The most common symptoms of tubal pregnancy

summary

Tubal pregnancy is the most common ectopic pregnancy, that is, the fertilized egg is implanted in the fallopian tube. Ampullary pregnancy accounted for 50% - 70%; The second was isthmus, accounting for 30% - 40%; Fimbria and stroma were the rarest, accounting for 1% - 2%. Menopause, abdominal pain and irregular vaginal bleeding were the main symptoms. The most common symptoms of tubal pregnancy to talk about.

The most common symptoms of tubal pregnancy

(1) Abdominal pain usually begins with severe pain in the affected lower abdomen, such as tearing sensation, which may affect the whole abdomen immediately. The degree of pain is related to the nature, amount and speed of internal bleeding. If it is rupture, the amount of internal bleeding is large and rapid, which can stimulate the peritoneum and cause severe pain, and can affect the whole abdomen. If it is tubal abortion, the bleeding is less, slower, abdominal pain is often limited to the lower abdomen or one side, the degree of pain is also lighter. There are a few cases of bleeding, blood flow to the upper abdomen, stimulate the diaphragm, resulting in upper abdominal and shoulder pain, often misdiagnosed as upper abdominal acute abdomen. Such as repeated rupture or abortion, can repeatedly cause internal bleeding. If a large amount or several times of small amount of internal bleeding is not treated in time, the blood agglutinates in the lowest part of the pelvic cavity (utero rectal fossa), causing severe pain in the anus.

(2) Amenorrhea often occurs in tubal pregnancy. The length of menopause is mostly related to the position of tubal pregnancy. If the pregnancy is in isthmus or ampulla, the date of amenorrhea is usually about 6 weeks, and rarely more than 2-3 months. In menstruation has always been a rule of women, menstruation expired a few days, bleeding phenomenon, should consider whether tubal pregnancy. Tubal interstitial pregnancy, due to the thick surrounding muscle tissue, often rupture in 3-4 months of pregnancy, so there is a longer amenorrhea.

(3) Irregular vaginal bleeding after termination of tubal pregnancy, cause endocrine changes, followed by endometrial degeneration and necrosis, decidual debris or complete discharge, causing uterine bleeding. Bleeding is often irregular, dark brown, and can only be stopped completely after the removal of the lesion (surgery or medication).

matters needing attention

If the rupture of tubal pregnancy can be diagnosed in time, the prognosis is good. Interstitial pregnancy rupture if timely diagnosis, rescue, the effect is also very good. Most patients with ectopic pregnancy urgently need to know about the fertility problems in the future. Patients with ectopic pregnancy caused by organic or functional lesions have more chance of infertility in the future.