Doctor insights on:
Ectopic Pregnancy And Ovarian Cancer
Common vs. Rare: At 27 years of age, ovarian cancer is very rare. The more common cause of a positive pregnancy test is pregnancy itself. Sometimes a pregnancy can implant on an ovary (ectopic pregnancy). If an ultrasound does not show a pregnancy, it is worth a look at the ovaries. Ovaries are the source of egg cells, and a growth there could theoretically cause an elevation in HCG (pregnancy hormone). ...Read more
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Yes: Some patients have surgery to explore and/or attempt to reduce or cure symptomatic disease. Mris aren't always terribly useful for ovarian cancers but are sometimes helpful when surgery isn't a great option. The ca125 tumor marker can often be informative as well but isn't very specific to ovarian cancer and may be falsely elevated. Conservative approaches are best until the pregnancy is finished. ...Read more
In addition to cancer and an ectopic pregnancy, what would be a reason to get your ovaries removed?
Is there any evidence that links pregnancy-related hormone therapy treatments with increased risk of ovarian cancer?
Tough question: By this I assume you mean for in vitro vertilization. Any hormone manipulation has a potential for side effects. Increased Estrogens increases the risk of breast and cervical cancer, but lower estrogen increases risks of ovary and uterus--also influenced by Progesterone and other hormones. This is not a straight forward topic, as there are many studies that contradict each other. ...Read more
Can ovarian cancer be caused by hormones like some breast cancers? I had a false-positive pregnancy test and have ovarian cancer.
Does not.: A home urine pregnancy test is not affected by ovarian cysts nor location of implantation of the gestational sac. It will show just as positive in ectopics and in normal pregnancies. Serial blood HCG levels and transvaginal sonography are the cornerstones or ectopic diagnosis. ...Read more
In all normal pregnancies there is a cyst that develops in one ovary called the corpus luteum cyst. This cyst supports the early pregnancy and goes away on its own.
Sometimes a "cyst" seen in or near the ovary does represent an ectopic pregnancy (most often in the fallopian tube". This is often accompanied by pain and bleeding. ...Read more
Never by expert: Each has its own distinct features by sonography, trained expert will not get mistaken, besides location. ...Read more
A pregnancy test: The pain associated with an ovarian cyst can be indistinguishable from an ectopic (or tubal)pregnancy. A negative pregnancy test however, effectively rules out an ectopic pregancy. If the pregancy test is positive, an ultrasound is needed to be certain that the developing baby is located inside the uterus and not in the fallopian tube (which connects the ovaries to the uterus). ...Read more
Ovarian cyst found 6 months ago. Just found out I am pregnant, could this cause an ectopic pregnancy?
No: Ovarian cysts are not related to tubal pregnancies. ...Read more
What's the difference between the symptoms of ovarian cysts and an ectopic pregnancy? Can I tell the difference based on symptoms?
Rarely even for MD's: Differentiating between ovarian cyst pain and ectopic pregnancy is difficult for the laymen/patient. Even trained GYN MD's have to have an "index of suspicion" to look for ectopic pregnancies. The biggest clue for you is a missed or abnormal period (lighter than normal) and intermittent pain. The urine PG test may even be negative. See a MD and obtain an ultrasound & blood PG test when that occurs ...Read more
I was diagnosed with an ovarian ectopic pregnancy. I was given methotrexate to help stop cell division. Will this affect future fertility?
I had an ovarian ectopic pregnancy 5weeks ago. I have been bleeding brown/pink blood only when I wipe for 6 days now. Normal or could I Be pregnant?
Ectopic pregnancy: It is possible that the bleeding may be normal but you should get a pregnancy test if you suspect you could be pregnant. ...Read more
Not usually: Because a period will have been missed and it is incredibly more painful and it bleeds. ...Read more
What are the other diagnosis for ectopic/ovarian pregnancy? Is it possible to have negative blood and urine test but have ectopic pregnancy? Or anxiety
Not pregnant: You cannot be pregnant if your blood pregnancy test is negative. ...Read more
See your Doctor: It may be too early to tell, an ultrasound is the best way. See your doctor if you have pain or bleeding. ...Read more
If I have an ectopic pregnancy and it ruptures and causes internal bleeding can I lie and say it was a big ovarian cyst?
Lying: To your physician? One should never, ever lie about their medical history to the professionals caring for them. How you live your life otherwise is between you and your maker. ...Read more
Could it be possible for a ruptured ectopic pregnancy to be mistaken for a ruptured large ovarian cyst?
Anatomy: No. Ruptured Fallopian tubes is a deadly problem. If you are not in the emergency room trying to save your life because an ectopic pregnancy has ruptured it is very unlikely you have an ectopic rupture. The fallopian tubes are not the ovaries. An ovarian cyst would be seen in the ovary not in the fallopian tubes. ...Read more
I'm 4 wks +1d pregnant. I've a slight pain near my navel and a history of ovarian cysts. Could I feel an ectopic pregnancy yet or is it probably gas?
Pregnancy pain: Yes you could possibly feel an ectopic pregnancy at this point in pregnancy however it is doubtful you would have pain near your naval. Pain at this stage would be down in your pelvis and low abdomen. If you do have severe pain and bleeding or just severe pain I would seek medical attention. ...Read more
Am 5 weeks pregnant and I feel a sharp pain in my left lower abdomen, could it be an ectopic pregnancy? 2 years ago, was diagnosed with ovarian cysts.
Ectopic: Yes this could certainly be an ectopic. I would have this evaluated. ...Read more
Pregnancy symptoms, neg test, ovarian pain on both sides, I had two ectopic pregnancies one ended in tubal removal. Confused?
You are not pregnant, nor an ectopic....
If you want more detail, go here:. ...Read more
Pelvis & abomen: Commonly when advaced spreads in the abdomen affecting the peritoneum producing increased intra pelvic and abdominal fluid. As most cancers may spread to liver, lung, brain, bone. Most ovarian cancer produce symptoms only in advanced stages with nonspecific sensations of increased belly or intraabdominally discomfort. Ca 125 is not a screening test because of so many false positives and negatives. ...Read more
In some cases: In some cases of ovarian cancer, a mass (or masses) can be felt in the pelvis with a manual vaginal examination. In advanced cases, a swollen abdomen from ascites can be seen on exam (but this is not specific for ovarian cancer). In most cases of ovarian cancer, the findings on exam are quite nonspecific. ...Read more
Depends.: It is notoriously hard to detect early. Pelvic ultrasound and family history along with serum ca-125 are some approaches to early detection that have not been particularly effective. Current research is aiming at identifying a serum proteomic signature of early ovarian cancer that can be clinically useful. ...Read more
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more