Understanding Ectopic Pregnancy

A Comprehensive Guide for Patients

Family Medicine

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Last updated: Mar 24, 2025

What is an Ectopic Pregnancy?

An ectopic pregnancy occurs when a fertilized egg implants outside the uterus, most commonly in the fallopian tube. This condition is a serious medical emergency that requires immediate attention.

Key Facts

  • Affects approximately 1-2% of pregnancies
  • Cannot develop into a viable pregnancy
  • Requires immediate medical intervention
  • Most common in the fallopian tubes (95% of cases)

Common Risk Factors

  • Previous ectopic pregnancy
  • History of pelvic inflammatory disease
  • Prior tubal surgery
  • Smoking
  • Age over 35
  • Fertility treatments
  • Endometriosis

Warning Signs and Symptoms

Early Symptoms:

  • Mild pelvic pain
  • Light vaginal bleeding
  • Missed period

Emergency Symptoms:

  • Sharp abdominal pain
  • Shoulder pain
  • Severe dizziness
  • Heavy bleeding

Diagnosis

  • Blood tests (hCG levels)
  • Transvaginal ultrasound
  • Physical examination

Treatment Options

  1. Medication (Methotrexate)

    • Used for early, stable cases
    • Given as injection
    • Requires follow-up monitoring
  2. Surgery

    • Usually laparoscopic procedure
    • Required for emergency cases
    • May be necessary to remove affected tube

Recovery and Future Fertility

  • Recovery period varies by treatment type
  • Most women can conceive again
  • Increased monitoring in future pregnancies
  • Important to discuss family planning with healthcare provider

When to Seek Emergency Care

Go to the emergency room immediately if you experience:

  • Severe abdominal pain
  • Heavy bleeding
  • Fainting or severe dizziness
  • Shoulder pain

Support and Resources

  • Medical counseling
  • Emotional support services
  • Follow-up care
  • Future pregnancy planning

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