Patient's question:
The symptoms are similar to ectopic pregnancy, which I found out myself. What should I do?Doctor's answer:
Ectopic pregnancy refers to a condition where the fetus does not implant in the uterus but instead develops in the narrow fallopian tube, leading to its rupture and causing severe bleeding. This condition not only threatens the life of the fetus but also endangers the mother's life.If a pregnant woman experiences sudden, severe lower abdominal pain and bleeding, ectopic pregnancy should be suspected alongside the possibility of a miscarriage.
If you have been pregnant for more than 30 days, a positive urine test, combined with an ultrasound that shows no follicle but instead reveals blood clots inside the uterus, does not rule out the possibility of ectopic pregnancy. In such cases, a quantitative examination should be conducted. This includes a white blood cell count and blood sedimentation rate to determine if your quantitative indicators fall within the range of ectopic pregnancy. If they do, there is no doubt that you have ectopic pregnancy.
Menstrual Delay: Except for interstitial pregnancy, where the menstrual delay is longer, most cases involve a delay of 6 to 8 weeks. Symptoms such as abdominal pain and vaginal bleeding typically occur after the delay. However, approximately 20% of patients report no history of menstrual delay.
Abdominal Pain: This is the most prominent symptom when patients seek medical attention. The pain is caused by factors such as the expansion and rupture of the fallopian tube and the stimulation of the peritoneum by blood. During rupture, patients may suddenly experience sharp, tearing-like pain on one side of the lower abdomen, often accompanied by nausea and vomiting.
Vaginal Bleeding: After the death of the embryo, irregular vaginal bleeding may occur, appearing dark brown in color and in small quantities, generally not exceeding the amount of a normal menstrual period but with persistent, light flow.
Fainting and Shock: Acute abdominal bleeding can lead to a decrease in blood volume and severe abdominal pain, resulting in fainting in mild cases and shock in severe cases.
Most ectopic pregnancies occur in the fallopian tube. It is recommended to visit a reputable hospital for a definitive diagnosis. If ectopic pregnancy is confirmed, early minimally invasive surgery can be performed, with only a small incision of 1-2 centimeters and minimal pain. If the condition is left untreated, the fallopian tube will continue to grow over time, eventually rupturing and causing severe bleeding, which is extremely dangerous.