Table Of Index

Ectopic Pregnancy Image

What is an Ectopic Pregnancy?

As the name suggests, ectopic pregnancy is a pregnancy that is not topic, ie, not inside the uterus. The fertilized egg rather develops inside or on the different reproductive organs such as the fallopian tubes, ovaries, or other organs such as in the abdomen or on the cervix.

Unlike normal pregnancies, the fertilized egg hence lacks two things-
The space to grow ( example- fallopian tubes)
The nutritive supply (example- cervix/ ovaries/ abdomen)

For the same reasons, the fetus dies before 12 weeks, and its dislodge, or the tubes’ rupture can cause extensive bleeding, leading to acute pain, vaginal bleeding, lightheadedness, nausea, or death.

ectopic pregnancy causes

Why Does it Happen?

While the exact cause for ectopic pregnancy remains uncertain, there are a few risk factors. These include:

  • Salpingitis (infection of the fallopian tube)
  • Previous ectopic pregnancy
  • Prior fallopian tube surgery
  • Endometriosis
  • Fertility treatments such as IVF/ ICSI
  • Extensive smoking

Types of Ectopic Pregnancy

Fallopian Ectopic Pregnancy

Fallopian Ectopic

Ovarian Ectopic Pregnancy

Ovarian Ectopic

Abdominal Ectopic Pregnancy

Abdominal Ectopic

Cervical Ectopic Pregnancy

Cervical Ectopic

Symptoms

  • Missed Period
  • Soreness of breast
  • Nausea

Symptoms

  • Transvaginal ultrasound (in the early 6 weeks of pregnancy)
  • Abdominal ultrasound (later than 6 weeks of pregnancy)

 

Procedure: Both transvaginal and abdominal ultrasounds are simple, 7-10 minutes imaging tests, that is,  the tests that provide an internal image of the body organ using high-frequency sound waves. 

 

However, as the name suggests, transvaginal ultrasound is done by inserting the sound wave device through the transvaginal cavity, whereas the abdominal ultrasound is done through the abdominal surface. Since the sound wave device is closer in transvaginal ultrasound, it can help pick up the type of pregnancy earlier and is more accurate than through the results of an abdominal ultrasound. 

 

Confirmation: The location of the fetus confirms the type of pregnancy. 

  • In uterus: Normal pregnancy 
  • In fallopian tubes: Tubal ectopic pregnancy
  • On the ovaries: Ovarian ectopic pregnancy
  • On the peritoneum: Abdominal ectopic pregnancy
  • At the cervix: Cervical ectopic pregnancy
Transvaginal Ultrasound

Severity

Risks & Complications

Removing the ectopic pregnancy surgically is one of the safest and most successful methods. The risks are mostly mild and can be reduced even more through the laparoscopic method. 

 

However, some of the rare complications that you should know about include-

 

  • General anesthetic complications
  • Excessive bleeding
  • Blood clotting
  • Damage to the surrounding organs, such as the bladder, ovaries, ureter, or rectum (rare)

When To Consult a Doctor

Consult your gynecologist as soon as you experience :

  • The first sign of pregnancy (missed period)
  • Abnormal vaginal bleeding 
  • Pain in the abdomen or pelvis
  • Nausea/ lightheadedness
  • Sudden and acute pain in the abdomen

Questions To Ask Your Doctor

What is the location of my ectopic pregnancy?
What are my treatment options?
How successful is medical management of ectopic pregnancy?
What is better for removing ectopic pregnancy- medicines or surgery?
How can I prevent ectopic pregnancy in the future?
What are my chances of healthy conception through natural methods?
What are my other fertility options?
What are the different modes of payment accepted?
Which insurances do you accept?

Treatment options & cost

While termination of ectopic pregnancy is possible through medicines, it is not commonly preferred because of the longer treatment method, continuous need of monitoring, and repeated follow-ups. The medical management also runs the elevated risks of repeat ectopic pregnancy. 

 

However, if the ectopic pregnancy is detected earlier in the cycle, and the patient favors medical management, the following may be employed:

 

Medicine: Methotrexate

 

Procedure: Methotrexate is given directly by an injection in one dose. hCG levels are monitored before and after the procedure. If the levels do not decrease after the first dose, a second dose may be needed. Confirmation of termination is taken through ultrasound. 

 

Side effects: Some of the side effects include- 

  • Abdominal pain 
  • Vaginal bleeding
  • Nausea
  • Vomiting
  • Diarrhea
  • Dizziness

 

Cost: The medical management of ectopic pregnancy typically costs between Rs. 2000 to Rs. 3000 in India.

 

Insurance Coverage for ectopic pregnancy
Insurance Coverage for ectopic pregnancy Insurance coverage

Yes, insurance covers the surgical treatment cost for ectopic pregnancy as it falls under the ‘medically necessary’ list of treatments. However, the specifics may vary from policy to policy. Please confirm the same from your healthcare or insurance provider. 

Recovery Rate

Be it medical or surgical treatment for ectopic pregnancy, it may take several weeks for you to recover completely. Through this time you may feel mild but constant abdominal pain or discomfort. It may take some time for your body to adapt to the changes and the period cycle to return to normal.

Long term outlook of the treatment

The removal of ectopic pregnancy is both necessary and safe. The risks of complications are standard and mild, and the surgery holds no long-term side effects.

Pristyn Care for the treament

Case Study

Mrs. K (28 years, Hyderabad) approached us with an early pregnancy mentioning a missed period and a positive on her hCG strip test. 

 

Unfortunately, the routine ultrasound suggested a 6-week tubal ectopic pregnancy. 

 

Explaining the condition, its severity, and the need for immediate treatment, Dr. Juhul Patel scheduled the patient’s laparoscopic salpingectomy surgery the next day. 

 

The surgery was successful and the patient was discharged healthy and sound the next morning. 

 

Follow-up after 3 days suggested a complete recovery, whereafter, Dr. Patel guided the couple on post-care, future pregnancies, and a guideline of further prevention to avoid a repeat case of ectopic pregnancy. 

Latest Research

FAQ

How common is an ectopic pregnancy?

The National Health Service, UK reports one in every 90 pregnancies is ectopic. Thus, resulting in more than 11,000 ectopic pregnancies a year.

Can ectopic pregnancy happen twice?

Yes. There is a 40% chance of repeat ectopic pregnancy in patients who have had it before.

What is the most common type of ectopic pregnancy?

Data reports more than 95% of ectopic pregnancies to happen in the fallopian tube.

Can the baby be saved in ectopic pregnancy?

No. The fetus cannot be saved in ectopic pregnancy because of the inadequate space to grow and lack of nutritive support.

Why choose Pristyn Care for ectopic pregnancy treatment?

Pristyn Care brings the most advanced and holistic gyne treatments with its experienced doctors and latest laparoscopic and laser technology in 15+ cities in India. We are associated with multiple reputed gyne-clinics and super-specialty hospitals, giving you the option to choose amongst the best hospitals that suit your needs, be it the hospital distance, its infrastructure, or insurance panel. 

As you choose Pristyn Care for your treatments, you get some of the added benefits.  These include:

  • Free online/ in-clinic consultations: We offer free consultations. Also, you have the choice to speak with the doctor in-clinic or offline, sitting from the comfort of your home. You can ask as many questions, and we ensure we give you the right and detailed answers. 
  • Free transportation to and from the hospital: We provide free cab pick up and drop off from and to your residence on the day of surgery.
  • Minimal-no waiting time for hospital admission: We perform most of our admission formalities beforehand, so you do not have to wait for hospital admission at the site. 
  • All paperwork done on your behalf: We do all your hospital admission and discharge paperwork ourselves on your behalf to reduce your hassles and provide a seamless patient experience. 
  • Multiple payment options: We accepts all modes of payment including cash, credit, and debit card. 
  • All insurances accepted: We accept all insurances and offer cash-less facilities at most of the hospitals. 
  • No cost EMI option: You can also opt for the No cost EMI option while paying for your medical bills. 
  • Free follow-up: We provide free follow-up post consultations to ensure a complete and smooth recovery. 

How to book an appointment with a Pristyn Care Gynecologist for ectopic pregnancy?

Booking an appointment with a Pristyn Care gynecologist is easy. 

Simply call us directly or fill out our ‘Book my Appointment’ form.  It would ask you just four basic questions such as ‘Your name’, ‘Contact’, ‘Disease name’, and ‘City’. Just fill them and click ‘submit’. Our medical coordinators will call you shortly and help you speak to a doctor of your choice. 

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