Things to Know About Ectopic Pregnancy

An ectopic pregnancy is a pregnancy that occurs when the fertilized egg attaches to any part of the body other than the uterus (endometrium). An ectopic pregnancy has a 1 in 50 probability. Almost all ectopic pregnancies happen in the tube. After fertilization is in the tube, it multiplies by dividing within 1 week on the one hand, and progresses into the uterus on the other hand. An ectopic pregnancy occurs if the embryo does not progress into the uterus and attaches to the tube or to a place other than the uterus.

Cause of Ectopic Pregnancy

Partial tube obstruction due to infection or inflammation

Restriction of ebmbryo movement of scar tissue caused by a previous infection

Adhesion due to previous surgeries

Longer than normal tube

Those at Risk of Ectopic Pregnancy

Women at increased risk of ectopic pregnancy:

between 35-45 years old

Have had a previous ectopic pregnancy

Having surgery on the groin and abdomen

having PID (pelvic inflammatory disease)

Lots of abortions


Getting pregnant after tube tied or with an IUD

with endometriosis

undergoing infertility treatment

Ectopic Pregnancy Findings

Although it gives the same findings as in normal pregnancy, the following findings are seen in ectopic pregnancy:

Sharp, stabbing pain with varying frequency. Mostly in the groin, sometimes in the form of abdominal and shoulder pain (bleeding into the abdomen may cause pain in the shoulder by affecting the diaphragm)

More or less menstrual bleeding than normal

Weakness, tremors, fainting

Findings related to the intestines

In case of sharp pain and heavy bleeding, seek immediate medical attention. It could be life threatening.

Ectopic Pregnancy Diagnosis

The diagnosis of ectopic pregnancy is made by ultrasound performed together with the examination. Beta-hCG measurement is important. Usually the beta-hCG level is lower than expected. In addition, a low progesterone level indicates that the pregnancy is not normal.

Ectopic Pregnancy Treatment

Medical treatment: Methotrexate is used in drug therapy. The drug prevents the growth of pregnancy tissue and ensures its absorption. Drug treatment can be tried in ectopic pregnancies that are detected early and bleeding has not started.

Surgical treatment: Ectopic pregnancy tissue is taken as laparoscopic or open surgery. If there is a rupture due to an ectopic pregnancy and there is a lot of bleeding, emergency surgery should be performed.

After treatment, beta-hCG level decreases. If it does not fall, it means there is still pregnancy tissue. It should be followed until the beta-hCG level is zero.

After an ectopic pregnancy, the probability of having an ectopic pregnancy again increases. If the tubes are not damaged after drug treatment or surgery, the chance of normal pregnancy is higher.

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