how do you know when your pregnant in your tu

What are the signs you are pregnant with your tubes tied?In a lot of cases, the symptoms are the same as when you are pregnant without trying to prevent it.Like morning sickness, fatigue, a lot of bodily changes. I went through that with the first pregnancy, which is why I got my tubes tied after the second one.When you’re pregnant with your tubes tied, there are a number of signs to look out for.Like the urge to scream at the doctor for not doing it right?If you’ve had your tubes tied, you’re at greater risk of an ectopic pregnancy.I’ve heard the term but do not know what it means.An ectopic pregnancy is when the egg is fertilized but cannot make its way to the uterus.Because the tubes are tied.Yes. And the growing embryo is trying to grow somewhere that is not designed to contain it or expel it.That does not sound good.An ectopic pregnancy means you have an embryo trying to grow where it presses on the surrounding organs. If you have severe pain in your stomach that won’t stop, that’s escalated over time, you need to get to an ER.Do not they have to do surgery to fix that?Yes, because it is not like they can transplant the embryo to the uterus. Whether they take out the embryo or an ovary too, depends on the situation.I’d only heard of it as someone going in thinking they had appendicitis, and got the ectopic pregnancy diagnosis after they did a pregnancy test.Your odds of an ectopic pregnancy are higher after you’ve had your tubes tied than normal, but your odds of getting pregnant after your tubes tied is still one percent or less.Given my luck, this is the only lottery I win.The odds of ectopic pregnancy after tubal ligation are three times that of normal. But if it is a normal implantation, the rest of the pregnancy is as likely to be normal as the others.Except that I got rid of all the baby stuff.And you’re older, which means you have the higher risks of prenatal diabetes and genetic defects than when you got pregnant a decade ago.What other symptoms could I have with pregnancy after a tubal ligation?If your period skips, you could be pregnant or hitting menopause.I’m not old enough for menopause. And the hot flashes are hard to mistake for anything but a symptom of that.But if you have pain on one side of your abdomen, it means you have something seriously wrong and need to see the doctor, whether pregnancy or something else.

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An ectopic pregnancy occurs when a fertilised egg implants outside the uterus (womb).

In a normal pregnancy, the fertilised egg spends 4 to 5 days travelling down the fallopian tube before moving to the cavity of the uterus where it implants about 6 to 7 days after being fertilised.

Most, but not all, ectopic pregnancies take place in the fallopian tube. Early detection of an ectopic pregnancy can prevent serious medical complications and may save the fallopian tube from permanent damage.

There are several conditions that can cause an ectopic pregnancy.

how do you know when your pregnant in your tu

Any damage to the fallopian tube can block or narrow the fallopian tube. There could also be problems with the tube walls, which should normally tighten and carry the fertilised egg into the uterus.

Hormonal imbalance, infection or malfunction of the uterus or tube can all impair the tube’s normal function and result in an ectopic pregnancy.

You are most at risk of having an ectopic pregnancy if you have a previous history of:

Other risk factors include:

In some cases the cause of an ectopic pregnancy may never be known.

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. Nothing needs to be done in these circumstances.

If the fertilised egg continues to grow, the thin wall of your fallopian tube will stretch, causing you pain in your lower abdomen. You may also experience vaginal bleeding. As the egg grows, the tube may rupture, causing you severe abdominal (stomach) pain, internal bleeding and possible collapse.

Women who experience an ectopic pregnancy have all the signs of a normal pregnancy, in the beginning. Most symptoms of an ectopic pregnancy occur between the fourth and tenth week of pregnancy. These include:

If you experience these symptoms you should see your doctor or visit your local hospital immediately.

If an ectopic pregnancy is suspected, your doctor will perform an ultrasound scan and a pregnancy test.

If the ultrasound scan shows an empty uterus but the pregnancy test comes back positive, then it is likely you have an ectopic pregnancy.

These signs may also indicate that you are in very early stages of pregnancy or that you have already miscarried.

While an ultrasound using a transvaginal probe provides the best quality scan, it is not always possible to see an ectopic pregnancy.

If you are well and not in severe pain, you may have a blood hormone test each day for up to 2 to 3 days to help diagnose if you have an ectopic pregnancy.

Currently there are 3 different treatments available for an ectopic pregnancy.

Your doctor will discuss the most appropriate one for you, however, your doctor may also find it necessary to proceed from one method to another.

A telescopic device (the laparoscope) is inserted through a small cut below your navel (belly button). To help identify your organs, carbon dioxide gas is blown into your stomach through a needle.

A couple of small incisions are also made in your lower abdomen to manipulate and if necessary remove the ectopic pregnancy tissue.

The surgery may involve removing your fallopian tube (salpingectomy) or opening your fallopian tube (salpingostomy) to remove the ectopic pregnancy tissue.

If the pregnancy is advanced or there has been significant associated haemorrhaging (bleeding) then your doctor may perform a laparotomy, a type of surgery involving a much larger incision.

A medication called methotrexate is used to dissolve the pregnancy tissue. It is given by injection in the leg or bottom and is suitable for women without pain or those with minimal pain.

This type of treatment was introduced to avoid surgery but needs careful follow-up.

The follow-up requires blood tests after the first week and then once or twice a week until tests show that you are no longer pregnant. The schedule of blood tests will be explained to you by your doctor. The treatment has a 90 per cent success rate. If it is not successful your doctor may have to reconsider medical treatment or surgery.

After laparoscopic surgery or a methotrexate injection most women recover and are ready to leave hospital within 24 hours.

After a laparotomy it is more common to stay in hospital for 2 to 3 days.

If you had a salpingostomy or methotrexate injection you will need to have regular tests at hospital to ensure all the pregnancy cells are gone. This usually involves another blood hormone test.

A discharge summary will be sent to your doctor describing the treatment you have received and any further care you may need.

See your doctor if:

If you have had an ectopic pregnancy then you have a slightly higher risk of having another ectopic pregnancy in the future.

The risk of ectopic pregnancy in the general population is 1 in 50 to 80 women. The risk of a repeat ectopic pregnancy is 1 in 10.

See your doctor immediately if you:

You should ask to be examined, reminding your doctor of the previous ectopic pregnancy.

If you have had an ectopic pregnancy, some contraception methods may no longer be suitable. It is best to discuss your medical history and options with your doctor or at a family planning clinic.

An ectopic pregnancy can be a devastating experience.

how do you know when your pregnant in your tu

You may be recovering from major surgery while at the same time trying to cope with the loss of your pregnancy and possibly the loss of part of your fertility. You may be worried about whether you can have a baby in the future.

You may also be dealing with the shock of finding out you were pregnant just as your pregnancy is ending.

It’s normal for your emotions to be up and down for weeks and even months after your loss. You may feel utterly relieved to be pain free and profoundly grateful to be alive, while feeling sad about your loss.

If you didn’t have much time to mentally prepare for your treatment, you may feel that you lost control of the decision-making process.

These emotional reactions that you and your partner may experience can test your own relationship and your relationships with others, such as family and friend. You both may find it hard to understand or meet each other’s emotional needs.

Many people, especially men, may find it difficult to express their feelings. They may feel powerless to help. During this time it’s important to talk to each other about how you both feel and share your grief.

After experiencing an ectopic pregnancy your feelings can vary. Some women want to get pregnant again immediately while others are terrified at the thought and cannot cope with another anxious pregnancy.

Allow yourself time to recover physically and emotionally before trying to get pregnant again. It is recommended that you wait for at least 3 months for your body to recover. You are the best judge of the time needed for your emotional healing.

A range of support services are available at King Edward Memorial Hospital if you have experience a pregnancy loss, including:

Talk to your doctor or midwife, or read more about the support services for pregnancy loss available at King Edward Memorial Hospital.

You may wish to read such resources as:

This publication is provided for education and information purposes only. It is not a substitute for professional medical care. Information about a therapy, service, product or treatment does not imply endorsement and is not intended to replace advice from your healthcare professional. Readers should note that over time currency and completeness of the information may change. All users should seek advice from a qualified healthcare professional for a diagnosis and answers to their medical questions.

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