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Ectopic Pregnancy Causes and Risk Factors You may never know why you have an ectopic pregnancy. One cause could be a damaged fallopian tube. It could keep the fertilized egg from getting. Ectopic Pregnancy Symptoms, Causes, and Risk Factors Experts explain ectopic pregnancy, also known as tubal pregnancy, so you can recognize the signs of a dangerous “out of. Ectopic pregnancy is often associated with risk factors that lead to tubal epithelial damage.

Damage to the fallopian tube impairs its ability to transport gametes (the sperm or the egg) or embryos, and predisposes the woman to faulty implantation of the fertilized ovum [Seeber and Barnhart, 2008; BMJ, 2017].About a third of women diagnosed with an ectopic pregnancy have no identifiable risk. INTRODUCTION. Ectopic pregnancy (EP) is a condition presenting as a major health problem for women of childbearing age.[] The incidence of EP varies with the population, but it has been accounted for 1-2% of all reported pregnancies.[2,3,4,5] Numerous studies have attempted to explain the risk factors for EP.[3,6,7,8,9] Accordingly, it is speculated that the main risk factors. 7 Causes And Risk Factors Of Ectopic Pregnancy 1. Endometriosis.

In this condition, the tissue lining the inside of the uterus grows on the outside of the uterus and 2. Fallopian Tube Defects. Birth defects in the mother’s fallopian tubes. All sexually active women are at some risk for an ectopic pregnancy. Risk factors increase with any of the following: maternal age of 35 years or older history of pelvic surgery, abdominal surgery.

An ectopic pregnancy occurs when the fertilized egg attaches itself in a place other than inside the uterus. Most cases occur in the fallopian tube and are thus sometimes called tubal pregnancies. About one half of all women who have an ectopic pregnancy do not have known risk factors. Sexually active women should be alert to changes in their bodies, especially if they experience symptoms of an. Here are the risk factors we know can make an ectopic pregnancy more likely: • Pelvic inflammatory disease (PID) and certain STIs.

PID is a bacterial infection in the uterus, ovaries, or. In the present study, the most important risk factor was hormonal contraception, which increased ectopic pregnancy by nine times with adjusted odds ratio in variables (age, reproductive technolog.

List of related literature:

Incidence and risk factors for ectopic pregnancy.

“Chestnut's Obstetric Anesthesia E-Book” by David H. Chestnut, Cynthia A Wong, Lawrence C Tsen, Warwick D Ngan Kee, Yaakov Beilin, Jill Mhyre, Brian T. Bateman, Naveen Nathan
from Chestnut’s Obstetric Anesthesia E-Book
by David H. Chestnut, Cynthia A Wong, et. al.
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Damage to the fallopian tube is the most frequent cause of ectopic pregnancy.

“Wong's Nursing Care of Infants and Children Multimedia Enhanced Version” by Marilyn J. Hockenberry, David Wilson, Donna L. Wong, Annette Baker, R.N., Patrick Barrera, Debbie Fraser Askin
from Wong’s Nursing Care of Infants and Children Multimedia Enhanced Version
by Marilyn J. Hockenberry, David Wilson, et. al.
Mosby/Elsevier, 2013

The risk of ectopic pregnancy is also increased with peritubal scarring and adhesions, which may be caused by appendicitis, endometriosis, and previous surgery.

“Robbins & Cotran Pathologic Basis of Disease E-Book” by Vinay Kumar, Abul K. Abbas, Jon C. Aster
from Robbins & Cotran Pathologic Basis of Disease E-Book
by Vinay Kumar, Abul K. Abbas, Jon C. Aster
Elsevier Health Sciences, 2020

The danger of having an ectopic pregnancy is that it may rupture the fallopian tube or other organ where it is implanted, causing severe pain, blood loss, tissue damage and occasionally death.

“Management of Common Problems in Obstetrics and Gynecology” by T. Murphy Goodwin, Martin N. Montoro, Laila Muderspach, Richard Paulson, Subir Roy
from Management of Common Problems in Obstetrics and Gynecology
by T. Murphy Goodwin, Martin N. Montoro, et. al.
Wiley, 2010

Major risk factors for ectopic pregnancy include previous ectopic pregnancy, PID, endometriosis, previous tubal surgery, previous pelvic surgery, infertility and infertility treatments, uterotubal anomalies, history of in utero exposure to diethylstilbestrol (DES), and cigarette smoking.

“Swanson's Family Medicine Review” by Alfred F. Tallia, Joseph E. Scherger, Nancy Dickey
from Swanson’s Family Medicine Review
by Alfred F. Tallia, Joseph E. Scherger, Nancy Dickey
Elsevier Health Sciences, 2008

c. having one ectopic pregnancy increases her risk for another.

“Medical-Surgical Nursing: Assessment and Management of Clinical Problems, Single Volume” by Sharon L. Lewis, RN, PhD, FAAN, Linda Bucher, Margaret M. Heitkemper, RN, PhD, FAAN, Shannon Ruff Dirksen, RN, PhD
from Medical-Surgical Nursing: Assessment and Management of Clinical Problems, Single Volume
by Sharon L. Lewis, RN, PhD, FAAN, Linda Bucher, et. al.
Elsevier Health Sciences, 2013

Risk factors for ectopic pregnancy should be elicited for any woman when pregnancy is suspected, although identifiable factors may be absent in many women with ectopic pregnancies.

“Primary Care E-Book: A Collaborative Practice” by Terry Mahan Buttaro, Patricia Polgar-Bailey, Joanne Sandberg-Cook, JoAnn Trybulski
from Primary Care E-Book: A Collaborative Practice
by Terry Mahan Buttaro, Patricia Polgar-Bailey, et. al.
Elsevier Health Sciences, 2012

Ectopic pregnancy can be caused by blockage of the fallopian tube(s) or reduction of tubal peristalsis that impedes or delays the fertilised ovum from passing to the uterus.

“Lewis's Medical-Surgical Nursing EBook: Assessment and Management of Clinical Problems” by Di Brown, Helen Edwards, Thomas Buckley, Robyn L. Aitken
from Lewis’s Medical-Surgical Nursing EBook: Assessment and Management of Clinical Problems
by Di Brown, Helen Edwards, et. al.
Elsevier Health Sciences, 2019

Risk factors for ectopic pregnancy should increase clinical suspicion but are often absent.

“Rosen's Emergency Medicine Concepts and Clinical Practice, 2-Volume Set,Expert Consult Premium Edition Enhanced Online Features and Print,7: Rosen's Emergency Medicine Concepts and Clinical Practice, 2-Volume Set” by John A. Marx, Robert S. Hockberger, Ron M. Walls, James Adams
from Rosen’s Emergency Medicine Concepts and Clinical Practice, 2-Volume Set,Expert Consult Premium Edition Enhanced Online Features and Print,7: Rosen’s Emergency Medicine Concepts and Clinical Practice, 2-Volume Set
by John A. Marx, Robert S. Hockberger, et. al.
Mosby/Elsevier, 2010

Risk Factors for Ectopic Pregnancy A previous ectopic pregnancy, evidence of tubal pathology, previous tubal surgery and exposure to diethylstilboestrol are strongly associated with ectopic pregnancy.

“Fetal Medicine E-Book: Basic Science and Clinical Practice” by Pranav P Pandya, Ronald Wapner, Dick Oepkes, Neil Sebire
from Fetal Medicine E-Book: Basic Science and Clinical Practice
by Pranav P Pandya, Ronald Wapner, et. al.
Elsevier Health Sciences, 2019

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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48 comments

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  • I had ectopic pregnancy it was13weeks thanks God no surgery I had pills to put in my vaginal and after 8hrs everything came out but my period is not 3days anymore I bleed only 1day. Woman we are too complicated

  • Dr.Ectopic pregnancy yilum mensus akillallo… apo utreus nte wall already pregnancy ku prepared aytundaville… apo athu mensus loode purathu pokande?

  • I had an ectopic pregnancy on 2013, doc ny right side tube remove ki hy now I want conceive pls kch advise dain how can I conceive pls reply

  • Hello Doctor
    Thanks for the information
    I had ectopic pregnancy laproscopic surgery last week and my right tube is removed.
    After how many months we can try for pregnancy again.

  • Really Your video is having very helpful information. Recently My Wife got operated through Laproscopy for Ecoptic pregnancy. Is there a way to contact you to get some information which helps my wife to get pregnant in future?

  • മാഡം പറഞ്ഞു ഒരു സികിത്സ രീതി അത് എപ്പോൾ ആണ് ചെയ്യേടത് എങ്ങിനെ ചെയ്യണം അത്ര വലിയ വിവരം ഒന്നും ഇല്ല എനിക്ക് എനിക്ക് എന്റെ മകളുടെ ഭാവി യാണ് വലിത് നല്ല ഒരു മറുപടി തരും എന് കരുതുന്നു

  • I had tubal pregnancy they took rub n baby then i had 1 child. After that i had another tubal pregnancy last chance to have another child. Well i had to have it removed the tub n baby again. I thank god for my only child. After all that n years later im haven pain n going threw menopause?

  • Thank you doctor, I have some question that are…..What are remedial measures to reduce chances of infection in fallopian tubes in future? Does weak motility Siemens affects the fallopian tube?

  • very nice video doctor. i had an ectopic pregnancy in the year 2015 and nw I m pregnent with one tube…. n in full term pregnancy its 9 month running pls suggest me for which type of delivery I shud go for normal or c section.. this is my first child till today every thing is normal pls respond me soon…thanks

  • Mam enk pragnacy il scan cheithapol tubil anu kanichath. Methotrexate injection eduthu bt 2 days kazhinju scan cheithapolol uterus il ayirunnu. Ethelum prblm undakum paranju abort cheithu agane sambhavikumo? Plzzz reply mam

  • Ma’am I did HCG test that test results was 1081 so that’s the tubel pregnancy? Plze give me reply I m so worried I had 3 miscarriage plze reply me

  • Hi doctor I had ectopic pregnacy in 2013 the 1st time was in my right tube and doctor did a partial right salpingectomy four months later i was pregnant again and unfortunatly was on my left tube but this time i have more complications and doctor performed a total lt salpingectomy.my question is i still have options for been pregnant again? Im 28yr now. I was 23yr when everything happend and seens then i not pregnant anymore.which other options i have? Plz im apreciated if u answer me.

  • Mam meri ectopic pragnancy tha or ek tube remove kardiya hai operation ke duwara. But ab mai maa banna chahati hu and mere pas ek hi tube hai. Agar mai dobara ectopic pregnancy hogyi toh kya upai hai ki us pragnancy ko utras mai sahi jagah pe Lane ka??? Nor Mal birth ho sake??

  • Hi mam waiting for your next video. I just had an ectopic pregnancy last week and am on rest. I would like to know more about cares taken after laproscopic surgery for ectopic pregnancy.

  • Hlo mam, I had n ectopic pregency on 2016, September its already 1 yr complete n doctor removed my left side fallopian tube so mam we r planing fr a baby again frm last 3 mnth we r trying but I hav not concived n m little scared, n my periods r stil irrigular mam stil ther is any problem in my another fallopian tube thn haw can I nw abt that I had infection on thr, mam plz suggest me,

  • Hi,thanks for your very informative video.i ‘m 32,in January 2017 i have one ectopic pregnancy dr remove one Fallopian tube And at the same time Dr find the 12 fibroids around my uterus.but after 6 months in July 2017 dr do another surgery about my fibroids and they remove 2 big fibroids.but think is I have 10 more..now I want to try for the baby..plz give some good advice..thanks

  • Hi maam
    Last week i had a ruptured ectopic pregnancy and one tube removed.
    Chance of pregnancy ini enganeya? Can 1 tube catch egg from both ovaries?

  • I have undergone a an ectopic surgery I’ve removed my right side of my Fallopian tube yet i’ve not get pregnant. I don’t know what to do

  • നമസ്കാരം ഡോക്ടർ ഞാൻ ഷമീർ എന്റെ മകളുടെ കാര്യം പറയാൻ ആണ് എന്റെ മകൾ 2 തവണ ഗർഭം തരിച്ചു പക്ഷേ ഞങ്ങളുടെ കഷ്ട്ടം കാലം 2 tuibil ആയിരുന്നു ഇപ്പോൾ 2 ട്യുയ്ബ് ഇല്ല ഇനി ഞങ്ങൾ എന്ത് ചെയ്യണം

  • Love u so much mam….. എനിക്കും tubel pragnency ആയിരുന്നു… rght side tube remove ചെയ്തു…. ഞാനിപ്പോ dr കാണിക്കുന്നുണ്ട്…. letrozole കഴിക്കുന്നു…. pragnent ആവും എന്ന്‌ വിശ്വാസം ഉണ്ട്….. mam last 3 point എന്റെ മനസിനെ തണുപ്പിച്ചു…. love u mam������������

  • Mam ente marg kayinjit 3 masamayi njan pragnat aayirunu tubil ath pottiyirunu remove chythu opration chythit ini ethra thivasam rest venam enik ini ethra kayinjjalan baby undakuka mam plzzzzzzz rplyyy��

  • Mam enteyum first tubal pregnancy ayirunu….angane right tube remove cheythu…..ipol laproscopy kazhinjit 8 month ayi…treatmentil aanu.left tube test cheythu. Tube positive aanenaanu paranoid doctor.blok onumillanu paranju. Ini pregnant akumbol tubal pregnancy Akan chance undo

  • Dr njan family planing operation chaithirunnu pinneedu reconalaitation chaithu ippo tubel pregnancy aayi athu operation chaithu ini enikku pregnant avan chance undo? Dr please reply

  • Maam, please tell us if acupuncture would be effective or not to prevent further ectopic pregnancies. Or is there any thing we can do to prevent it from occuring further

  • Mam enik tubal pregnancy aayirinnu. Ad injection vech remove cheythu. But ippo adinu shesham periods varumbo nalla vedhanayum kaalu kadachil okk aan. Ad idinte valla kaaranam kondum aano? Pls rply

  • Plz reply me mn pregnet howi.urine test bht dark aya pr jb 5 week bad atrasound no sec & blood test 424.22 phr 4 day bad bleeding r bht 7 days but left side movment all in days of pregnency r bleeding k bad b urine test postive plz help me why the movment

  • Mam njan ippo 6 week pregnant annu. Next day scaning cheyyan paraju… treatment eduthirunnu normally thanne ayathannu. Duphaston tabletum calcium tabletum folic tabletum thannitund

  • ഹി Mom.. enik ippo period miss ayitt 36day ayi.. njan innale monday dr aduth poi scan cheythappol pregnancy aanu. Bt embryo uterusil ethiyittillann… ente bhcg rate 860aanu… ith enthukondanu mam.. ethra weeks ethumpol anu uterusil ethunnath.. enik pcod und.. ith 2nd pregnancy aanu.. first pblm illarnu..
    Pls reply mam.. i amvery tensioned…

  • Mam yenik period 30days avumbol varum pakshae 10days avumbol ovulation nadakkunu apol Stech cheth pidikkan pattuna discharge kanunu ath ovulation nadanath ale 10divasam avumbol undavunath kod yethegilum problem undo mam yenik ake oru tension plz reply mam yenik eage 33 und

  • Dr.. I need your help. Bcz my first pragnancy was ectopic pregnancy and I face very trouble bcz Dr give major sergery in AL qasmiah hsp.. And know I am prangnant again. But I am very scary about this.

  • Periods thetti urin test cheythu athil positivanu but perids thetti 15day aayapo dctre kanichu scan cheythapo athil onnum kanunnillann paraju ath entha mam nallonam omitingun und ipo tubil aayal scanningil kanille palarum palathum parayunnath kelkkunnu

  • Enik 2times left and right said tubal pregnency undayi but injection eduthu abort cheythu. tube infection undenkil treatment undo normal ayi eni pregnenet akan patumo pls reply maam

  • ഹായ് ഡോക്ടർ എന്റെ മാര്യേജ് കഴിഞ്ഞിട്ടേ 9 yrs 5month ആയി iui ചെയ്തു 3 iui പ്രെഗ്നൻസി ആയി എന്റെ ഭാഗ്യ ദോഷം tubel pregnancy ആയിരുന്നു സ്കാൻ അറിഞ്ഞില്ല 2 month ആയപ്പോൾ internal ബ്ളീഡിങ് ആയി സീരിയസ് ആയിരുന്നു left tube remove ചെയ്തു..ഈ വീഡിയോ കാണാൻ സാധിച്ചതിൽ വളരെ സന്തോഷം ഇപ്പോൾ 1month കഴിഞ്ഞു rest ആണ്

  • Dear mam I’m ur new subscriber…enikku 2 times ectopic pregnancy aayi.2 times um methotrixate injections eduthu. Oru baby undu.first pregnancy kku Sheeham aanu ectopic undayathu.eni enikku natural aayi conceive cheyan pattumo.risk aano..plz reply

  • Dr…. aftr ectopic…. i am pregnant now… preganant aakillle ennulla ente tensions inn akannu… inn mng aanu test cheythe…. ini akath nthakumnnullla nalla bhayam nd… dr ne kandtillla…. mondy kaanan pattulu… ellam nallathakan prarthikkanee

  • I feel pain in my left side of belly. But my period occur in the same time I have… I checked pregnancy test but it’s negative… And my first pregnancy was an ectopic.. I haven’t do any injection or surgery… Now it turns 6month…now I need to know whether negative pregnancy result be an ectopic pregnancy??? Mam plz reply..

  • മാഡം ഗർഭിണി യാണ് പക്ഷേ ഞാന് ഇപ്പോ വല്ലാതെ ഒരു പ്രതിസന്ധി നേരിടുന്നു അതുകൊണ്ട് ആണ് ഞാന് Mamende contact number Tharumo Enne parayunathe Enaee Avode chyaruthe Mam plz

  • Enik tubal pregnancy aarnnu.. Rt salphigectomy chaithu..ini enik ella month ovulation undakumoo?? Alternate aarikkumo??? Ethu side aa ovulation nnu ariyanokkumo??

  • Mam wife 3 caring ane matte smell ariyathirikkan eppozhum tiger balm kooduthalayi smell chiyyunnathukonde enthengilum problem undo?

  • Enikum frist pregnancy tubil aayirunnu left said tub remove cheythu athin shesham ithvare pregnante aayilla mrg kayijit 6years kayiju

  • Hai…mam…Second prgncy tubilayrnu… two months ayi… eni 6months kazhinje pregnencyk try cheyyavu enn dr paranju…. useful video…waiting for next…

  • I had an ectopic pregnancy and my Dr told me I could never have anymore children….
    Well 8 most later I got pregnant with my 1st daughter 22 yrs ago did alot of praying.

  • Madam enikke adhyam tubal pregnancy ayirunnu right side tube remove cheithu pinned 2 thavana pregnant ayitte 2 masamagumbol abotion ayipogunnu marriege kazhinjitte 8 year ayi entha ethine karanam

  • Mam ithil chodikkan pattumo ennariyilla.bilateral salpingectomy chaitha oru lady normally conceive chaithu.orankuttiye prasavichu.oru english chanalil kandathanu.ith engane sambavikkunnathanu mam

  • Thank you mam ente tubal pregnancy kazhinju ippol 8month ayi methotrexate injection anu eduthadu surgery onnum cheyyendivannillla enikkini oru kunju undakumallo alle

  • Enteyum first pregnancy tubil ayirunu. Methotrexate injection eduthathode a problem mari. 6 months vare oru babyk try cheyaruthenn paranju. After 6 months we tried and I got pregnant.now we are blessed with 2 charming babies ❤

  • Good afternoon mam…I m a medical student. I use to watch most of your videos.It is very informative.And I like the way you present it.It really shows that you are a very good doctor nd polite in nature….

  • Enikum tubal pregnancy ayirunnu laparoscopy cheythu… Right fallopian tube remove cheythu… Ipo 6 months aayiii… Ithu vare pregnant ayitilla��