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Most women who have had an ectopic pregnancy can become pregnant again, but they will need careful follow up, as their risk of ectopic pregnancy is higher. Any woman thought to have or found to have an ectopic pregnancy will need careful observation. A blood transfusion may also be needed.įor non-emergency ectopic pregnancy, medication is often successful, but sometimes surgery is still needed. Laparoscopic surgery is done to remove the embryo and attempts are made to repair the fallopian tube. In most cases, ectopic pregnancy can be diagnosed using a range of tests, some of which are standard medical procedures for all pregnant women, including:Ī ruptured fallopian tube is a medical emergency. Diagnosis of ectopic pregnancyĪround 15 per cent of cases of ectopic pregnancy are diagnosed in the emergency room after the fallopian tube has ruptured. Women who use these forms of contraception need to be aware of the symptoms of ectopic pregnancy. The progestogen-only pill can also be considered. If a pregnancy occurs as a result of a failed tubal sterilisation, there is also a higher risk that it will be ectopic, but the percentage is unknown.īecause implants and IUDs are extremely effective methods of contraception and pregnancy is highly unlikely, these methods can be used in women with a past history of ectopic pregnancy. up to 50 per cent in women using hormone releasing IUDs.

ten per cent in women using the contraceptive implant.

five per cent in women using copper IUDs or progestogen-only pills (mini pills).

However, of pregnancies that occur while using contraception, a percentage are ectopic. The contraceptives currently available in Australia do not increase the risk of ectopic pregnancy.

damage to the fallopian tube caused by a ruptured appendix.

use of assisted reproductive technologies.

past infection with PID or salpingitis (inflammation of the fallopian tubes) and associated scarring.

successful reversal of a tubal sterilisation.

This can be caused by a blockage in the tube or because the tiny hairs inside the tube are not able to sweep the fertilised egg towards the uterus.įactors that can increase a woman’s risk of having an ectopic pregnancy include:

sudden and severe pain in the lower abdomen (if the fallopian tube ruptures).Įctopic pregnancy is caused by a fertilised egg not being able to move through the fallopian tube.

the usual signs of pregnancy, such as amenorrhoea (missed period), morning sickness and breast tenderness.

The symptoms of ectopic pregnancy can include: An ectopic pregnancy can first appear as a normal pregnancy.

The symptoms of ectopic pregnancy can mimic miscarriage or the symptoms of other reproductive disorders, such as pelvic inflammatory disease (PID) or endometriosis. Around five in 1,000 pregnancies are ectopic. In an emergency, call triple zero (000) for an ambulance or go immediately to the nearest hospital emergency department.Īn ectopic pregnancy can also develop in the cervix (entrance to the womb), the abdominal cavity and the ovary itself, but these cases are rare. This is a medical emergency needing immediate surgery and, in some cases, a blood transfusion. In around 15 per cent of cases, the tube ruptures, causing pain, internal bleeding and shock. The developing placenta cannot access a rich blood supply and the fallopian tube is not large enough to support the growing embryo. Normally, the fertilised egg moves down the fallopian tube and into the uterus (womb) to implant in the uterine lining (endometrium).Įctopic pregnancy is a pregnancy that develops outside the uterus, usually in one of the fallopian tubes. Conception occurs when the egg meets a sperm in the fallopian tube. During ovulation, an egg (ovum) is released from one of the ovaries.