What causes ectopic pregnancy?

Ectopic pregnancy is a form of abnormal pregnancy, which is prone to symptoms such as abdominal pain and vaginal bleeding. In severe cases, it can cause internal bleeding and other serious dangers to women's lives. Once an ectopic pregnancy is discovered, it must be treated immediately. So, what causes ectopic pregnancy?

What causes ectopic pregnancy?

1. The frequent occurrence of ectopic pregnancies is more closely related to the frequent occurrence of reproductive system infections. Gynecological inflammation, such as vaginitis and cervicitis, may infect both fallopian tubes and cause salpingitis. After an abortion, the body's own defense mechanism is affected, and the bilateral fallopian tubes are susceptible to bacterial infection, resulting in bilateral peritubal tissue inflammation. For women who undergo repeated abortions, the more frequent the pregnancies, the greater the possibility of ectopic pregnancy. Studies have shown that pelvic inflammatory disease can also increase the risk of ectopic pregnancy by 2.7 times.

2. Women who undergo abdominal surgery are at an increased risk of ectopic pregnancy. Nowadays, the cesarean section rate continues to rise, and ectopic pregnancies occurring in uterine scars are also increasing. Moreover, appendicitis perforation is also a high-risk factor for ectopic pregnancy. Appendectomy increases the risk of ectopic pregnancy by 1.8 times.

3. Improper selection of contraceptive measures can also cause ectopic pregnancy. Emergency contraception affects the levels of estrogen and estrogens, thereby affecting the peristalsis, microvilli activity and metabolism of squamous epithelial cells in the walls of bilateral fallopian tubes. If the growth hormone is unbalanced, it may affect the transport of sperm and egg and cause fallopian tube pregnancy. Some women lack their own awareness of prevention and have no long-term contraceptive measures. The indiscriminate use of emergency contraception will increase the risk of ectopic pregnancy.

4. Excessive smoking and drinking will also increase the probability of ectopic pregnancy. Studies have shown that tobacco tar and ethanol can affect the shaking of the microvilli in the bilateral fallopian tubes and cause ectopic pregnancy. According to the survey, smokers have a higher incidence of disease than non-smokers.

1. Medication treatment for ectopic pregnancy

If it is definitely an ectopic pregnancy and the embryo is relatively small, the doctor may ask you to use drugs to kill the embryo. This type of drug can be administered by intramuscular injection, reach the test tube embryo through the blood, and stop ectopic pregnancy by inhibiting the growth of embryonic cells. After a period of time, this small test tube embryo will be digested and absorbed by your body.

Conservative treatment with drugs is the treatment method for ectopic pregnancy in the early stages, and it is also divided into different groups. In the group where both fallopian tubes have not ruptured, the diameter of the tubal pregnancy mass is less than 3cm, there is no obvious capillary rupture, and the blood HCG is less than 2000U/L, conservative treatment with drugs is suitable.

This type of treatment causes less harm to the patient, but the killed test tube embryos are polarized at the origin, which can easily lead to blockage of the fallopian tube and affect fertility. Therefore, female patients should use it with caution, especially those who have fertility requirements should not try this method casually.

2. Surgical treatment of ectopic pregnancy

(1) Bilateral fallopian tube fenestration and ventilation suture for the treatment of ectopic pregnancy

When the fallopian tubes on both sides are not ruptured or the rupture is small, hysteroscopy can be used for treatment. First, the fallopian tubes are cut open to remove the test tube embryos, and then sutures are made to maintain the function of the fallopian tubes on both sides. Hysteroscopic surgery can reduce the harm of surgery. It is painless, bleeding-free, healing fast, and scar-free. It greatly reduces the recurrence of symptoms and is the best treatment for ectopic pregnancy currently advocated. Laparoscopic surgery is a minimally invasive surgery that performs minimally invasive surgery on ectopic pregnancy to preserve reproductive function to the greatest extent possible, allowing patients to rekindle their expectations of having a baby.

(2) Bilateral fallopian tube removal for the treatment of ectopic pregnancy

Bilateral salpingectomy is generally used for ectopic pregnancy with severe bilateral fallopian tube rupture that is difficult to repair and accompanied by hemorrhagic shock. It is the only option to remove the affected bilateral fallopian tubes.

Tips: Although ectopic pregnancy is very scary, if treated promptly, the damage can be minimized. If you find that you have an ectopic pregnancy, you should actively cooperate with the doctor's treatment, and don't have psychological burden, relax, and actively treat it.