$Unique_ID{BRK00738} $Pretitle{} $Title{How Do You Know When a Pregnancy Develops Outside the Womb?} $Subject{ectopic pregnancy pregnancies infections fallopian tubes tube infection tumors endometriosis missed period abdominal pain vaginal bleeding dizziness headache weakness surgical surgery surgeries operation operations headaches dizzy} $Volume{K-14} $Log{ Anatomy of the Female Reproductive System*0006101.scf Diseases of the Female Reproductive System*0009001.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. How Do You Know When a Pregnancy Develops Outside the Womb? ------------------------------------------------------------------------------ QUESTION: I know that when a pregnancy develops outside of the womb it may be a dangerous thing. But how do you know it's happening, and what causes this to occur? My sister just went through this experience, and I am wondering if it can happen to me as well? ------------------------------------------------------------------------------ ANSWER: Let's start with your last question first, for I sense your anxiety and wish to quiet your fears. There is nothing inherited about ectopic pregnancy (the name of the condition when the fertilized egg fails to nest in the uterus or womb), so the fact that you may share some your sister's genes does not place you at greater risk for an ectopic pregnancy. Frankly, we don't always know the cause, although the situation does seem to befall women between the ages of 20 and 29 more frequently. There are some factors that do seem to increase the risk, such as infections in the fallopian tubes (which lead from the ovary where the egg is formed to the uterus), which make the passage of the egg more difficult. When the tubes have been narrowed by previous surgery or when tumors block the passage, the egg may not be able to make its way to the uterus. When there is tissue that normally forms the lining of the uterus present in or around the tubes (endometriosis), this too can form barriers that prevent the normal transit of the egg. It is sometimes difficult to make an early diagnosis of the condition, but some signs to look for are a missed period, followed by abnormal or acute abdominal pain or abnormal vaginal bleeding, which while sometimes scant is often heavy and lasts for far longer than a normal period. Other signs that may be a clue to an ectopic pregnancy after a missed period are dizziness, headache, weakness or just a feeling that all is not right. In any case, an early visit to the doctor will lead to the necessary tests than can diagnose the condition. Once discovered, the only treatment is surgical, to remove the egg which has no chance to develop, and to correct a situation which is life threatening. Even after such surgery, it is still possible for a woman to conceive just about as easily as in normal circumstances. ---------------- 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.