Op. Dr. Yasemin Tontuş | Kadın Doğum Uzmanı

Ectopic pregnancy

An ectopic pregnancy occurs when a fertilized egg implants outside the uterus, most commonly in the fallopian tubes, cervix, or abdominal cavity. This condition is a significant medical concern because the pregnancy cannot proceed normally and can lead to serious health complications. Ectopic pregnancies typically require early diagnosis and treatment. Here is a detailed explanation of ectopic pregnancy:

Symptoms and Diagnosis: Ectopic pregnancy often does not present symptoms in the early weeks of pregnancy, but when symptoms do appear, they may require immediate medical attention. Symptoms can include abdominal pain, vaginal bleeding, irregular bleeding, and shoulder pain. Diagnosis is typically made through ultrasound examination and blood tests.

Risk Factors: Factors that increase the risk of ectopic pregnancy include blockages in the fallopian tubes, a history of pelvic inflammatory disease, previous ectopic pregnancy, structural abnormalities in the fallopian tubes, and the use of assisted reproductive technologies such as in vitro fertilization (IVF).

Treatment Options: Treatment for ectopic pregnancy is usually conducted through medical or surgical methods. In early-stage ectopic pregnancies, medications like methotrexate can be used to dissolve the pregnancy tissue. However, surgical intervention may be required in some cases. Laparoscopic surgery is a common method used to remove an ectopic pregnancy.

Follow-up and Counseling: Post-treatment follow-up for ectopic pregnancy is crucial. An obstetrician will monitor the patient's physical and emotional health, provide guidance on fertility planning, discuss the risk of recurrent ectopic pregnancies, and offer psychological support.

Complications and Precautions: Ectopic pregnancy carries significant risks for both the mother and the baby. Early diagnosis and treatment can reduce the risk of complications. However, advanced ectopic pregnancies can result in severe complications such as fallopian tube rupture.

Ectopic pregnancy is a serious obstetric emergency that requires management by a specialist. With early diagnosis and appropriate treatment, most cases can be successfully treated. Therefore, it is important to consult a healthcare professional immediately if pregnancy symptoms appear or if there are risk factors.