Post Date December, 03 2023
Some women lack a sense of self protection, and do not have long-term contraceptives. Abuse of contraceptives can increase the risk of ectopic pregnancy. If a woman of childbearing age experiences severe lower abdominal pain, the doctor will ask her to test her urine to see if she is pregnant, to rule out the possibility of ectopic pregnancy rupture. Extrauterine pregnancy is a "killer" for women because it can lead to massive bleeding in the abdominal cavity, which can be life-threatening if not treated promptly.
Extrauterine pregnancy threatens women's health
Ectopic pregnancy, also known as ectopic pregnancy, means that the fertilized egg does not land in a normal position in the uterine cavity, but instead runs to other places to "camp out.". The most common type of ectopic pregnancy is tubal pregnancy, which accounts for more than 90%, and tubal pregnancy is also the most dangerous type. There are two consequences of tubal pregnancy, one is that the embryo flows into the abdominal cavity to form a tubal pregnancy abortion, and the other is that it causes tubal pregnancy rupture. Both can cause intraperitoneal bleeding, while the latter is more severe. A large amount of internal bleeding can lead to shock and serious life-threatening.
The clinical symptoms of ectopic pregnancy are atypical, prone to misdiagnosis and missed diagnosis, and also increase the potential risk. If the fallopian tube is surgically removed, its reproductive function will be affected to some extent. If discovered early, there is an opportunity for conservative treatment. Although a significant proportion of patients can obtain intrauterine pregnancy, 4% to 15% of patients will experience ectopic pregnancy again. If there is recurrent bleeding, the accumulation of blood in the abdominal cavity can form a hematoma. If the absorption is not complete, there is a possibility of secondary infection.
Four factors predispose to ectopic pregnancy
Medical research has shown that any factors that can cause changes in the morphology and structure of the fallopian tube or affect its peristaltic function can lead to ectopic pregnancy. There are four main reasons for the increasing number of ectopic pregnancies:
Firstly, the high incidence of ectopic pregnancy is most closely related to the high incidence of reproductive tract infections. Gynecological inflammation, such as vaginitis and cervicitis, can upwardly infect the fallopian tube, causing fallopian tube inflammation. After artificial abortion, the human body's own defense mechanism is affected, and the fallopian tube is susceptible to bacterial infection, leading to inflammation of the tissue around the fallopian tube. Repeated abortions increase the likelihood of ectopic pregnancy as the number of pregnancies increases. Some studies have shown that pelvic inflammatory disease can also increase the risk of ectopic pregnancy by 2.7 times.
Secondly, women who have undergone abdominal surgery also have an increased risk of ectopic pregnancy. The cesarean section rate is now on the rise, and the number of ectopic pregnancies occurring in uterine scars is also increasing. Moreover, appendicitis perforation is also a high-risk factor for ectopic pregnancy, and appendectomy can increase the risk of ectopic pregnancy by 1.8 times.
Third, improper selection of contraceptive methods can also lead to ectopic pregnancy. Contraceptives can affect the levels of estrogen and progesterone, which in turn affect the peristalsis of the fallopian tube wall, ciliary activity, and secretion of epithelial cells. If hormone imbalance occurs, it will affect the delivery of fertilized eggs and cause tubal pregnancy. Some women lack a sense of self protection, and do not have long-term contraceptives. Abuse of contraceptives can increase the risk of ectopic pregnancy.
Fourth, heavy smoking and alcohol consumption can also increase the probability of ectopic pregnancy. Studies have shown that nicotine and alcohol can affect the oscillation of oviduct cilia and induce ectopic pregnancy. According to statistics, the incidence rate of smokers is 1.5 to 4 times higher than that of non-smokers.
How to avoid ectopic pregnancy
Although the harm of ectopic pregnancy is significant, it can be avoided if high vigilance and self care are maintained.
The most common cause of ectopic pregnancy is chronic salpingitis, so prevention and treatment of salpingitis is the most important. "Pay attention to hygiene and prevent infection after childbirth, after miscarriage, and during menstruation. If there is inflammation, it should be treated thoroughly and promptly to avoid future complications.".
Precautions for using contraceptives
1. On time and in quantity
"When taking contraceptives, it is necessary to be punctual and punctual, otherwise the contraceptive effect may not be obvious, and irregular bleeding may even occur.".
2. Keep the medicine well
Take good care of birth control pills to avoid exposure and misuse by children. It should be stored in a dry place. If there is moisture, melting, or breakage, do not take it to prevent affecting the effect.
3. Take medicine under the guidance of a doctor
Especially for women with long-term contraception, it is important to have a doctor's guidance and not take medication at will. The effectiveness of birth control pills varies. To avoid pregnancy, ask a doctor before taking them.
4. Certain diseases are not suitable for medication
It is not suitable for women who suffer from certain diseases, or for their immediate family members who suffer from certain diseases in the family history, such as hepatitis, nephritis, heart disease, thrombus, diabetes and hypertension.
5. Pay attention to the safety time when taking medicine
The side effects of birth control pills cannot be ignored, so women over the age of 45 should not take birth control pills during the first half of pregnancy, pregnancy, lactation, or other periods. On the one hand, it is for the sake of the children, and on the other hand, it is for the consideration of women's own physiological conditions.
6. Pregnancy needs to be terminated during medication
With the improvement of technology, the side effects of drugs are gradually decreasing. However, it is recommended to stop pregnancy when pregnant during medication, otherwise there is a risk of disability.
Some women are at high risk for ectopic pregnancy and should be vigilant: those with a history of adnexitis or pelvic inflammatory disease, those with a history of fallopian tube surgery, infertile patients, and those with a history of ectopic pregnancy. It is important to remind women of childbearing age that if they experience menopause or irregular vaginal bleeding, they must promptly go to the hospital for examination to rule out the possibility of ectopic pregnancy. Once the above patients experience lower abdominal pain, they must seek medical attention immediately to strive for early diagnosis and treatment.
