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Doctor insights on: Laparoscopic Ectopic Pregnancy

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Dr. Lynne Weixel
4 doctors shared insights

Pregnancy (Definition)

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


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What would IVF success rates be for a 37 yr old after previous laparoscopic myomectomy and ectopic pregnancy with resulting salpingectomy?

Should not matter: Your previous surgeries should not be a factor in an ivf cycle. Success will depend on the experience of the clinic, the skill of the embryologist, quality of the ivf lab and to some extend, whether you are "reproductively young or reproductively old". At 37, you should still have good success rates at an experienced and successful ivf clinic. Good luck.

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I had laparoscopic surgery for ectopic pregnancy. Tube was saved & surgeon couldn't see possible cause for ectopic. What are chances of normal preg?

I had laparoscopic surgery for ectopic pregnancy. Tube was saved & surgeon couldn't see possible cause for ectopic. What are chances of normal preg?

Pretty good.: If your tube did not look bad and your surgeon was able to save it, it's possible to have a normal pregnancy. However, if you had one ectopic you are at higher risk of having a repeat on the same side. Best way to ascertain if your tubes are open or not is to have a hysterosalpingogram (hsg) test. The dr will inject a little bit of dye through your cervix and take an x-ray picture

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How long does shoulder pain last after laparoscopic surgery? I had a lap for an ectopic pregnancy yesterday and I am feeling a lot of pain in my shoulder. I think it may be from the intraabdominal gas they use to blow up the belly during surgery. How lo

How long does shoulder pain last after laparoscopic surgery? I had a lap for an ectopic pregnancy yesterday and I am feeling a lot of pain in my shoulder.  I think it may be from the intraabdominal gas they use to blow up the belly during surgery.  How lo

Varies: The gas pain will go away quickly in most cases. The specific time will depend on a number of factors including how long was the surgery, what was done during the surgery, how heavy is the patient, how quickly can the patient be up and ambulating, etc. It can take anywhere from a few hours to a few days.

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Did having 3 previous c-sections cause me to get an ectopic pregnancy ?

Did  having 3 previous c-sections cause me to get an ectopic pregnancy ?

Probably not.: Although cesarean sections have many adverse implications for future reproduction, increasing the risk of ectopic pregnancies is not one of them. The adhesions caused by cesarean section typically do not involve the tubes, rather the bladder. When the tubes are affected, infertility can occur, as can ectopics. I am not aware of any good data to prove a link with ectopics, though.

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Could having previous c-sections cause me now to have a ectopic pregnancy ?

Could having  previous c-sections cause me now to have a ectopic pregnancy ?

Minimal risk factor: Any pelvic surgery can increase the risk of an ectopic if any tubal damage is involved or if there are multiple adhesions (scar tissue). Like anyone else, if you have an early pregnancy and experience any pain with or without bleeding, check with your doc asap. You can also ask your doc how your tubes looked at c-section, (for peace of mind). Prior ectopic is a larger risk factor.

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Does having previous c-sections increase my chance of having an ectopic pregnancy?

No: Previous caesarean section doesn't predispose to ectopic pregnancy. However, it does increase the likelihood of subsequent c-section deliveries depending on where the initial uteran incision was made. Complications of c-sections include hemorrhage, infection, and thromboembolism, which would all have likely presented shortly after the procedure.

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Ectopic pregnancy danger?

Ectopic pregnancy danger?

Extremely dangerous: Pelvic/abdominal pain and vaginal bleeding in a pregnant woman are most common symptoms. These are rarely present early ectopic though, so if there's reason for concern about ectopic consult your doctor, do not rely on symptoms.

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What helps treat ectopic pregnancy?

Surgery and meds: Depending on the size and age of the ectopic, sometimes medications can be given that will cause it to reabsorb into a woman's body and surgery will not be needed. If it is too large, or if it has ruptured, surgery will be necessary to remove the pregnancy and stop any bleeding.

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How is an ectopic pregnancy detected?

Need a pelvic exam: At a minimum, if there is any suspicion of ectopic pregnancy, you need a pelvic exam, as well as a pregnancy test, to make the diagnosis. Usually, an ultrasound is done as well to confirm the diagnosis and find the exact location and size of the ectopic.

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How does an ectopic pregnancy happen?

Stuck in the tube: Conception normally occurs in the fallopian tube and the embryo travels down the tube and into the uterus where it implants. If the embryo gets stuck and implants in the tube an ectopic pregnancy will occur.

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What are symptoms of ectopic pregnancy?

What are symptoms of ectopic pregnancy?

Many possible: Pelvic/abdominal pain and vaginal bleeding are most common symptoms. These are rarely present with an early ectopic though, so if there's reason for concern about ectopic consult your doctor, do not rely on symptoms.

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How to know if I have ectopic pregnancy?

Ultrasound is best: Ectopic pregnancy is the presence of a fertilized embryo implanting outside the normal confines of the uterus, most commonly within the fallopian tube. This can cause pain as the baby grows, since the fallopian tube is not pliable like the uterus. If you have a positive pregnancy test, appropriate followup with an ob/gyn is needed. Ultrasound can determine if the pregnancy is intrauterine.

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What are the symptoms of ectopic pregnancy?

What are the symptoms of ectopic pregnancy?

Pain and shock.: Classically women are late for their period and begin to have pelvic pain and sometimes abnormal vaginal bleeding. Sometimes other symptoms are present. It is not always an easy diagnosis to make. A visit to your doctor is urgently required.

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How to know if I have an ectopic pregnancy?

How to know if I have an ectopic pregnancy?

Ectopic pregnancy: You need to have serial HCG testing followed closely with pelvic ultrasound which will usually show an empty uterus with a positive pregancy test. Ectopic pregnancy is usually symptomatic with pain and vaginal bleeding.

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What causes an ectopic pregnancy to develop?

Ectopic pregnancy: An ectopic pregnancy occurs when the developing embryo does not implant in the uterus but on some other structure. Common places include the fallopian tube, the ovary, and the cornual area of the uterus. A cause of ectopic pregnancies is tubal damage by sexually transmitted diseases.

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Could I have an ectopic pregnancy if no pain?

Yes: If you have missed a period than ectopic pregnancy is a possibility. The pain of the condition may only start when the fallopian tube is "stretched" enough to be symptomatic prior to rupture.

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What sort of disorder is an ectopic pregnancy?

Ectopic Pregnancy: A pregnancy which is developing outside of the uterus is an ectopic pregnancy. Most commonly it is in the fallopian tube.

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What's the upshot of getting ectopic pregnancy?

Life threatening: Ectopic pregnancy can result in life threatening internal bleeding. The risk for an ectopic pregnancy is increased in a woman with a history of pelvic infections, pelvic surgery, previous ectopic pregnancy, and endometriosis. Most ectopic pregnancies are treated surgically, but when diagnosed early, an ectopic pregnancy can be treated medically.

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Dr. Gerard Honore
481 doctors shared insights

Ectopic Pregnancy (Definition)

An abnormal condition in which the pregnancy occurs ...Read more