How long should you wait after a salpingectomy has been done to remove a fallopian tube due to an ectopic pregnancy?

Why would you have to have a salpingectomy?

A salpingectomy is performed to remove one or both fallopian tubes, often due to conditions such as ectopic pregnancy, infection (like pelvic inflammatory disease), or tumors. It may also be done as a preventive measure in women at high risk for ovarian cancer. The procedure can help alleviate pain, prevent complications, and improve overall health. In some cases, it may also be part of a surgical approach for sterilization.

What is done when you have a ectopic pregnancy?

Well there are usually a small handful of possibilities that comes to treating an ectopic pregnancy. One, the ectopic pregnancy dies and the mothers body reabsorbs the egg and at times is never even detected and the woman might have never even known she was pregnant. If you encountered a positive pregnancy test then a later did another one and it came back negative, that could have been a possibility that it was an ectopic pregnancy. Or the other possibility with an ectopic pregnancy is that the tube that is holding the ectopic pregnancy may rupture causing severe abdominal pain and may cause extreme complications and surgery may be needed. If the ectopic pregnancy is detected by a physician, then he/she may prescribe a drug called methotrexate, which is injected into a muscles and ends the pregnancy. If the embryo is small enough doctors can remove the embryo through laparoscopic surgery and can usually save the tube. In this situation, a general anesthetic will be used and you will need to take about a week to recover. * http://www.multikulti.org.uk/en/health/ectopic-pregnancy/ * http://www.babycenter.com/0_ectopic-pregnancy_229.bc?articleId=229&page=4 * http://www.medinfo2004.org/get-to-know-about-ectopic-pregnancy-174/ You will most likely have to undergo minor surgery to remove the ectopic pregnancy or you can be prescribed medication that will end the pregnancy.

Can you feel your baby moving with an ectopic pregnancy?

Women with an ectopic pregnancy have different experiences. Some women may feel the baby moving at a certain period of the development, while others may not at all. Women would need to have a surgery in order to remove an ectopic pregnancy because of health risks.

You think you have an ectopic pregnancy what kind of doctor should you go to?

You should consult your OB/GYN and they will possibly perform surgery to remove the pregnancy.

What is the ectopic pregnancy death rate of the mother and how can it be reduced?

The death rate of mothers from ectopic pregnancies is around 0.1-0.3. To reduce this risk, early detection through regular prenatal care and prompt medical intervention are crucial. Treatment options include medication or surgery to remove the ectopic pregnancy and prevent complications. It is important for women to be aware of the symptoms of ectopic pregnancy and seek medical help if they experience any concerning signs.

Can an ectopic pregnancy be successful?

The fallopian tube in which the embryo is located will burst when the growing embryo reaches a size which can no longer be contained. Parts of the patients will get the tubal blockage after the ectopic pregnancy treatment, so we would ask if it has a direct relationship with the ectopic pregnancy. If you have problems with tubal blockage, fuyan pill may help.

Under what circumstances is a salpingostomy performed?

to repair a damaged tube or to remove an ectopic pregnancy (one that occurs outside of the uterus).

What would be the implications for managing ectopic pregnancies if abortion were to become illegal?

If abortion were to become illegal, managing ectopic pregnancies could become more challenging. Ectopic pregnancies occur when a fertilized egg implants outside the uterus, typically in the fallopian tube. In these cases, the pregnancy is not viable and can be life-threatening for the pregnant person if not treated promptly. Without the option of abortion, healthcare providers may need to explore alternative treatments such as surgery to remove the ectopic pregnancy, which could increase the risks and complications for the patient. It is important to consider the potential impact on women's health and access to timely and safe medical care in such scenarios.

I am 5-6 weeks pregnant. I had a day where I had sharp steady pain in my lower left side of my abdomen at about a 4 on a 1-10 pain scale. It is gone should I still worry about ectopic pregnancy?

the cramps with my ectopic pregnancy came and went ( sometimes days went by with no pain at all) i never had really intense pain until after my tube shredded and at that point the pain i felt most was just the internal bleeding compressing my other organs. i had to have emergency surgery to stop the hemorrhage and remove the damaged fallopian tube. pain and/or cramping on just one side (even if it comes and goes) can be an indicator that the pregnancy is ectopic.

What do the doctors have to do to remove a tubular pregnancy?

Depending on far along you are, I believe certain drugs can remove a tubular pregnancy. If the pregnancy is a little further along, Usually a fallopian tube is removed in order to prevent erruption, also to save fertility.

Ectopic pregnancy?

DefinitionAn ectopic pregnancy is an abnormal pregnancy that occurs outside the womb (uterus). The baby (fetus) cannot survive, and often does not develop at all in this type of pregnancy.Alternative NamesTubal pregnancy; Cervical pregnancy; Abdominal pregnancyCauses, incidence, and risk factorsAn ectopic pregnancy occurs when a pregnancy starts outside the womb (uterus). The most common site for an ectopic pregnancy is within one of the tubes through which the egg passes from the ovary to the uterus (fallopian tube). However, in rare cases, ectopic pregnancies can occur in the ovary, stomach area, or cervix.An ectopic pregnancy is often caused by a condition that blocks or slows the movement of a fertilized egg through the fallopian tube to the uterus. This may be caused by a physical blockage in the tube by hormonal factors and by other factors, such as smoking.Most cases of scarring are caused by:Past ectopic pregnancyPast infection in the fallopian tubesSurgery of the fallopian tubesUp to 50% of women who have ectopic pregnancies have had swelling (inflammation) of the fallopian tubes (salpingitis) or pelvic inflammatory disease (PID).Some ectopic pregnancies can be due to:Birth defects of the fallopian tubesComplications of a ruptured appendixEndometriosisScarring caused by previous pelvic surgeryThe following may also increase the risk of ectopic pregnancy:Age over 35Having had many sexual partnersIn vitro fertilizationIn a few cases, the cause is unknown.Sometimes, a woman will become pregnant after having her tubes tied (tubal sterilization). Ectopic pregnancies are more likely to occur 2 or more years after the procedure, rather than right after it. In the first year after sterilization, only about 6% of pregnancies will be ectopic, but most pregnancies that occur 2 - 3 years after tubal sterilization will be ectopic.Ectopic pregnancy is also more likely in women who have:Had surgery to reverse tubal sterilization in order to become pregnantHad an intrauterine device (IUD) and became pregnant (very unlikely when IUDs are in place)Ectopic pregnancies occur in 1 in every 40 to 1 in every 100 pregnancies.SymptomsAbnormal vaginal bleedingAmenorrheaBreast tendernessLow back painMild cramping on one side of the pelvisNauseaPain in the lower abdomen or pelvic areaIf the area of the abnormal pregnancy ruptures and bleeds, symptoms may get worse. They may include:Feeling faint or actually faintingIntense pressure in the rectumPain that is felt in the shoulder areaSevere, sharp, and sudden pain in the lower abdomenInternal bleeding due to a rupture may lead to low blood pressure and fainting in around 1 out of 10 women.Signs and testsThe health care provider will do a pelvic exam, which may show tenderness in the pelvic area.Tests that may be done include:CuldocentesisHematocritPregnancy testQuantitative HCG blood testSerum progesterone levelTransvaginal ultrasound or pregnancy ultrasoundWhite blood countA rise in quantitative HCG levels may help tell a normal (intrauterine) pregnancy from an ectopic pregnancy. Women with high levels should have a vaginal ultrasound to identify a normal pregnancy.Other tests may be used to confirm the diagnosis, such as:D and CLaparoscopyLaparotomyTreatmentEctopic pregnancies cannot continue to birth (term). The developing cells must be removed to save the mother's life.You will need emergency medical help if the area of the ectopic pregnancy breaks open (ruptures). Rupture can lead to shock, an emergency condition. Treatment for shock may include:Blood transfusionFluids given through a veinKeeping warmOxygenRaising the legsIf there is a rupture, surgery (laparotomy) is done to stop blood loss. This surgery is also done to:Confirm an ectopic pregnancyRemove the abnormal pregnancyRepair any tissue damageIn some cases, the doctor may have to remove the fallopian tube.A minilaparotomy and laparoscopy are the most common surgical treatments for an ectopic pregnancy that has not ruptured. If the doctor does not think a rupture will occur, you may be given a medicine called methotrexate and monitored. You may have blood tests and liver function tests.Expectations (prognosis)One-third of women who have had one ectopic pregnancy are later able to have a baby. A repeated ectopic pregnancy may occur in one-third of women. Some women do not become pregnant again.The likelihood of a successful pregnancy depends on:The woman's ageWhether she has already had childrenWhy the first ectopic pregnancy occurredThe rate of death due to an ectopic pregnancy in the United States has dropped in the last 30 years to less than 0.1%.ComplicationsThe most common complication is rupture with internal bleeding that leads to shock. Death from rupture is rare.Calling your health care providerIf you have symptoms of ectopic pregnancy (especially lower abdominal pain or abnormal vaginal bleeding), call your health care provider. You can have an ectopic pregnancy if you are able to get pregnant (fertile) and are sexually active, even if you use birth control.PreventionMost forms of ectopic pregnancy that occur outside the fallopian tubes are probably not preventable. However, a tubal pregnancy (the most common type of ectopic pregnancy) may be prevented in some cases by avoiding conditions that might scar the fallopian tubes.The following may reduce your risk:Avoiding risk factors for pelvic inflammatory disease (PID) such as having many sexual partners, having sex without a condom, and getting sexually transmitted diseases (STDs)Early diagnosis and treatment of STDsEarly diagnosis and treatment of salpingitis and PIDStopping smokingReferencesHoury DE, Salhi BA. Acute complications of pregnancy. In: Marx JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier;2009:chap 176.Lobo RA. Ectopic pregnancy: Etiology, pathology, diagnosis, management, fertility prognosis. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier;2007:chap 17.Barnhart KT. Ectopic pregnancy. N Engl J Med. 2009;361:379-387.

What does ecoptic mean?

The word "ectopic" means "out of place." An ectopic pregnancy is a pregnancy that is not growing in the usual location (the uterine cavity). Ectopic pregnancies can occur in a number of abnormal locations, each with different characteristic growth patterns and treatment options. The most common sites for an ectopic pregnancy are the# ampullary (mid) portion of the fallopian tube (80-90%), # isthmic (area closer to the uterus) portion of the fallopian tube (5-10%), # fimbrial (distal end away from the uterus) portion of the fallopian tube (about 5%), # cornual(within the uterine muscle) portion of the fallopian tube (1-2%), # abdomen (1-2%), # ovary (less than 1%), or # cervix (less than 1%). Ectopic pregnancies are dangerous. Any growing pregnancy requires a large nutrient source (blood supply) and develops many communications with the mother's (pregnant woman's) vascular system (blood vessels). The uterus is uniquely designed to accommodate this development, so that when a pregnancy begins to grow in other surrounding structures the vascular communication may be inadequate.Furthermore, as the pregnancy grows in size the uterus dramatically changes shape and size. Surrounding structures are usually not able to change as readily so they are often damaged or "ruptured" by a contained growing ectopic pregnancy. When the ectopic pregnancy outgrows the limits of the space enclosing it, there can be life threatening bleeding.Ectopic pregnancies were initially described in the 11th century and for a long time were universally fatal events for the mother. Initial treatments (in the old days) were desperate primitive attempts designed to destroy the growing pregnancy without sacrificing the mother's life. These included* starvation (hoping that the fetus would starve before the mother), * bleeding (intentional exsanguination of the mother in the hope that the fetus would die and the mother could be spared), * administration of strychnine (to preferentially destroy the fetus), and * administration of electricity into the growing gestational (pregnancy) sac. Surgery attempted in the 1800s resulted in a high maternal mortality rate (greater than 80% of women died from the surgery alone) so it was rarely performed.Since these times, several developments in the management of ectopic pregnancies have led to remarkable success in "saving the mother's life." Further developments recently have resulted in a shift in focus (concern) from saving the mother's life to additionally "saving the woman's fertility." The decrease in maternal morbidity (death) from ectopic pregnancy has been largely due to development and refinement of# early detection of pregnancy, primarily with the development of sensitive pregnancy tests (hCG assays) and characterization of the normal rate of rise in the circulating human chorionic gonadotropin (hCG) concentrations during early pregnancy # aseptic (sterile) technique, where surgeries are now performed in operating rooms with protocols for cleansing, scrubbing and gowning that inhibit transmission of infection # antibiotics to fight infections, with tremendous advances in infectious disease and antibiotic research during the past few decades # anesthetic agents, with new agents allowing increasingly safe administration and a greater understanding of intraoperative patient monitoring # availability of blood or blood products for perioperative transfusions, including advances in terms of blood collection, storage and determination of compatibility with the recipient # surgical techniques to identify and remove the ectopic pregnancy, such as salpingectomy and salpingostomy (when appropriate) At this point in time, gynecologists appropriately attempt to diagnose ectopic pregnancy early (since greater treatment options are available) and treat the ectopic pregnancy in such a way as to maximize fertility and minimize the risk for a future ectopic.