Which women are prone to ectopic pregnancy

In modern society, ectopic pregnancy is no longer a rare disease. So do you know the causes of ectopic pregnancy? Which women are more likely to have ectopic pregnancy? Why do people get ectopic pregnancy? The causes of ectopic pregnancy can be mainly caused by the following six factors.

Ectopic pregnancy, also known as ectopic pregnancy, refers to pregnancy that occurs outside the uterine cavity, of which 98% occurs in the fallopian tube. Director Tian of Shanghai Marriott Hospital said that in recent years, the incidence of ectopic pregnancy has shown a clear upward trend, posing a great threat to women's life and health. Which women are most prone to ectopic pregnancy?

The causes of ectopic pregnancy are mainly due to the following six factors:

① The fallopian tube of women with chronic fallopian tube inflammation is a tube that transports the fertilized egg to the uterine cavity. It has folds inside and cilia on the folds. Under normal circumstances, the fertilized egg is transported to the uterine cavity through the swing of cilia and the peristalsis of the smooth muscle of fallopian tube inflammation. In women with chronic fallopian tube inflammation, the mucosal folds in the tube wall adhere, narrowing the uterine cavity; at the same time, due to inflammation and lesions, the mucosal cilia are defective, and the smooth peristalsis of the tube wall is weakened, making it difficult for the fertilized egg to reach the uterine cavity.

②Women with dysplastic or deformed fallopian tubes have dysplastic fallopian tube muscle layer and lack of cilia in the endometrium, which reduces the function of the fallopian tube to transport fertilized eggs. Fallopian tubes are curved, spiral, with double fallopian tube openings or another malformation of the fallopian tube, which also makes it difficult for the fertilized egg to reach the uterine cavity smoothly. Women with endometriosis are more likely to have ectopic pregnancies if their endometriosis is in the interstitial part of the fallopian tube. On the one hand, the endometrium ectopically located in the interstitial part of the fallopian tube is difficult for the fertilized egg to pass through because of the thickening of the interstitial part, which causes the stenosis or obstruction of the lumen; on the other hand, when the fertilized egg reaches the interstitial part and contacts the ectopic endometrium, the syncytial cells differentiate from the cytotrophoblast cells, just like when the fertilized egg touches the endometrium in a normal pregnancy. In addition, the syncytial cells also secrete a proteolytic enzyme that dissolves the mucosa, eroding the ectopic endometrium to form a gap, allowing the fertilized egg to implant and develop.

④ Women with tumors in the pelvic cavity may experience displacement of the uterus or fallopian tubes, changes in shape, or even structural abnormalities due to the squeezing and traction of the tumors, which may affect the normal arrival of the fertilized egg in the uterine cavity. For example, uterine fibroids may block the smooth flow of the fallopian tubes; ovarian cysts or tumors may pull the fallopian tubes to cause them to be ectopic or deformed, which may block the passage of the fertilized egg and cause the fertilized egg to land and develop somewhere outside the uterine cavity.

⑤ For women who have had their fallopian tubes reopened after tubal ligation, whether it is natural or after surgery, their fallopian tubes are not as unobstructed as before, and the reopened area is often narrower, so the fertilized egg can easily be blocked and settle in the narrow area.

⑥ If a woman who has had an ectopic pregnancy is preparing to get pregnant again, but has not investigated and eliminated the cause of the previous ectopic pregnancy, the risk of an ectopic pregnancy after this pregnancy is much higher than that of ordinary women. Women who are prone to ectopic pregnancy must pay attention to the following points: If you are sure you are pregnant, it is best to go to the hospital for a comprehensive early pregnancy test within six weeks of amenorrhea. During the reproductive period, after a short period of amenorrhea, unexplained dull pain and sour pain appear on one side of the lower abdomen, and you must be highly vigilant about the possibility of ectopic pregnancy. Shortly after amenorrhea, membrane-like sheets and tubular objects are discharged from the vagina. The surface of the cleared edema is granular and has no floating villi. This indicates that an ectopic pregnancy has occurred, but the embryonic sac has been damaged and aborted, and you should go to the hospital for further treatment.

The above is the knowledge about the causes of ectopic pregnancy introduced by experts. I hope you can understand it. If you still don’t understand something, please consult experts online. They will give you a satisfactory explanation. Thank you for your support and trust in this website.

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