Tubal pregnancy can be caused by: infection or inflammation of Fallopian tube can determine the blocking of some of its parts, tissues harmed by infections or operations made on the Fallopian tubes, operations in the pelvic side or in the side of Fallopian tubes which have determined their adhesion, an anomaly in the tubes form as result of genetic defects.
Women who can have a tubal pregnancy: persons between 35 and 44 years old, the ones who had another ectopic pregnancy; the ones who had suffered an operation in the pelvic zone; women who suffer by inflammatory pelvic disease (Chlamydia or Gonococcus infections); ladies who had more than one miscarriage; the ones who have endometriosis and those who use an intrauterine device (it stops the implantation of the fertilized ovule at the level of the endometriom, but it does not protect against an extra-uterine pregnancy).
The extra-uterine pregnancy can have the following symptoms: strange bleedings, intestinal symptoms, sensation of weakness, dizziness, and syncope.
The ectopic pregnancy can be discovered by a specialist doctor, who will examine the pelvic zone to find the center of pain; he/she also will make an echography to see if the uterus shelters a growing foetus. It is very important to measure the pregnancy hormone’s level (a small level of hormones is another reason to suspect an ectopic pregnancy). In the same way, a small level of progesterone can indicate an unusual gestation.
An ectopic pregnancy must be treated right away after the diagnostic in order to avoid the breaking of internal organs of the woman, breaking which may lead to a very severe internal bleeding. The treatment is chosen dependent on the evolution level of the pregnancy and the woman’s health. We have some examples of treatments: special medication (helps the organism to absorb the pregnancy’s tissues, saving this way the Fallopian tube). If the tube becomes too tightly or the breaking takes place and bleeds, all this part of the Fallopian tube must be removed. The bleeding must be quickly stopped and the surgical operation must take place right away. The laparoscopic surgery can be done under total anesthesia. This operation involves the removal of the ectopic pregnancy and fixing the Fallopian tube.
What can happen after that? Well, the hormone’s level must be periodically checked until it gets back to normal (if the Fallopian tube wasn’t totally removed). If the hormone’s level remains high, this fact can indicate the presence of an ectopic tissue that wasn’t totally removed, thing that needs a second surgical intervention or special medication.
After a woman had an ectopic pregnancy, her chances of having a normal pregnancy are smaller than usual, but this thing depends on the causes of the previous pregnancy. If the Fallopian tube is not removed, there are chances of 60% to have a normal pregnancy in the future.