According to a survey, the global incidence of ectopic pregnancy is gradually rising, and we know from the obstetrics and gynecology departments of hospitals that the incidence of ectopic pregnancy has been “in sync with the world” in recent years. “It is true that more and more patients are coming to the hospital with ectopic pregnancy, which used to be considered ‘unpredictable’, but in fact is often ‘man-made’, with subclinical infections that are not taken seriously as potential killers. ”
1. Increased miscarriage rates in young people can bring about subclinical infections.
There are many reasons for the significant increase in ectopic pregnancy, one of which may be due to “subclinical infections” brought on by abortion. As the age of patients is generally younger, it cannot be ruled out that young people today have a history of sexual life that starts earlier and is more “open” than before. The consequence is an increase in pregnancy rates and abortion rates. “Some young girls have a potential infection after one or two abortions or medical abortions.”
This infection is very frightening and dangerous because it has no clinical manifestations, so it is called “subclinical infection”, and even the “alarming” abdominal pain and fever do not occur, “but in fact the body has already caused In fact, there is already an infection in the body and there are adhesions. This increases the chance of ectopic pregnancy.
2. “Artificial” reasons for delayed treatment of ectopic pregnancy
(1) Insisting on birth control despite adverse reactions to pregnancy
Some women of advanced maternal age may delay the rescue of ectopic pregnancy because they insist on preserving the fetus. Some patients who have had a hard time conceiving a baby think that they are still keeping the fetus at ease when they have adverse reactions such as bleeding and abdominal pain, and are unwilling to go to the hospital for examination, or even refuse to give up the fetus after the examination, which may result in ectopic pregnancy and life-threatening untimely resuscitation.
(2) Concealing “medical history” makes it difficult for doctors to judge
The presentation of sexual and medical history can help doctors determine the possibility of ectopic pregnancy, but some patients conceal it from doctors for personal reasons. If they don’t admit that they have had sexual experience and a history of miscarriage, the doctor may overlook the occurrence of gynecological diseases such as ectopic pregnancy in the diagnosis, thus affecting the treatment.
Because ectopic pregnancy often has “no prominent symptoms” before it ruptures, patients usually have no obvious conscious symptoms or have only mild abdominal pain and a small amount of vaginal bleeding, which are not taken seriously and thus miss the best time for treatment, which directly increases the potential risk of the disease. Ectopic pregnancy can also be easily confused with other diseases.
3. The main “natural” causes of ectopic pregnancy are
(1) Chronic tubal inflammation. Inflammation causes adhesions to the lining of the fallopian tubes, resulting in narrowing of the lumen and weakening of the peristalsis of the tube wall, which allows the egg to enter the tube for fertilization, while the fertilized egg cannot return to the uterine cavity.
(2) Malformation of the fallopian tubes, endometriosis, and recanalization after ligation, so that the fertilized egg is obstructed and stays in the fallopian tube to be fertilized and develop.
(3) Compression or traction by pelvic tumors that displace or deform the fallopian tubes and prevent the passage of fertilized eggs.
(4) Ectopic pregnancy is formed when the fertilized egg travels along the umbilical end of one fallopian tube to the opposite fallopian tube and has the ability to implant before it reaches the uterine cavity due to prolonged time. Four types of typical symptoms sound the alarm of ectopic pregnancy.
Ectopic pregnancy has a rapid onset and is a serious condition that can be life-threatening if not treated properly. Therefore, women of childbearing age should pay attention to the following conditions.
Menopause: most patients have a brief history of menopause before the onset, mostly around 6 weeks.
Abdominal pain: often sudden tearing or paroxysmal pain on one side of the lower abdomen, accompanied by nausea and vomiting.
Irregular vaginal bleeding: The fertilized egg grows in the fallopian tube but the fallopian tube is very small, the villi are poorly developed, and the amount of hormone production is insufficient to maintain the uterine lining and cause bleeding.
Syncope and shock: It is caused by acute intra-abdominal bleeding and severe pain.
4. Reminder.
High-risk groups for ectopic pregnancy
It has been found that women suffering from chronic pelvic inflammatory disease, tubal inflammatory disease, perforated appendicitis, women who have had ectopic pregnancies, women who have had abortions, and women with a history of sexually transmitted diseases or unclean intercourse are all at high risk for ectopic pregnancy.
It is true that women with a history of ectopic pregnancy are more likely to have another ectopic pregnancy because the majority of ectopic pregnancies occur because the fallopian tubes are not open and are often caused by inflammation, so the fallopian tube on the non-affected side is often inflamed and may also have an ectopic pregnancy. The problem on the affected side of the fallopian tube may still exist and ectopic pregnancy may still occur. Therefore, it is important to take precautions, such as an ultrasound examination to confirm whether the gestational sac is in the uterus after another pregnancy.
Nowadays, there is a so-called tubal “watering” to see if the tubes are open, but this test is not a 100% guarantee that the tubes are open because the water is very small and just because it can pass does not mean that the fertilized egg can also pass.