What kind of lower abdominal pain does an ectopic pregnancy cause?

As we all know, ectopic pregnancy is very harmful. In the earliest stage, ectopic pregnancy may be similar to normal pregnancy, so people cannot discover it in time. As time goes by, the harm of ectopic pregnancy will begin to appear. The most obvious manifestation is severe abdominal pain, which is different from threatened abortion and normal pregnancy pain. So how painful is ectopic pregnancy?

What kind of lower abdominal pain does an ectopic pregnancy cause?

The abdominal pain caused by ectopic pregnancy is more severe than normal dysmenorrhea. There will also be bleeding, and in severe cases, there may be fainting. Generally, there will be slight swelling and pain in the lower abdomen in the early stages of pregnancy. Ectopic pregnancy refers to any pregnancy that occurs outside the uterus, while ectopic pregnancy refers to a pregnancy in which the fertilized egg is located outside the normal implantation site. It also includes cervical pregnancy, intramural pregnancy, cornual pregnancy, etc. Therefore, ectopic pregnancy has a broader meaning and is accepted by the obstetrics and gynecology community. Ectopic pregnancy is a common gynecological acute abdomen, and its incidence has been on the rise in recent years.

Causes of ectopic pregnancy

1. The impact of surgical operations. Many young women choose to have children by cesarean section, and women who have given birth by cesarean section are more likely to have scar pregnancy when they become pregnant again; appendectomy surgery will also increase the risk of ectopic pregnancy in women.

2. Improper contraceptive methods. Incorrect contraceptive methods are also a common cause of ectopic pregnancy in many women. For example, if women take contraceptives for a long time, the drugs will affect the body's hormone levels, which in turn will affect the peristalsis of the fallopian tube wall and affect the smooth entry of the fertilized egg into the uterine cavity, thereby increasing the risk of ectopic pregnancy in women.

3. Genital tract inflammation. If women suffer from vaginitis, cervicitis and other inflammations without timely treatment, the inflammatory pathogens may ascend to infect the fallopian tubes and cause fallopian tube inflammation, affecting the normal function of the fallopian tubes and leading to ectopic pregnancy.

4. The harm caused by repeated abortions. If women do not pay attention to contraception and have repeated abortions, it will cause great harm to the fertilized egg. The more abortions they have, the greater the chance of ectopic pregnancy.

Early symptoms of ectopic pregnancy:

It is one of the common acute abdominal diseases in obstetrics and gynecology. When it miscarries or ruptures, it can cause massive bleeding in the abdominal cavity. If diagnosis and treatment are delayed, it can endanger the life of the pregnant woman. The most common site of disease occurrence is the ampulla of the fallopian tube, accounting for about 60%, followed by the isthmus and fimbria of the fallopian tube, and pregnancy in the interstitial part of the fallopian tube is less common.

(1) Amenorrhea: Except for interstitial pregnancy with a long history of amenorrhea, most cases have amenorrhea for 6 to 8 weeks. About 20 to 30% of patients have no obvious history of amenorrhea.

(2) Symptoms of ectopic pregnancy Abdominal pain: It is the main reason for patients with fallopian tube pregnancy to seek medical treatment. Before tubal pregnancy miscarriage or rupture, symptoms include dull pain or soreness in one side of the lower abdomen. When miscarriage or rupture occurs, the patient suddenly feels tearing pain in one side of the lower abdomen, often accompanied by nausea and vomiting. If blood accumulates in the rectouterine pouch, there is a feeling of heaviness and distension in the anus. Internal bleeding increases, and blood flows from the pelvic cavity to the entire abdomen, causing general abdominal pain. Stimulation of the diaphragm can cause radiating pain in the shoulder blades.

(3) Vaginal bleeding: Vaginal bleeding is often irregular, dark red, small in amount, and continuous, usually not exceeding the amount of menstruation. Decidual casts or fragments may be discharged with vaginal bleeding.

(4) Syncope and shock: Due to acute intra-abdominal bleeding and severe abdominal pain, the mildest case may be syncope, while the severest case may suffer from hemorrhagic shock. Its severity is proportional to the rate and amount of intra-abdominal bleeding, but not proportional to the amount of vaginal bleeding.