Ectopic pregnancy or the so-called migratory pregnancy or ectopic pregnancy is one of the conditions in which a fertilized egg is located somewhere outside the uterine cavity. The prevalence of ectopic pregnancies is about 2% of all pregnancies.
Table of Contents
Ectopic pregnancy
It is a type of pregnancy that occurs when a fertilized egg implants in a place that does not support its development. Ectopic pregnancy of the fallopian tubes occurs most often. Ectopic pregnancies may also occur in the ovaries or cervix rarely. If ectopic pregnancy cannot continue because only the uterus is the right medium for pregnancy Some ectopic pregnancies can be life-threatening.
What is the difference between a normal pregnancy and an ectopic pregnancy?
- Normal pregnancy: Ovulation occurs when the ovary releases the egg into the fallopian tube, and when this egg meets the sperm. The fertilized egg moves into the uterus and continues to grow and develop over the next nine months.
- Ectopic pregnancy: in this case, the fertilized egg remains inside the tubal. In rare cases, a fertilized egg can attach to an ovarian or other organs inside the abdomen. Therefore, ectopic pregnancy is an emergency that requires immediate treatment.
Symptoms of ectopic pregnancy
- We infer an ectopic pregnancy by the following symptoms:
- Delayed menstruation.
- Heavy vaginal bleeding.
- Pain in the lower parts of the abdomen.
- Low back pain.
In most cases, the symptoms of an ectopic pregnancy aren't obvious, with only a portion of it showing low pain levels. This makes the diagnostic process a difficult task.
Causes and risk factors for ectopic pregnancy
There are many causes and risk factors for an ectopic pregnancy, including:
- Inflammatory infection: Sexually transmitted infections, such as gonorrhea and chlamydia, can cause inflammation of the ducts and other nearby organs. And increase the risk of ectopic pregnancy.
- Fertility treatments. Women who have undergone in vitro fertilization treatments are more likely to have ectopic pregnancy. Infertility itself can increase the risk of an ectopic pregnancy.
Duct surgery: Surgery that repairs a damaged fallopian tube can increase the risk of ectopic pregnancy.
- Choice of contraception. The chance of pregnancy is rare during the use of the IUD. However, if you get pregnant with an IUD, it's more likely to have an ectopic pregnancy. Tubal ligation (a contraceptive basket in which the fallopian tubes are attached) also increases this risk.
- Smoking. Smoking cigarettes before pregnancy can increase the risk of ectopic pregnancy.
Complications of ectopic pregnancy
The results of ectopic pregnancy cannot be predicted, and many things must be taken into account, as follows:
- The fetus may grow until the tubal is no longer able to contain it and a rupture occurs in the tubal wall when it is excreted into the peritoneal cavity. This causes bleeding in the peritoneum and pain inside the abdomen, and the pregnancy may stop growing and absorbed by the body until it disappears completely.
- When the diagnosis of an ectopic pregnancy is confirmed, close monitoring should be done to avoid worsening the condition, and surgical intervention may be required.
After an ectopic pregnancy, the probability of a new pregnancy in the uterus is 80-90%, while the probability of another ectopic pregnancy is 4-5%.
Diagnosis of ectopic pregnancy in Turkey
Ectopic pregnancy in Turkey is diagnosed in several ways as follows:
- Ultrasound examination
- Ultrasound is done based on some repeated measurements of the level of pregnancy hormone in the blood.
- In vitro pregnancy is diagnosed when pregnancy hormone levels exceed 1500 mm/ml. If not, there is suspicion of an ectopic tubal pregnancy.
Hormone testing: In ectopic pregnancy, progesterone levels are lower, which is an indicator of an ectopic pregnancy.
ectopic pregnancy Treatment in Turkey
Doctors treat ectopic pregnancies in Turkey with medications or surgery
- Drug therapy
Your doctor may recommend methotrexate to stop the growth of a fertilized egg and terminate pregnancy. This medicine can not be given in the event that the fallopian tubes are ruptured.
o The doctor gives methotrexate as a single injection. This option is less invasive than surgery but requires follow-up appointments so that your doctor can monitor pregnancy hormone levels. If pregnancy hormone levels do not decrease sufficiently in a single dose necessary to give a second injection of methotrexate.
- Ectopic pregnancy surgery
If there is a rupture in the fallopian tube, here the doctor resorts to surgically removing the ectopic pregnancy. It is a life-saving treatment. The laparoscopic operation is usually performed under anesthesia. Your surgeon may remove the entire fallopian tube while the egg is still inside the tube, or remove the fertilized egg from the tube while preserving the fallopian tube.
Prevention of ectopic pregnancy
In fact, there are no clear ways to prevent ectopic pregnancy, but the following can be followed:
Receive appropriate treatment if there is any inflammatory infection in the reproductive system, such as gonorrhea and chlamydia bacteria. It improves the future successful pregnancy.
Consult your doctor about the recommended waiting time until you can get pregnant again in case you have previously had an outside pregnancy. Some doctors recommend waiting for 3 to 6 months.
The cost of treating ectopic pregnancy in Turkey
Turkey has a very high level of extensive experience of its doctors, the infrastructure of its hospitals and the medical services it provides. In addition, their prices are very low in the treatment of ectopic pregnancy compared to other countries.
Is it possible to get pregnant again after an ectopic pregnancy?
Most people who have previously had an ectopic pregnancy will successfully become pregnant in the future. But the risk of a new ectopic pregnancy will be higher. It is important to consult a gynecologist about the causes and risk factors of ectopic pregnancy that may lead to future ectopic pregnancy.
In conclusion, you may know what is meant by ectopic pregnancy or ectopic pregnancy in Istanbul and ways to treat it. Turkey is one of the developed countries in the field of gynecology and its treatment. It offers several advanced laboratories and hospitals such as Medici Center, which is the best center for treating ectopic pregnancy in Turkey. It is characterized by the presence of the best gynecologist in Istanbul, Prof. Dr. med. Sona Özdemir. For more information, you can contact Medicsey Center for free and immediate consultation.
read more: IVF Tube Baby
The cost of infertility treatment in Turkey
