How to correctly judge ectopic pregnancy

Because we all know that as an ectopic pregnancy, the harm of ectopic pregnancy is relatively large, so how to correctly judge whether it is an ectopic pregnancy is the key, such as vaginal bleeding, abdominal pain or abdominal mass or shock.

1. Dysmenorrhea: Except for the period of amenorrhea during interstitial pregnancy of the fallopian tube, most cases last for 6-8 weeks. About 20-30% of patients have no obvious history of amenorrhea, which may be due to failure to carefully inquire about the medical history, or mistaking irregular vaginal bleeding for the last menstrual period, or not considering it as amenorrhea because the menstruation is only a few days overdue.

2. Vaginal bleeding: After the death of the embryo, there is often irregular vaginal bleeding, which is dark red or dark brown in color, small in amount and in the form of drops, generally not exceeding the amount of menstruation. A small number of patients have more vaginal bleeding, similar to menstruation. How to judge ectopic pregnancy?

3. Abdominal pain: This is the main symptom for patients with fallopian tube pregnancy to seek medical treatment. Before miscarriage or rupture of tubal pregnancy, the embryo gradually grows in the fallopian tube, causing the tube to swell and often manifests as dull pain or soreness in one side of the lower abdomen. When fallopian tube miscarriage or rupture occurs, the patient suddenly feels tearing pain in one side of the lower abdomen, often accompanied by nausea and vomiting.

4. Abdominal mass: When the hematoma caused by tubal pregnancy miscarriage or rupture lasts for a long time, the blood will coagulate and adhere to the surrounding tissues or uterus to form a mass. 5. Syncope and shock: Due to acute intra-abdominal bleeding and severe abdominal pain, fainting may occur in mild cases, while hemorrhagic shock may occur in severe cases. The more and faster the bleeding, the quicker and more severe the symptoms appear, but they are not proportional to the amount of vaginal bleeding.

5. Shock: If the ectopic pregnancy ruptures and heavy bleeding accumulates in the abdominal cavity, shock may occur, manifested as fainting, unconsciousness and low blood pressure.