Introduction
Ectopic pregnancy is defined as a pregnancy that occurs outside of the uterine cavity. The most common site of ectopic pregnancy is the fallopian tube. Most cases of tubal ectopic pregnancy that are detected early can be treated successfully either with minimally invasive surgery or with medical management using methotrexate. However, tubal ectopic pregnancy in an unstable patient is a medical emergency that requires prompt surgical intervention.
Fertilized eggs in the fallopian tube pregnancy have significant difficulty in lasting, 1-2 months after the last menstrual period. The gradually growing embryo will burst from the fallopian tube, causing massive internal bleeding, shock, and even endangering the patient’s life. The traditional approach of treating ectopic pregnancies is via surgery that opens the abdomen, with almost all cases having their fallopian tube removed, which can cause other complications. Although ectopic pregnancies are treatable, the patient’s fertility is greatly reduced, where we see these patients have increased difficulty in conceiving, to the point that they seem infertile.
How to diagnose an ectopic?
- Transvaginal Ultrasonography
Ultrasonography can definitively diagnose an ectopic pregnancy when a gestational sac with a yolk sac, or embryo, or both, is noted in the adnexa however, most ectopic pregnancies do not progress to this stage . The ultrasound findings of a mass or a mass with a hypoechoic area that is separate from the ovary should raise suspicion for the presence of ectopic pregnancy; however, its positive predictive value is only 80% (15) because these findings can be confused with pelvic structures, such as a paratubal cyst, corpus luteum, hydrosalpinx, endometrioma, or bowel. Although an early intrauterine gestational sac may be visualized as early as 5 weeks of gestation (17), definitive ultrasound evidence of an intrauterine pregnancy includes the visualization of a gestational sac with a yolk sac or embryo. Visualization of a definitive intrauterine pregnancy eliminates ectopic pregnancy except in the rare case of heterotopic pregnancy.
- Serum Human Chorionic Gonadotropin Measurement
Measurement of the serum hCG level aids in the diagnosis of women at risk of ectopic pregnancy. However, serum hCG values alone should not be used to diagnose an ectopic pregnancy and should be correlated with the patient’s history, symptoms, and ultrasound findings. Accurate gestational age calculation, rather than an absolute hCG level, is the best determinant of when a normal pregnancy should be seen within the uterus with transvaginal ultrasonography. An intrauterine gestational sac with a yolk sac should be visible between 5 weeks and 6 weeks of gestation regardless of whether there are one or multiple gestations. In the absence of such definitive information, the serum hCG level can be used as a surrogate for gestational age to help interpret a non-diagnostic ultrasonogram.
Management of Ectopic Pregnancy at Antai Hospital
The minimally invasive technology developed by modern obstetrics and gynecology can not only treat ectopic pregnancy through laparoscopy, but also preserve the patient’s fallopian tube, and still maintain fertility after surgery. For patients with fertility requirements, therefore, the best way is by utilizing Antai Hospital’s specialized 3-D laparoscopic tubal fenestration. Benefits include having minor surgical trauma, and quicker recovery, not only reducing the patient’s pain but maximizing the retainment of the oviduct’s anatomical & physiological structure. It also greatly shortens the hospitalization time! Antai Hospital treatment should be the utmost consideration for patients, with the implementation of 3D laparoscopic tubal fenestrectomy, is the most effective approach for the treatment of ectopic pregnancy.
For patients with early ectopic pregnancy without rupture and internal bleeding without fertility requirements; For elderly ectopic pregnancy patients with fertility requirements; if you want to preserve this pregnancy, we can carry out an ectopic pregnancy embryo intrauterine transplantation surgery to continue pregnancy, also known as ectopic intrauterine transfer; If you don’t want to preserve the pregnancy, then we can remove the embryo with transvaginal laparoscopy, protecting the abdominal wall and endometrium without any scarring.
The biggest hidden danger about drug treatment of ectopic pregnancy is to kill the embryo in the implantation site and then the machine, drug treatment of ectopic tubal pregnancy will cause tubal obstruction, greatly reducing the probability of natural pregnancy, affect subsequent pregnancies thereafter.
Antai Hospital provides an accurate and comprehensive diagnosis of more than 150 diseases that can cause clinical manifestations of infertility and carries out effective treatment measures based on in-body pregnancy-helping techniques. 3D hysteroscopy, laparoscopic interventional therapy, hysteroviduct iodide angiography HSG etc. Contractual treatment of tubal adhesion and obstruction, polycystic ovary syndrome PCOS, endometriosis, ectopic pregnancy, secretory infertility, etc.
Get in touch with us today to begin your pregnancy journey with Antai.
Antai Hospital’s Commitment
Antai Hospital’s full refund policy for the miscarriage prevention treatments we provide should already be the best guarantee for a healthy pregnancy. Patients should rest assured, can and should go about their everyday life, focusing their diet on vegetables, beans, celery, and other fiber-rich foods. Besides that, an active lifestyle of yoga and swimming should also be incorporated to help relieve stress and increase blood circulation, which is beneficial for the fetus’s development and the mother’s health. With our assurance, a healthy lifestyle, and peace of mind, you can go through a healthy pregnancy with no complications.
Recurrent miscarriages are no doubt a heavy blow to the patient’s physical and mental health. All we can do is to help ease the burden and decrease your trauma, to slowly help you overcome the anxiety with the love and care that we provide at Antai Hospital.
Trust in Antai Hospital and trust in yourself, your pregnancy is our priority.