how late can you have ectopic pregnancy?
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The diagnosis of ectopic pregnancy may sometimes be difficult, and symptoms may occur from as early as 4 weeks pregnant and up to 12 weeks or even later.
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Key points about ectopic pregnancy Pregnancy that develops outside the uterus is called ectopic pregnancy. Women with an ectopic pregnancy may have irregular bleeding and pelvic or abdominal pain, often on one side. Symptoms most often appear 6 to 8 weeks after the last normal menstrual period.
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Symptoms of an ectopic pregnancy usually develop between the 4th and 12th weeks of pregnancy. Some women don't have any symptoms at first. They may not find out they have an ectopic pregnancy until an early scan shows the problem or they develop more serious symptoms later on.
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A pregnancy that's ectopic is usually diagnosed at about four to six weeks into pregnancy, typically through an ultrasound and blood tests to check the level of the hormone human chorionic gonadotropin (hCG). A lower-than-normal increase in hGC levels may indicate an ectopic pregnancy.
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However, although there is no medical reason for it, women do very often report some irregularity to their cycle for several months after an ectopic pregnancy. Broadly speaking, doctors consider menstrual (period) cycles of between 23 to 42 days to be within normal parameters.
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Possible outcomes. In many cases of ectopic pregnancy, the fertilised egg dies quickly and is broken down by your system before you miss your period or after you experience some slight pain and bleeding. In these cases an ectopic pregnancy is rarely diagnosed and it is assumed to be a miscarriage.
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An ectopic pregnancy occurs when a fertilized egg implants itself outside of the uterus. They're also called “tubal pregnancies” because most of them happen in the fallopian tubes. Whether there's a problem with the egg or the tube, the egg gets stuck on its journey to the uterus.
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Although the pregnancy is not in the uterus, the hormones produced by the early pregnancy cause the lining of the uterus to become thickened. Therefore after your ectopic pregnancy is treated, you should expect some heavy period-like bleeding for a week or so.
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In many cases of ectopic pregnancy, the fertilised egg dies quickly and is broken down by your system before you miss your period or after you experience some slight pain and bleeding. In these cases an ectopic pregnancy is rarely diagnosed and it is assumed to be a miscarriage.
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An intra-uterine pregnancy can usually be seen by 5-6 weeks gestation or when the HCG level is >1500 IU/l. If it is not in the uterus, it may be ectopic. In 95% of ectopic pregnancy cases, a good transvaginal ultrasound examination can actually see the ectopic pregnancy in the Fallopian tube.
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About 1 in every 50 pregnancies in the U.S. is an ectopic pregnancy, which cannot result in a baby. Between 6 to 16% of pregnant women who go to an emergency department in the first trimester for bleeding, pain or both have an ectopic pregnancy.
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Some ectopic pregnancies occur without any known cause. Common causes of fallopian tube damage that may lead to an ectopic pregnancy include: Smoking. Women who smoke or who used to smoke have higher rates of ectopic pregnancy.
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Statistically, the chances of having a future successful pregnancy are very good and 65% of women are healthily pregnant within 18 months of an ectopic pregnancy. Some studies suggest this figure rises to around 85% over 2 years. Your chance of conceiving depends very much on the health of your tubes.
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In a few cases an ectopic pregnancy causes no noticeable symptoms and is only detected during routine pregnancy testing. However, most women do have symptoms and these usually become apparent between week 4 and week 12 of pregnancy.
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It is possible to have an ectopic pregnancy without experiencing any symptoms until rupture of the fallopian tube or close organs. After rupture, signs and symptoms may include: Severe stomach pain. Vaginal bleeding.
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You can use an emergency pill or an emergency IUD from 5 days after treatment for a miscarriage or ectopic pregnancy as long as there were no complications. If you had complications ask a doctor or nurse for advice. You don't need to use emergency contraception earlier than 5 days after treatment.
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diagnosed as having an ectopic pregnancy, the increase in hCG progressed only slowly, with a doubling time exceeding 2. 2 days. This slow hCG increase occurred in 2 out of the 11 women who were ultimately diagnosed as having an intra-uterine pregnancy; both women subsequently had an early spontaneous abortion.