How to protect yourself from abdominal pregnancy?

Can a simple pregnancy test indicate abdominal pregnancy, can abdominal pregnancy take place while extracorporal fertilization, and which are signs of abdominal pregnancy? Below we will tell about most frequent reasons of abdominal pregnancy.
How much can you trust to pregnancy tests, which are sold in drug-stores? Can such test indicate abdominal pregnancy?
Pregnancy is considered abdominal, when fetus is attached and growing not in an uterine cavity, but, for example, in a tube, ovary, and even abdominal cavity. Pregnancy test determines level of pregnancy hormone (human chorionic gonadotropin) in urine. This hormone is produced right after attaching of fertilized ovum to uterus, i.e. on 5-6th day after ovulation. These tests provide reliable result depending on delay of menstruation term. Starting from second day of delay of mensis, tests say truth in 85-100% of cases. Difference between tests is small, you should not search for something unusual. Test will “show” any pregnancy, even if it’s abdominal. However, you won’t be able to diagnose it with help of test. It’s only doctor who can diagnose abdominal pregnancy.
Which chances you have for a normal pregnancy after abdominal one?
Unfortunately, there’re many reasons for abdominal pregnancy. These are anatomic inherited defects of uterine tubes, infantility, inflammation diseases of uterine appendages in past, past abortions, adhesions in small pelvis and pathology of embryo. Depending on a reason of a previous abdominal pregnancy, you should prepare for normal pregnancy, consulting with an experienced doctor beforehand. However, it’s impossible to give a 100% guarantee that you will never have another abdominal pregnancy, you can only reduce this risk.
Usually, under favorable conditions, fetus moves from a tube into an uterine cavity, where it is attached. While multiple ovulation (if you take CLOSTILBEGYT) two fertilized ovums are formed. Development of pregnancy until childbirth in impossible in an uterine tube, its muscular membrane cannot be stretched, as uterus. Fetus grows through a wall during tube pregnancy quickly, destroys it, and pregnancy is terminated on 4-7th week. Often this is accompanied by bleeding and state of shock, dangerous for a woman’s life. Unfortunately, while prolonged sterility, uterine tubes still remain damaged, regardless of conservative treatment. While long “longevity” of sterility and defective tubes, it’s preferrable to carry out IVF&ET treatment.
How often abdominal pregnancy appears while extracorporal fertilization? And how is it possible to prevent it?
This happens quite seldom – no more than 2-3 %. By the way, to compare: a risk of abdominal pregnancy for women with adhesions and other diseases of uterine reaches 15-30% while natural conception! No matter how paradoxial it is, but abdominal pregnancy can take place, although a fertilized ovum is inserted right into uterus during IVF&ET procedure. It’s possible to avoid this problem, if you remove tubes before IVF&ET. In many countries such operation is a necessary condition of stimulation procedure.
While blocking of tubes or their lesion, probability of abdominal pregnancy is very low. If a woman’s uterine tubes are abnormal on ends, embryo manages to come to uterus not always, and it can get stuck inside of a tube. Fortunately, during IVF&ET, after they transfer a fertilized ovum into uterus, a woman is under constant observation, and doctors can find out abdominal pregnancy as early, that they have time to correct the situation. A choice is made between a microsurgery through abdominoscopy or administration of Methotrexate, which resolves pregnancy.
Recently, to reduce a risk of multiple fetation or abdominal pregnancy, they transfer 1-2 developing embryos in an uterine cavity. This way, probability of pregnancy out of uterus is reduced significantly.
Bleeding during pregnancy is a dangerous symptom. Most often it is a sign of termination of normal pregnancy in uterus or abdominal pregnancy. Anyway, you should urgently call 911, every minute can become fatal for keeping fetus’s and mother’s life. 


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