ectopic pregnancy symptoms

Written by Zhang Lu
Obstetrics
Updated on October 20, 2024
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Ectopic pregnancy is not a normal state of pregnancy. Normally, the gestational sac should be located in the middle of the uterine cavity. An ectopic pregnancy refers to the implantation of the gestational sac outside the uterine cavity. Common types of ectopic pregnancy include tubal pregnancy, ovarian pregnancy, and abdominal pregnancy, with over 99% of ectopic pregnancies being tubal pregnancies. The symptoms of an ectopic pregnancy include the following aspects: 1. In the early stages of an ectopic pregnancy, there are no clinical symptoms because the early gestational sac is relatively small and does not stimulate the fallopian tube or the local area, thus causing no symptoms. 2. When the gestational sac grows to a certain size, it compresses the tube cavity, causing mild abdominal pain. This pain intensifies as the gestational sac grows and can lead to tearing pain, indicating a ruptured tubal pregnancy. 3. During an ectopic pregnancy, because the gestational sac cannot develop normally, the levels of estrogen and progesterone in the body are relatively low, leading to endometrial withdrawal bleeding, which manifests as a small amount of bright red vaginal bleeding.

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Written by Yan Qiao
Obstetrics and Gynecology
1min 35sec home-news-image

How much does an ectopic pregnancy cost approximately?

The treatment of ectopic pregnancy is divided into three types: cord treatment and conservative drug treatment, open abdominal surgery, and laparoscopic surgery. For cord treatment, no medication is needed; regular monitoring of ultrasound and HCG levels until they return to normal is sufficient, and generally, this incurs no excessive costs. For conservative drug treatment, the main medications used are mifepristone combined with methotrexate, and it can also be combined with traditional Chinese medicine treatment. These medications are very affordable. For the treatment of ectopic pregnancies, we still recommend hospitalization. The cost of conservative drug treatment is about 2,000 to 3,000 yuan. Of course, depending on the specific conditions of the patient, if multiple treatment courses are needed, the cost may increase, but the increase is relatively small, and it also depends on the individual. Regarding surgical treatment, open abdominal surgery is generally around 8,000 yuan according to the standards of a third-grade A-level city hospital. Laparoscopic surgery, slightly more expensive by about 1,000 to 2,000 yuan, is controlled at around 10,000 yuan. Of course, these are costs according to our own hospital’s standards, and our hospital is also a third-grade A-level city hospital. This is generally the situation.

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Written by Su Wen
Obstetrics and Gynecology
1min home-news-image

Early symptoms of ectopic pregnancy

Ectopic pregnancy, also known as extrauterine pregnancy, refers to the implantation of the gestational sac outside the uterine cavity. For example, in the fallopian tubes, ovaries, or the cornual region, etc., leading to a series of symptoms known as ectopic pregnancy. Typically, symptoms of an ectopic pregnancy include a history of amenorrhea, where most individuals have a long or short history of missed periods. The second symptom is bleeding, which can be irregular, minor vaginal bleeding or significant bleeding, as well as bleeding within the abdominal cavity, which can lead to hemorrhagic shock in severe cases. Additionally, abdominal pain may occur, manifesting as sudden, tearing-like lower abdominal pain, or irregular referred pain.

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Written by Tang Mei Xiang
Obstetrics and Gynecology
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Can an ectopic pregnancy be carried to term?

Ectopic pregnancy refers to the implantation of a fertilized egg outside the uterine cavity, commonly known as ectopic pregnancy. An ectopic pregnancy is when the pregnancy sac implants outside the uterine cavity. Because the muscle layer outside the uterine cavity is very thin, it restricts the growth of the pregnancy sac during its development. Furthermore, the trophoblast invades the local blood vessels, causing the vessels to rupture and miscarriage to occur very early in the pregnancy, potentially endangering the patient's life. Therefore, an ectopic pregnancy is an abnormal pregnancy that cannot be sustained. If an ectopic pregnancy is detected, it should be treated as early as possible.

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Written by Jia Rui
Obstetrics and Gynecology
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Ectopic pregnancy characteristics

Lower unilateral abdominal pain, irregular vaginal bleeding, and even after 50 days of pregnancy, the ultrasound still does not show the gestational sac implanted in the uterine cavity. An ultrasound can be used to understand the size and location of the gestational sac. The symptoms of an ectopic pregnancy are often atypical. Some patients may experience shock due to heavy bleeding, with pale complexion and a drop in blood pressure. It is important to hospitalize timely for the treatment of ectopic pregnancy to prevent life-threatening severe bleeding. In cases of ectopic pregnancy, blood hCG levels may not increase.

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Written by Zhao Li Li
Obstetrics
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Do ectopic pregnancies require surgery?

In general, if an ectopic pregnancy is confirmed, further symptomatic examinations and treatments are necessary. Normally, it is recommended to determine the specific location of the ectopic pregnancy and any changes in vital signs under ultrasound examination. If the patient's vital signs are stable, the ectopic site has not ruptured, and there is no intraperitoneal bleeding, conservative medical treatment can be temporarily administered. If severe intraperitoneal bleeding has occurred, accompanied by changes in vital signs, it is advisable to promptly proceed with surgical treatment.