All you need to know about PCOS and Ectopic Pregnancy
Some of you may have never heard of something like this before, but yes, such pregnancies do happen. Let’s get a clear understanding first on what is ectopic pregnancy.
There are a number of stages a woman’s body undergoes during pregnancy, the first one being the fertilization stage. The difference that undertakes in a normal pregnancy and an ectopic pregnancy is that in an ectopic pregnancy the fertilized egg does not attach itself to the uterus, and might instead get latched with a fallopian tube, abdominal cavity or cervix. If ectopic pregnancies are left untreated, it can create serious complications and hence needs to be treated as a medical emergency.
The first indications of an ectopic pregnancy are pain or vaginal bleeding. There might be pain in the pelvis, abdomen, or even the shoulder or neck (if blood from a ruptured ectopic pregnancy builds up and irritates certain nerves). This pain can extend from mild and dull to severe and sharp.
Polycystic ovarian syndrome brings a huge amount of complications along with it especially on the conceiving front. These can also be life threatening in many cases for the mother as well as the baby.
Women who suffer from PCOS are at a higher risk of developing ectopic pregnancies. Earlier, when we were lacking technology, women would not even come to know about such pregnancies occurring. This may occur even after conducting effective treatments such as In-Vitro Fertilization (IVF). The minute women feel a pain in their abdomen and severe bleeding starts they must show a doctor immediately. Women with PCOS who are have hormones for various reasons such a conceiving, irregular periods, using oral contraceptives, bring up the level of the hormone, hence this high hormone level prevents the embryo from progressing and reaching the uterus. However, this does not mean that women with PCOS try to stop conceiving, they just need to be extra cautious and be aware of their body on goings. Being aware of the risk factors such as the embryo being formed at the fallopian tubes and areas outside the uterus is important for personal diagnosis purposes.
Your symptoms of an ectopic pregnancy are very similar to that of a normal pregnancy, i.e., morning sickness, vomiting, nausea, fatigue, tenderness of breasts, pain in the lover side of your abdomen, etc. hence it is difficult to come to know if you have not conceived the normal way. Besides PCOS, ectopic pregnancies can also happen due to a past abortion, a STD, a genital tuberculosis or a genital tract procedure done. Since the fallopian tube has a very thin wall the pregnancy cannot really extend much beyond two months.
The only way to treat Ectopic pregnancy treatment is through medicine or surgery:
You get injections of methotrexate, a drug that prevents ectopic pregnancy. It stops cells from growing in the fertilized egg, and your body absorbs any cells that have already developed. This will not in any way harm the Fallopian tubes.
The pregnancy is extracted using laparoscopy with surgical technique. Your doctor uses surgical instruments and a small camera to see inside your body to make a tiny cut above your belly button and remove the pregnancy. For ectopic pregnancy this is the most common treatment. This procedure sometimes causes scarring in your fallopian tube, or a piece of Fallopian tube needs to be removed.
It is important to note that Miscarriage and Ectopic Pregnancies Can Trigger Post-Traumatic Stress in Many Women. One can experience post-traumatic stress after a miscarriage or ectopic pregnancy. Counselling sessions would be very effective to deal with this trauma and also help in planning the way forward for the next pregnancy.
After an ectopic pregnancy, the chance of it happening again is about 10 per cent. So, the explanation for your preceding ectopic pregnancy is one important thing to remember. In any potential pregnancies your medical background will play a big part. A history of infertility would have the greatest effect on your chances of becoming pregnant again — and it could, sadly, also raise the chances of another ectopic pregnancy. Lifestyle factors such as habits like drinking and smoking also determine the onset of ectopic pregnancy and the age factor counts as well. Early diagnosis and treatment is important to prevent life-threatening bleeding and also, if possible, so the tube can be saved and it can continue to work.
It is usually advised that you wait for at least 2 menstrual cycles until attempting another pregnancy, because this will give time for healing of your Fallopian tubes (if treated with methotrexate, you may have to wait at least three months). However, some women usually like to take their time and overcome this and then think about conceiving once again the right way, along with taking all the necessary precautions, and being under doctors consultation and observation, as this becomes more mandatory with a past failed ectopic pregnancy experience.