Can ectopic pregnancy cause stomach pain?

Ectopic pregnancy does not mean that the baby in the uterus runs to other places, but that the fertilized egg is implanted somewhere to develop at the moment it wanders away, and does not actually reach the uterus. This may be related to the individual's body structure and sudden mutations. Let's not investigate the cause of ectopic pregnancy for now. Let's first look at the symptoms of ectopic pregnancy. Will ectopic pregnancy cause stomach pain? What highly suspected symptoms will the patient have after an ectopic pregnancy occurs?

Ectopic pregnancy refers to the implantation and development of the fertilized egg outside the uterine cavity, such as the fallopian tube, ovary, abdominal cavity, etc., of which the fallopian tube accounts for more than 95%, so it is usually called tubal pregnancy. Ectopic pregnancy is a common acute abdomen in obstetrics and gynecology and is also one of the main causes of maternal mortality. Statistics show that the incidence of ectopic pregnancy has increased fourfold in the past 20 years and is becoming younger.

Many factors can lead to ectopic pregnancy

●There are many reasons why chronic salpingitis can cause ectopic pregnancy, the most common reason is chronic salpingitis. Inflammation causes the fallopian tube to deform, narrow, and have poor motility, or even become blocked, hindering the movement of the fertilized egg.

● Hypoplastic fallopian tubes Hypoplastic fallopian tubes that are thin and long, with weak peristalsis, will cause the fertilized egg to move slowly and fail to reach the uterine cavity in time and be implanted in the fallopian tube.

●After fallopian tube surgery, such as tuboplasty, tubal anastomosis or tubal ligation, abnormal implantation of the fertilized egg may occur due to scar tissue or fallopian tube fistula formation.

●Functional factors of the fallopian tube Functional factors such as changes in fallopian tube activity can cause the fertilized egg to migrate outward or delay the time it takes for the fertilized egg to enter the uterine cavity.

Three major symptoms should highly suspect ectopic pregnancy

There is no obvious difference between patients with ectopic pregnancy and normal pregnancy in the early stages, but because the fallopian tube wall is thin and the lumen is narrow, as the embryo grows, the embryo can penetrate the fallopian tube wall or flow from the fallopian tube fimbria to the abdominal cavity, causing blood vessel rupture and bleeding. Especially when large blood vessels rupture, it can cause massive bleeding and even threaten the life of the pregnant woman due to hemorrhagic shock. Blood flowing into the abdominal cavity can also cause abdominal pain and stomach irritation symptoms such as nausea, vomiting, and stomach pain. Therefore, if an ectopic pregnancy occurs, early diagnosis and timely treatment are crucial. Ectopic pregnancy should be highly suspected when the following signs occur:

● If menstruation does not come on time, you should consider the possibility of pregnancy. For women with regular menstruation, if pregnancy has been confirmed, the gestational sac can usually be seen in the vagina by B-ultrasound about 40 days after menstruation stops. If it cannot be seen, abnormal pregnancy such as ectopic pregnancy should be considered.

●Abdominal pain: As the ectopic pregnancy egg grows, there will be a dull pulling pain at the implantation site, and tearing pain will occur after rupture. When bleeding flows into the abdominal cavity and stimulates the diaphragm, it can cause stomach pain and shoulder pain. When it stimulates the uterine rectal fossa, it can cause a feeling of distension in the anus and the urge to defecate.

●Irregular vaginal bleeding is dark brown and sometimes more and sometimes less.

If you suspect an ectopic pregnancy, you should lie down, avoid strenuous activities, and seek medical attention promptly to avoid life-threatening situations.

Precautions for preventing ectopic pregnancy

It is difficult to prevent ectopic pregnancy. Women with a history of adnexitis, pelvic inflammatory disease, fallopian tube surgery, ectopic pregnancy, infertility patients, and women with intrauterine contraceptive devices should be highly vigilant about the occurrence of ectopic pregnancy. In daily life, you should pay attention to hygiene during menstruation, delivery and postpartum period to prevent reproductive system infections. Those who do not have fertility plans should take contraceptive measures to avoid unnecessary abortions.

Women with a history of adnexitis and pelvic inflammatory disease should actively treat fallopian tube and pelvic inflammatory disease. Women with a history of fallopian tube surgery or ectopic pregnancy who are eager to have a child should undergo iodized oil fallopian tube angiography before pregnancy to understand the patency of the fallopian tubes in order to estimate the risk index of ectopic pregnancy.