A wide variety of tests helps to determine conception at the beginning of gestation. Sometimes this process proceeds pathologically, therefore it is important to know whether the test shows an ectopic pregnancy.
Material Content:
What is an ectopic pregnancy
A pathological condition occurs if a fertilized female cell is implanted in an atypical place: in the peritoneal cavity, on one of the ovaries or in any fallopian tube.
- Of all cases of pregnancy, abdominal is 0.1 - 1.4%. Its development occurs when the ovum is attached in the peritoneum. This condition is possible with IVF.
- Ovarian happens in 0.2 - 1.3% of cases. Pathology is divided into ovarian and intrafollicular.
- Cervical is 0.1 - 0.4%, occurs when attached to the neck.
- With violations of the structure of the uterus, embryo development can occur in the accessory horn and makes up 0.2 - 0.9% of the total number of healthy pregnancies.
The following factors can provoke such a situation:
- inflammation in the genitals;
- history of pipe surgery;
- genital infantilism;
- diagnostic procedures in the uterus, medical termination of pregnancy;
- tubal obstruction (regardless of its causes);
- intrauterine device;
- delayed development of the genitals.
The development of an embryo outside the uterus always ends with its operative removal.
In the absence of therapy, dangerous complications arise: ruptures of the cervix, ovary, or tube with heavy bleeding. The consequences can lead to infertility or death.
Signs of pathology
At different times, the pathology manifests itself in different ways.At the beginning of gestation, there are no differences from ordinary pregnancy: slight malaise in the absence of menstruation, the appearance of nausea, tenderness of the mammary glands.
After a few days, new sensations appear:
- drawing, aching pains in the lower abdomen, sharp pains when walking;
- the sacral and lumbar begins to hurt;
- drops of blood or a smearing substance of brown color are released from the vagina;
- there is fatigue, depression;
- frequent urination is noted.
Such sensations occur before menstruation, therefore, in order not to delay the diagnosis, it is important to use the test.
In almost half the cases, conception outside the uterus is asymptomatic. 7-8 weeks after the delay of menstruation, signs appear indicating an emergency condition (rupture of the tube, ovary, bleeding). It is characterized by profuse discharge of blood, acute pain, nausea, vomiting.
If these symptoms appear, an urgent call is necessary. Procrastination poses a real threat to life.
Diagnostic measures
It is difficult to diagnose the pathology in the early stages, but it is very important to provide medical care in time and reduce the risk of complications. If a fertilized egg is improperly placed, the woman is immediately hospitalized and diagnosed.
It includes the following procedures:
- inspection;
- determination of the content of chorionic gonadotropin (hCG) in the blood;
- determination of progesterone levels;
- clinical blood test;
- histology of scraping of the uterine mucosa;
- Ultrasound
- cultocentesis;
- laparoscopy;
- differential diagnosis.
Of all these methods, the most effective is laparoscopy. It allows you to identify pathology in the early stages.
The definition of the disease does not cause difficulties for the gynecologist. Symptoms of ectopic pregnancy include hemorrhagic shock due to intra-abdominal bleeding. When pressed, severe pain appears in the area of the gap, tension of the abdominal muscles.
When to test
An increase in hCG concentration indicates that fertilization of the egg has occurred. The test responds specifically to this substance, as a result of which both strips appear on it. Accordingly, the test for ectopic pregnancy will be positive.
When an egg is fertilized, hCG is detected first in the blood, then in the urine. On the 7-10th day after ovulation, the embryo is implanted in the uterine wall. The lower the sensitivity threshold of the test used, the earlier it can show conception.
A special Inexscreen test has been created to determine conception outside the uterus. They use it between the first and second week of delay.
To get the correct result, you must fulfill several prerequisites:
- First of all, study the instructions.
- Use fresh urine. The hCG hormone in the air is oxidized, takes a different form. This may affect the response of the test.
- Open the packaging immediately before using the cassette.
- Drop 4 drops of urine into the hole.
- Watch the result after 5 minutes.
What the test shows with an ectopic pregnancy
The standard test reacts with the appearance of two bars. The first looks clear, and the second is barely noticeable. If after 1 - 2 weeks the second strip does not become brighter, but, on the contrary, fades even more, we can assume the incorrect attachment of the fetal egg.
The INEKSREEN test cassette is designed for immunochromatic analysis, which helps determine an ectopic pregnancy. Compare the readings with the attached instructions and you will have no doubt about the likelihood of conception and the place of attachment of the fetal egg.
With normal fetal development, hCG corresponds to 10% or more. If the indicator is much lower, we can confidently talk about the course of ectopic development of the fetus.
When the first negative symptoms (spotting, cutting pains in the lower abdomen) appear, you should immediately consult a doctor.
Development outside the uterus is dangerous to the health and life of a woman. In order to avoid trouble, you need to take care of the warning of pathology.
To do this, you must:
- timely treat inflammation of the genitourinary system;
- be examined for the presence of pathogenic microflora when planning conception;
- avoid abortion, use reliable contraception;
- terminate an unwanted pregnancy in a specialized medical facility, choosing a less traumatic method - mini-abortion (vacuum intervention occurs quickly, has almost no contraindications);
- medical interruption - an alternative to surgery;
- after suffering a WB, it is imperative to be treated, so that later you can have a baby.
Important is the regular visit to the gynecologist, endocrinologist, the implementation of their recommendations. You can plan the birth of a child a year after an unsuccessful attempt.
Pregnancy will show any test. With ectopic localization of the egg, the readings will differ from the data in the instructions. Be careful and healthy.
