This article will tell you about the elimination of ectopic pregnancy and what to do if it occurs. I hope it will be helpful to you. Don’t forget to bookmark this site.
Contents of this article
- What is the blood hcg level to exclude ectopic pregnancy? How does the hcg value determine ectopic pregnancy
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- 50 days of pregnancy and no discomfort, can ectopic pregnancy be ruled out
- What should I do if I have an ectopic pregnancy?
- Will an ectopic pregnancy cause abdominal distension? How to exclude ectopic pregnancy by yourself
- How many days into pregnancy can we rule out ectopic pregnancy
- How long into pregnancy can we confirm that it is an intrauterine pregnancy and rule out ectopic pregnancy
1. Blood hcg level to rule out ectopic pregnancy. How does hcg value determine ectopic pregnancy?
Blood How much does hcg exclude ectopic pregnancy? The hcg value determines ectopic pregnancy when the HCG value is relatively low in the early stages. It can also be indirectly determined by doubling HCG to exclude ectopic pregnancy. After pregnancy, blood HCG doubles every other day, and progesterone gradually rises, indicating that the chance of ectopic pregnancy is very small. If HCG is not doubling every other day, progesterone is not rising properly, and there is vaginal bleeding, the chance of ectopic pregnancy is high.
2. After 50 days of pregnancy and no discomfort, can ectopic pregnancy be ruled out
According to the information you provided, there was no discomfort during pregnancy. This lack of feeling cannot rule out an ectopic pregnancy. Mainly, ectopic pregnancy can be ruled out by going to the hospital and doing an abdominal color ultrasound examination. Therefore, generally, ectopic pregnancy can be ruled out when you go to the hospital for the first examination when you are fifty or sixty days pregnant. At the same time, you must have a good attitude during pregnancy.
3. What to do if you have an ectopic pregnancy
Ectopic pregnancy, that is, ectopic pregnancy Pregnancy refers to the implantation and development of the pregnant egg outside the uterine body cavity. It is the main cause of early death of pregnant women. Its incidence rate is 2%-5%. Among them, fallopian tube pregnancy is the most common, accounting for about 95%.
Patients often seek medical treatment with abnormal vaginal bleeding or abdominal pain after menopause, which seriously affects the patient\’s physical and mental health and even threatens his life.
Subsequently With the advent of second children, there are more and more patients who want to preserve their fertility. Medical researchers are also constantly researching and exploring, and the current treatment methods for this disease are also constantly developing.
Expectant therapy is one of the methods of conservative treatment of ectopic pregnancy, that is, some patients with low-risk ectopic pregnancy are not given any treatment, and the fluctuations of blood β-hCG are dynamically observed until it drops to a level within the normal range. This method can appropriately reduce the side effects of drugs and complications caused by surgery.
However, it requires close monitoring of the patient\’s vital signs. , changes in blood β-hCG and mass, the patient needs to be hospitalized for observation for more than half a month. If individual patients have symptoms such as blood β-hCG not falling or rising, mass enlargement or rupture, intra-abdominal bleeding, etc., Corresponding treatment should be carried out in time
Mifepristone: Mifepristone is a progesterone antagonist, which can inhibit cell proliferation and accelerate the growth of trophoblasts. Apoptosis. After oral administration, the active ingredient of the drug can replace progesterone in the patient\’s body, and when effectively combined with relevant receptors, it can significantly regulate progesterone levels. In addition, it can also reduce luteinizing hormone, promote the dissolution of the corpus luteum, and inhibit ovarian function. In patients with amenorrhea, it can also increase the excitability of uterine smooth muscles to dilate and soften the cervix, induce uterine contractions, and thus accelerate the expulsion of embryos. Easier to excrete.
Methotrexate: Methotrexate is an antimetabolite drug that can inhibit the synthesis of tetrahydrofolate in the human body, thereby promoting necrosis of embryonic tissue. , shedding, and absorption. It mainly destroys the villus structure on the embryo, causing it to gradually become necrotic due to lack of nutrition.
5-fluorouracil: 5-fluorine. Uracil is a chemotherapy drug. Because the trophoblast cells are in a state of proliferation during pregnancy, they are extremely sensitive to 5-fluorouracil. It can inhibit the growth of trophoblast cells by affecting the synthesis of DNA, and ultimately kill the embryo. . It has been reported that the cure rate of 5-fluorouracil for the treatment of ectopic pregnancy is 84.2%, and the fallopian tube patency rate is 80%. However, this drug has certain side effects, and its size is related to the dosage, so it should be used with caution.
Laparotomy: A longitudinal incision is made in the center of the patient\’s lower abdomen. Patients who do not want to have children will undergo salpingectomy on the affected side; those who want to have children will undergo fallopian tube fenestration and embryo retrieval. But its surgeryThe incision is relatively large, leaving scars easily causing blood loss during the operation and causing greater trauma to the patient. Moreover, some patients are prone to incision infection after surgery, which is not conducive to the recovery of the patient\’s reproductive function.
Laparoscopy: Laparoscopic fallopian tube resection or laparoscopic fallopian tube fenestration embryo retrieval can be chosen according to the patient’s needs. Studies have found that laparoscopic fenestration embryo retrieval is less invasive than conventional laparotomy embryo retrieval, and the postoperative recovery speed is faster. It has less impact on the patient\’s subsequent pregnancy and can also reduce the possibility of another ectopic pregnancy. Moreover, laparoscopic surgery can help improve the patency rate of fallopian tubes.
Laparoscopic drug local injection treatment method: Laparoscopic drug local injection treatment of fallopian tube pregnancy mainly injects drugs into the gestational sac after the embryo position is determined. , killing the embryo through the action of drugs. Compared with conventional drug conservative treatment methods, laparoscopic local drug injection treatment can ensure the accuracy of the drug\’s action site and maximize the embryocidal effect.
High-intensity focused ultrasound (HIFU) treatment: HIFU treatment mainly relies on ultrasound as the energy source, using its penetrability and focusability to focus on pregnancy The embryo generates high temperature in a short period of time, causing coagulation necrosis of the embryonic tissue. Treatment is most effective when the size of the gestational sac is between 1.5-2.5cm. If the gestational sac is small, the ultrasound may not show clearly and cannot be located; if the gestational sac is too large, the final treatment effect may not be ideal. HIFU treatment can shorten the patient\’s hospitalization time, reduce the amount of bleeding and pelvic adhesions, and is easier to protect the fallopian tube, so it has good clinical application value.
Ectopic pregnancy is a life-threatening disease that we should attach great importance to. With the continuous development of medicine and the continuous research and exploration of medical scientists, there are more and more treatment methods for ectopic pregnancy and they are becoming more and more mature. Drug therapy is the most commonly used method for conservative treatment of ectopic pregnancy in recent years, and it is a non-invasive treatment method. Invasive treatment methods are often used for patients with ectopic pregnancy whose ovum has not ruptured. They can save patients from the pain of surgery while keeping the fallopian tubes open. They are the preferred method for most patients who want to preserve their fertility.
There are also various surgical treatments for ectopic pregnancy. The traditional treatment method is open surgery. Although it can achieve the purpose of treating ectopic pregnancy, it is prone to complications. Various complications have an impact on women\’s normal reproductive functions. With the continuous development of clinical medical technology, laparoscopic surgery has been continuously promoted and applied. It has many advantages during treatment, such as broadening the doctor\’s surgical field of vision, improving the accuracy of surgery, and being able to perform surgery from different angles and directions. Perform lesion exploration and surgical treatment with minimal trauma.
Laparoscopic treatment has now become the preferred surgical method for patients with surgical indications.
As a relatively advanced and emerging HIFU treatment, its emergence has truly realized the non-invasive treatment of ectopic pregnancy. With the improvement of treatment standards and treatment As the platform becomes wider, HIFU treatment will enter people\’s field of vision.
To sum up, in clinical application, we still have to consider the degree of the patient\’s condition, the hospital\’s medical equipment, technical proficiency, the patient\’s wishes and the economy. Conditions and other comprehensive considerations are taken into consideration and an individualized treatment plan is implemented.
Finally, while improving treatment measures, we should also popularize women\’s health knowledge education, advocate excellent women\’s health care, improve women\’s quality, and reduce the risk of ectopia. Eliminating the triggering factors of pregnancy and reducing the incidence of ectopic pregnancy is the key to ensuring the safety and quality of women\’s lives.
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[1] Jian Yongnan. A brief discussion on the treatment of ectopic pregnancy [J]. InternationalInfectionsDiseases(ElectronicEdition), 2020,9(01):236-237.
4. Will ectopic pregnancy cause abdominal distension, and how to eliminate ectopic pregnancy by yourself
Also In some ectopic pregnancies, women will experience abdominal distension. There is no way to judge whether it is an ectopic pregnancy through symptoms. If it is in the pregnancy stage, then you can go to a regular hospital for a B-ultrasound examination on the 40th day of pregnancy. B A gestational sac can also be observed during ultrasonography. If a gestational sac is not observed in the uterus, it is most likely caused by an ectopic pregnancy, which also requires timely treatment.
5. How many days into pregnancy can ectopic pregnancy be ruled out
Fertilized egg transfer The time to the uterine cavity is different. It\’s hard to say how long the fetal sac will be visible. Generally speaking, if an intrauterine gestational sac is not detected by color Doppler ultrasound within 6-7 weeks, care must be taken to rule out ectopic pregnancy. Color Doppler ultrasound of the uterine appendage in early ectopic pregnancy may have difficulty detecting the ectopic gestational sac, but continued monitoring of blood hcg levels may reveal the problem. After ectopic pregnancy, chorionic tropismAdenohormones rise slowly, and progesterone levels do not reach normal standards.
6. How long does it take to confirm that it is an intrauterine pregnancy and rule out ectopic pregnancy
Excluding ectopic pregnancy under normal circumstances, but relying on observation is not enough. Generally, within 8 weeks of pregnancy, if there is no abdominal pain or vaginal bleeding, ectopic pregnancy can basically be ruled out. If you want to rule out ectopic pregnancy, it is best to go to the hospital for a B-ultrasound examination to see where the gestational sac has implanted. By observing the implantation site of the gestational sac, you can accurately determine whether an ectopic pregnancy has occurred.
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