What are the symptoms of ectopic pregnancy?

summary

The abnormal pregnancy process in which the pregnant egg is implanted outside the uterine cavity. Also known as "ectopic pregnancy.". Tubal pregnancy is the most common. The etiology is often due to the inflammation in or around the fallopian tube, which causes the poor patency of the tube, hinders the normal operation of the pregnant egg, makes it stay, implantation and development in the fallopian tube, and leads to the abortion or rupture of the fallopian tube pregnancy.

What are the symptoms of ectopic pregnancy?

The clinical manifestations of tubal pregnancy are related to the implantation site of the pregnant egg in the fallopian tube, whether there is abortion or rupture, the amount of blood in the abdominal cavity and the onset time. Before abortion or rupture of tubal pregnancy, the symptoms and signs are not obvious. Except for short-term menopause and pregnancy, sometimes there is pain in one side of the lower abdomen, and the fallopian tube is normal or swollen.

Abdominal pain is the main symptom of patients when they see a doctor. Abdominal pain is caused by many factors, such as tubal enlargement, rupture and blood stimulation of peritoneum. When rupture occurs, patients suddenly feel tearing pain in one side of the lower abdomen, often accompanied by nausea and vomiting. If blood is limited to the lesion area, it is manifested as local pain in the lower abdomen; When the blood accumulates in the uterine rectum, the anus has the feeling of falling and swelling; Excessive bleeding, blood flow from the pelvic cavity to the abdominal cavity, pain spread from the lower abdomen to the whole abdomen; When blood stimulates diaphragm, it can cause radiation pain of scapula.

Syncope and shock due to acute intra-abdominal bleeding, can cause blood volume reduction and severe abdominal pain, light often syncope, severe shock, the severity of intra-abdominal bleeding and bleeding rate is proportional to the amount of bleeding, that is, the more acute bleeding, the more rapid the symptoms appear, the more serious, but not proportional to the amount of vaginal bleeding[

matters needing attention

The first principle to prevent ectopic pregnancy is to prevent pelvic inflammatory disease and reduce the incidence of chronic salpingitis; Secondly, the patients with history of tubal surgery should be closely monitored and try pregnancy under the guidance of doctors when they have the intention of pregnancy; Women who use IUD should be checked regularly according to the requirements, and treated in time if pelvic inflammation is found; In order to get the best reproductive prognosis, we should make clear the location and nature of the tumor, treat the tumor reasonably according to the doctor's advice.