$Unique_ID{BRK00077} $Pretitle{} $Title{Pregnancies that Occur Outside the Uterus} $Subject{pregnancy ectopic surgery embryo Pregnancies Outside Uterus tubal Fallopian tube tubes pregnant menstrual bleeding spotty Abdominal abdomen sonograms laparoscopic laparotomy embryos sonogram laparotomies laparoscopy laparoscopies} $Volume{K-14} $Log{ Diseases of the Female Reproductive System*0009001.scf Anatomy of the Abdomen*0001501.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Pregnancies that Occur Outside the Uterus ------------------------------------------------------------------------------ QUESTION: How do they detect pregnancies that occur outside the uterus? How are these pregnancies dealt with? ------------------------------------------------------------------------------ ANSWER: Pregnancies that occur outside the uterus are called "ectopic," or "tubal" pregnancies. If they are undetected, they can cause a life-threatening emergency when the growing embryo ruptures a Fallopian tube and causes dramatic hemorrhage inside the abdomen. Early diagnosis and treatment are important not only to the life of the pregnant woman, but also to her future fertility. About half the time, however, the ectopic pregnancy is not diagnosed until it ruptures. History and physical examination are important to diagnosis. A pregnancy test is positive with ectopic pregnancy, but menstrual bleeding may be spotty or irregular. Abdominal pain is usually present. Blood tests to determine hormone levels in the blood and sonograms are helpful. Ectopic pregnancies are not healthy pregnancies, and they cannot be allowed to continue. They are usually surgically removed, either by laparoscopic surgery (which is done through a small incision below the navel) or laparotomy, which is through a larger incision in the abdomen. In some larger research centers, studies are being done on eliminating the pregnancies by administering drugs instead of doing surgery. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.