What is the abnormality of leucorrhea in ectopic pregnancy

Ectopic pregnancy can be said to be a relatively dangerous disease, and this disease must continue to require surgical treatment. During the surgical treatment, it is likely to cause heavy bleeding in the patient, so its risk factor is very high. The cost of ectopic pregnancy surgery is also relatively expensive, and after treatment, the patient may also cause infertility due to the failure of the operation. So what are the abnormalities of leucorrhea in ectopic pregnancy?

What does leucorrhea look like in ectopic pregnancy

Ectopic pregnancy will cause leucorrhea. Ectopic pregnancy will cause leucorrhea, which is an abnormal pregnancy. Whether the leucorrhea changes depends on individual circumstances. Women of childbearing age who have an ectopic pregnancy will have delayed menstruation, sometimes accompanied by early pregnancy symptoms such as anorexia and nausea, indicating that they are pregnant but have sudden lower abdominal pain that persists or recurs, and may be accompanied by nausea, vomiting, anal prolapse and other discomforts.

Normal leucorrhea should be milky white or colorless and transparent, with a slightly fishy smell or no smell. The amount and texture of secretion are affected by the levels of estrogen and progesterone in the body, and vary cyclically with the menstrual cycle, with varying amounts, textures and concentrations. Generally, the amount of vaginal discharge after menstruation is less. The causes of abnormal leucorrhea are mainly observed from the following aspects: leucorrhea color, quality, quantity and taste:

1. Colorless, transparent, sticky leucorrhea: It is egg white-like and similar in properties to the mucus secreted by the cervical glands during ovulation, but the amount is significantly increased. Generally, the possibility of chronic endocervicitis, ovarian dysfunction, vaginal adenosis, or well-differentiated cervical adenocarcinoma should be considered.

2. White or grayish yellow foamy leucorrhea: It is a characteristic of Trichomonas vaginitis and may be accompanied by vulvar itching.

3. Curd-like leucorrhea: It is a characteristic of candidal vaginitis, often accompanied by severe vulvar itching or burning pain.

4. Watery leucorrhea: Continuous discharge of watery leucorrhea like rice washing water with a pungent odor is generally caused by advanced cervical cancer, vaginal cancer, or submucosal fibroids with infection. If you have intermittent discharge of yellow or red watery vaginal discharge, you should be aware of the possibility of fallopian tube cancer.

How to detect ectopic pregnancy

1. Posterior fornix puncture. Since blood in the abdominal cavity is most likely to accumulate in the rectouterine pouch, even if the amount of blood is not large, it can be sucked out through posterior fornix puncture. A positive result is when an 18-gauge long needle is inserted into the rectouterine pouch from the posterior fornix of the vagina and dark red, non-coagulated blood is drawn out, indicating the presence of intra-abdominal blood.

2. Pregnancy test. When the embryo is alive or the trophoblast cells are viable, the syncytial cells secrete hCG and the pregnancy test may be positive. Since the hCG level in patients with ectopic pregnancy is lower than that in normal pregnancy, the general hCG determination method has a low positive rate, and a more sensitive β-hCg radioimmunoassay or monoclonal antibody enzyme-labeled method must be used for detection.

3. Ultrasonic diagnosis. In the early stage of tubal pregnancy, B-ultrasound imaging shows an enlarged uterus, but the uterine cavity is empty and there is a low-echo area next to the uterus. This image is not the acoustic characteristic of tubal pregnancy, and the possibility of early intrauterine pregnancy with corpus luteum should be ruled out. Ultrasound detection of the gestational sac and fetal heartbeat is very important for diagnosing ectopic pregnancy. If the pregnancy is located outside the uterus, it can be diagnosed as an ectopic pregnancy. If the gestational sac is located in the uterus, ectopic pregnancy can be ruled out in most cases. Early diagnosis of interstitial pregnancy by B-ultrasound has important clinical significance, as it can show a protruding uterine horn on one side and an obvious gestational sac in the local myometrium thickening.

4. Laparoscopic examination. Laparoscopic examination can be used if conditions permit and when necessary.