast engorgement, feeling of heaviness in them, the appearance of colostrum when you squeeze the nipple, short-term fainting or feeling faint. Perhaps during the acute disease - a sudden sharp pain in the abdomen, groin, extending to shoulder blade, nausea, pallor, cold sweat, you may lose consciousness. Must be timely appeal to the gynecologist.
The diagnosis is often difficult. Upon confirmation of the diagnosis in all cases treated surgically. In the postoperative period in hospital, and after 2 months in a women's clinic to undergo a course of anti-inflammatory treatment for the health of women and their fertility, as the consequences outside the uterine pregnancy may be inflammatory diseases of the genital organs, adhesions in the pelvis, repeat ectopic pregnancy , infertility.
After surgery, the first two months of sexual activity is not desirable. In a period of not less than 6 months should be protected against pregnancy - better with hormonal contraceptives to prevent the possibility of re-occurrence of ectopic pregnancy. Sexual function after surgery, a woman does not suffer. Prevention includes early detection and treatment of inflammatory diseases of the genital organs, disorders of ovarian function, to avoid abortion.
