Which women should be wary of ectopic pregnancy?

Ectopic pregnancy is a common gynecological acute abdomen and one of the main causes of maternal mortality. The main cause of most ectopic pregnancies is problems with the fallopian tubes. Ectopic pregnancy can occur when the normal movement of the fertilized egg to the uterus is delayed or prevented for various reasons, causing the fertilized egg to be blocked in the fallopian tube. Which women need to be alert to ectopic pregnancy? The details are as follows:

Which women need to prevent ectopic pregnancy?

Chronic pelvic inflammatory disease and salpingitis. Chronic pelvic inflammatory disease is the most common factor that interferes with the normal operation of the fertilized egg and is the common and main cause of ectopic pregnancy. The cause of salpingitis is mainly the pathogens that cause sexually transmitted diseases, common ones are gonococci and Chlamydia trachomatis. Inflammation causes adhesion, stenosis, and irregularity of the fallopian tube mucosa. These pathological changes lead to weakened peristalsis of the fallopian tube wall muscles, thereby affecting the transportation of the fertilized egg. The fertilized egg is blocked in the fallopian tube, which means it may implant and develop in situ, resulting in tubal pregnancy.

In addition, women who need to be vigilant about ectopic pregnancy include patients with appendicitis perforation. Appendicitis perforation is another high-risk factor for ectopic pregnancy. Appendicitis perforation forms an appendix abscess, which affects the fallopian tubes and blocks them, increasing the risk of ectopic pregnancy by 2 times.

Those who have a history of ectopic pregnancy are also one of the women who need to be vigilant about ectopic pregnancy, and the probability of ectopic pregnancy occurring again is higher. Those who retain the fallopian tubes during the treatment of ectopic pregnancy have a higher rate of ectopic pregnancy again, but repeated ectopic pregnancies also often occur in the contralateral fallopian tube, suggesting that both fallopian tubes may have the same potential dysfunction. In addition, artificial abortion is definitely related to ectopic pregnancy, and its harmfulness increases by 1 times. The more abortions, the greater the risk of ectopic pregnancy. Pelvic endometriosis may also be a risk factor for ectopic pregnancy. She is one of the women who need to be vigilant about ectopic pregnancy.

In recent years, it is believed that smoking may be an independent risk factor for ectopic pregnancy. Nicotine can cause reverse peristalsis of fallopian tube cilia and disrupt the normal activity of the fallopian tube, delaying the entry of oocytes into the uterus or delaying the formation and implantation of blastocysts. In addition, smoking also increases the risk of pelvic inflammatory disease and causes abnormal anatomical structure of the fallopian tube, thus increasing the risk of ectopic pregnancy in smokers. If you have other questions about women who need to be vigilant about ectopic pregnancy, please consult our online experts for more information.

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