Does bleeding usually mean ectopic pregnancy?

Ectopic pregnancy refers to the implantation and development of the fertilized egg outside the uterine cavity, also known as "ectopic pregnancy". Any pregnancy in which the fertilized egg implants anywhere outside the uterine cavity is called an ectopic pregnancy, commonly known as an ectopic pregnancy. Depending on the implantation site, there are tubal pregnancy, ovarian pregnancy, abdominal pregnancy, and cervical pregnancy. Rupture of an ectopic pregnancy can cause acute massive bleeding, resulting in a drop in the patient's blood pressure and syncope or shock. Does bleeding generally mean an ectopic pregnancy? Let us take a closer look at the following article.

Amenorrhea: Before an ectopic pregnancy occurs, there is often a short-term amenorrhea or a delay of several days in menstruation. But there are also a few people who do not have obvious amenorrhea, and some people mistake a small amount of vaginal bleeding for menstruation. But if they think about it carefully, they will know that this false menstruation is generally different from real menstruation, such as a smaller amount of bleeding, or a darker color.

Vaginal bleeding: Irregular vaginal bleeding is one of the clinical manifestations of ectopic pregnancy. The color of bleeding is dark brown or dark red, the amount is small and in the form of drops, and generally does not exceed the menstrual volume. Vaginal bleeding usually stops after the lesion is removed.

Abdominal pain: Abdominal pain in ectopic pregnancy is the main symptom of tubal pregnancy rupture, and the incidence of rupture is 90%. The abdominal pain of ectopic pregnancy is often characterized by sudden tearing or paroxysmal pain on one side of the lower abdomen, accompanied by nausea and vomiting. Stimulating the diaphragm can cause radiating pain in the shoulder blades. When fluid accumulates in the pelvic cavity, there will be a feeling of heaviness and defecation in the anus. This special sign can also remind women whether they have an ectopic pregnancy.

Syncope and shock: If the patient bleeds more and faster, the symptoms of syncope will become more severe. In severe cases, the patient may experience dizziness, pale complexion, weak pulse, low blood pressure, and cold sweats. More serious cases may also go into shock, characterized by fainting, confusion, and a drop in blood pressure.

Other symptoms: may include nausea, vomiting, and frequent urination. The symptoms of ectopic pregnancy are often atypical. Some patients may go into shock due to heavy bleeding, become pale, and have low blood pressure.

After tubal pregnancy, due to the thin wall of the fallopian tube, the inner wall mucosa and submucosal tissue are very weak or incomplete, the fertilized egg will develop to a certain stage and cause miscarriage of the fallopian tube pregnancy or rupture of the fallopian tube pregnancy and internal bleeding. The fallopian tube muscles are weak and cannot contract and compress the blood sinuses like the uterus to effectively stop bleeding. If there is heavy bleeding, it may cause shock.

About 1/3 of patients with ectopic pregnancy are in a state of pre-shock or shock when they are admitted to the hospital. The severity of the shock depends on the amount of internal bleeding and the rate of blood loss, which is not proportional to the amount of vaginal bleeding. If the pregnancy is in the fallopian tube, the fetus will not rupture until 3 to 4 months of development because the uterine muscle surrounds the tubal cavity. This area is where the uterine blood vessels and ovarian blood vessels converge. It is rich in blood vessels. Once ruptured, a large amount of intra-abdominal bleeding will occur in a very short time. If not treated quickly, it will be life-threatening.

Does bleeding generally mean an ectopic pregnancy? I believe you have gained some understanding through the above article. Pay attention to the combination of work and rest, don't put pressure on yourself, relax, and always keep the vulva clean and dry to prevent bacterial infection. Eat more nutritious food to restore your body to normal as soon as possible. Do not have sexual intercourse for about 30 days to prevent reproductive organ infections.