Asymptomatic ectopic pregnancy

Under normal circumstances, if the test tube embryo is implanted in the uterus after a woman becomes pregnant, it is called an intrauterine pregnancy. If it is implanted at a certain point outside the uterus, it is called an ectopic pregnancy, which is also called ectopic pregnancy in medicine. The most common location of ectopic pregnancy is the fallopian tubes, and rarely it can be seen in the uterus, ovaries, cervix, etc. It means that the test tube embryo did not implant in the uterus, but grew and developed elsewhere, and then the fallopian tubes ruptured, causing internal bleeding. But some women have no symptoms of ectopic pregnancy, so what should they do?

What to do if you have an ectopic pregnancy without symptoms?

For ectopic pregnancy without any symptoms, it is still necessary to consider the corresponding treatment based on the test results. If the ectopic pregnancy mass is less than one centimeter, and the hcg value is less than 100U/L, and the hcg is still at a low level, you can consider observing at home and taking mifepristone orally. However, if you have obvious abdominal pain, you must go to the hospital for emergency treatment. If a woman is found to have an ectopic pregnancy mass that is larger than two centimeters and her hcg level is over 500U/L, she should be hospitalized for conservative treatment even if she has no symptoms.

What are the early symptoms of ectopic pregnancy?

Abdominal pain: The patient has heavy or severe pain in the lower abdomen, a feeling of defecation, and often sweats profusely. If the wound ruptures, the patient will feel tearing pain in one side of the lower abdomen, accompanied by nausea and retching.

Amenorrhea: The early symptoms of ectopic pregnancy are easily confused with normal early pregnancy reactions. If a pregnant woman experiences amenorrhea and early pregnancy reactions within a short period of time, and sometimes also has unilateral lower abdominal pain, and examination reveals that both fallopian tubes are normal and swollen, ectopic pregnancy should be suspected.

Vaginal bleeding: Patients with ectopic pregnancy may experience vaginal bleeding. It should be noted that ectopic pregnancy bleeding is irregular vaginal bleeding that occurs after the death of the test tube embryo. It is dark brown in color and small in amount, generally not exceeding the menstrual volume. Bleeding is often accompanied by the discharge of decidual tubular or decidual fragments, and the bleeding can stop completely when the disease is cleared. Bleeding during menstruation is discharged without decidual tissue.

Syncope and shock: Many patients may suffer from reduced blood flow or severe abdominal pain due to subacute bleeding in the abdomen. In mild cases, they may experience syncope, and in severe cases, they may suffer from shock, which is seriously life-threatening.