Will cervical pregnancy lead to spontaneous abortion? Will there be bleeding?

Cervical pregnancy may lead to spontaneous abortion and vaginal bleeding. This is a type of ectopic pregnancy, but the risk of spontaneous abortion is high and bleeding may be severe. You need to seek medical attention and take scientific treatment in time. Possible causes include abnormal embryo implantation, reproductive organ diseases, infection, etc., and key treatment methods include medication, surgery, and follow-up care and recovery.

1. Causes of cervical pregnancy

Cervical pregnancy is an ectopic pregnancy caused by the embryo implanting in the cervix. The exact causes may include the following:

1. Reproductive organ abnormalities: Structural abnormalities of the uterus or cervix, such as damage or scarring of the cervical endometrium, may prevent the embryo from implanting normally in the uterus and may instead be implanted in the cervix.

2 Infection or inflammation: Reproductive tract infection, pelvic inflammatory disease, etc. may damage the function of the cervical endometrium and cause the embryo to implant into the cervix.

3. Assisted reproductive technology: When undergoing artificial assisted reproduction such as in vitro fertilization, irregular embryo implantation is more likely to occur, and cervical pregnancy may also occur.

2. Symptoms and diagnosis of cervical pregnancy

1. Symptoms: The main manifestation is abnormal vaginal bleeding, the amount of bleeding may be relatively large or intermittent, and some patients may feel pain in the lower abdomen or uterine contraction-like pain. If the embryo is peeled off and leads to spontaneous abortion, acute massive bleeding may occur, which is life-threatening.

2 Diagnosis: Ultrasound examination, especially transvaginal ultrasound, can accurately identify the site of pregnancy; abnormally elevated blood HCG levels can also indicate the diagnosis. When cervical pregnancy is suspected, it should be confirmed as soon as possible so that intervention measures can be taken.

3. How to deal with cervical pregnancy

1. Drug treatment: For patients in early or stable conditions, methotrexate (MTX) and other drugs can be used to interfere with embryonic growth, promote embryonic tissue absorption, and avoid surgical risks.

2. Surgical treatment: For patients with severe vaginal bleeding or ineffective drug treatment, interventional treatment such as cervical artery embolization or curettage is usually required to remove the embryo, but the operation is risky and requires close cooperation with the doctor. If necessary, a total hysterectomy may be required to save lives.

3 Follow-up care: After a miscarriage or surgery, attention should be paid to the recovery of the uterus. Recovery can be promoted through a reasonable diet, such as protein-rich foods, proper exercise and rest. If there is a risk of infection, antibiotics should be used under the guidance of a doctor, and regular check-ups should be conducted to ensure that the uterus is fully recovered.

Patients with cervical pregnancy should pay great attention to symptoms such as vaginal bleeding and go to the hospital for examination and treatment in time to avoid serious consequences. If diagnosed, they should strictly follow the doctor's advice to receive scientific treatment. After treatment, they should also do a good job of follow-up conditioning and reexamination of reproductive health to ensure healthy recovery and prevent recurrence.