Is the mass next to the ovary an ectopic pregnancy?

Is the mass next to the ovary an ectopic pregnancy?

Ovarian masses cannot be ruled out as ectopic pregnancy, but no embryo or heart beat is seen, so a clear diagnosis cannot be made and it can only be observed. Blood HCG testing can help with diagnosis. During an abnormal pregnancy, the fertilized egg is implanted outside the uterine cavity. It is also called "ectopic pregnancy". Tubal pregnancy is the most common.

The cause is usually due to inflammation in the fallopian tube cavity or surrounding areas, resulting in poor patency of the lumen, hindering the normal operation of the fertilized egg, causing it to stay, implant, and develop in the fallopian tube, leading to miscarriage or rupture of tubal pregnancy. Before miscarriage or rupture, there are usually no obvious symptoms, and there may also be menopause, abdominal pain, and a small amount of vaginal bleeding. After rupture, it manifests as acute and severe abdominal pain, repeated attacks, vaginal bleeding, and even shock. Examination usually shows signs of abdominal bleeding and a mass next to the uterus. Ultrasound examination can help with treatment.

Ectopic pregnancy also has the following characteristics:

1. Menopause

Except for the longer amenorrhea period in cases of tubal interstitial pregnancy, most cases have amenorrhea for 6 to 8 weeks. 20% to 30% of patients have no obvious history of menopause, or their menstruation is only two or three days late.

2. Vaginal bleeding

After the embryo dies, there is often irregular vaginal bleeding, which is dark red and small in amount, generally not exceeding the amount of menstruation. A few patients have more vaginal bleeding, similar to menstruation, and vaginal bleeding may be accompanied by the discharge of decidual fragments.

3. Syncope and shock

Due to acute intra-abdominal bleeding and severe abdominal pain, mild syncope, severe hemorrhagic shock. The more bleeding, the faster the symptoms, but not proportional to the amount of vaginal bleeding.