Saturday, May 29, 2010

What You Need to Know About Tubal Pregnancy

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What You Need to Know About Tubal Pregnancy


By [http://ezinearticles.com/?expert=Susan_Tanner]Susan Tanner
http://secretfertilitysystem.com/2017/04/secret-fertility-system/http://secretfertilitysystem.com/2017/04/secret-fertility-system/

What is a tubal pregnancy?

An ectopic pregnancy, commonly known as a tubal pregnancy, is a pregnancy in which the fertilized egg implants itself somewhere other than the uterus. It is referred to as a tubal pregnancy because 95% of ectopic pregnancies occur when the fertilized egg is unable to travel all the way through the fallopian tube to the uterus, and therefore implants itself in the tube.

Of all ectopic pregnancies, 1.5% are abdominal, 0.5% are ovarian, and 0.03% are cervical. None of these places are suited for a growing baby. As the fetus grows, it can eventually burst the organ that contains it, causing severe internal bleeding, and endangering the mother's life. Unfortunately, a tubal pregnancy will never develop into a live birth.

Although there have been advances in surgical technology that have caused the death rate due to tubal pregnancy to drop since 1970, there is still a death rate of about 1 out of 2000, with about 40-50 women dying each year in the U.S.


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What causes tubal pregnancy?

There are many reasons why an egg may become lodged in the fallopian tube. It is most often caused by an infection or inflammation of the tube that partially or entirely blocks the passage. Pelvic inflammatory disease (PID) is the most common of these infections.

Endometriosis, when cells from the lining of the uterus detach and grow elsewhere in the body, can cause blockages. Scar tissue from previous pelvic or fallopian surgery can also lead to tubal pregnancy. Less frequently, abnormal growths or birth defects can alter the shape of the tube and obstruct the egg's progress.

How will I know if I am having a tubal pregnancy?

It can be difficult to recognize symptoms of tubal pregnancy since many of the early signs mirror those of a normal pregnancy, such as missed periods, breast tenderness, nausea, vomiting, or frequent urination.


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Some of the symptoms more specific to tubal


pregnancy are:


* Pain in your lower belly

* Slight bleeding from vagina

* One-sided pain in your stomach

* Shoulder pain (which may be caused by internal bleeding irritating your diaphragm when you breathe)

* Bladder or bowel problems

* Feeling light-headed or faint, sometimes accompanied by paleness, increased pulse, diarrhea, and falling blood pressure (caused by blood loss)

* Abnormal bleeding (heavier or lighter than usual and prolonged, or dark and watery, almost like prune juice)

* Lower back pain

If you experience any of these symptoms you should go directly to the emergency room. If you arrive at the hospital complaining about abdominal pains, you will most likely be given a pregnancy test. Urine pregnancy tests are not necessarily the best pregnancy tests, but they are fast. Speed can be crucial in dealing with a tubal pregnancy.

If the pregnancy test comes back positive then your doctor will probably perform a quantitative hCG test to measure the amount of human chorionic gonadotropin in your body. hCG is a hormone produced by the placenta which shows up in the blood and urine as early as 10 days after conception. Its levels double every day for the first 10 weeks of pregnancy. Lower-than-expected hCG levels could indicate a tubal pregnancy.

You will be given a pelvic exam as well, to find the areas causing pain, check for an enlarged, pregnant uterus, or locate any masses in your abdomen. The doctors will probably also perform an ultrasound examination, which would show if the uterus contained a developing fetus or determine whether there are masses growing elsewhere in the abdomen. Unfortunately, the ultrasound may not be able to detect every tubal pregnancy.

There is also a more rarely used test for tubal pregnancy, called culdocentesis, which is used to check for internal bleeding. This test is performed by inserting a needle into the space at the very top of the vagina, behind the uterus and in front of the rectum. If there is blood or fluid found there, it most likely comes from a ruptured tubal pregnancy.

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What can be done about my tubal pregnancy?

Treatment for a tubal pregnancy will depend on its size and location, and on whether or not you would like the ability to conceive again.

If caught early enough, a tubal pregnancy may be able to be treated with an injection of methotrexate, which would dissolve the fertilized egg and allow it to be reabsorbed into the body. This non-surgical approach results in minimal scarring of the pelvic organs.


A tubal pregnancy that is further along will likely require surgery to be removed. In the past, this operation would have required a very large incision across the lower abdomen, which may still be necessary in cases of emergency or severe internal injury.

However, modern technology has bestowed upon us an alternative method of removal. In many cases, the vtubal pregnancy can be removed using laparoscopy, a much less invasive surgical procedure. The surgeon makes a small incision in the lower abdomen and inserts a laparoscope, a long, hollow tube with a lighted end. This allows the surgeon to see internal organs and insert other instruments as need. The tubal pregnancy is then removed, and the damaged organs are repaired or removed.


Regardless of which procedure is used, the doctor will want to continue seeing you regularly, to monitor your hCG levels, which should return to zero. This may take up to twelve weeks, but if the hCG levels do not decline, it could mean that some of the ectopic tissue was missed and may need to be removed using methotrexate or additional surgery.


How will this affect my future pregnancies?

About a third of women with a previous tubal pregnancy will have trouble conceiving again. This depends mainly on the total amount of damage and surgery that was done.


If the fallopian tubes remain intact, chances for a successful pregnancy in the future are about 60%. Even with only one fallopian tube, chances can be greater than 40%.


The risk of a repeat tubal pregnancy is increased with each subsequent tubal pregnancy. After your first one, you face about a 15% chance of having another.

Am I at risk of having a tubal pregnancy?

Those most at risk of having a tubal pregnancy are women between the ages of 35 and 45 who have had a PID, a previous tubal pregnancy, surgery on a fallopian tube, or infertility problems or medication to stimulate ovulation.

Some birth control methods may also increase your chances for a tubal pregnancy. If you become pregnant while using progesterone intrauterine devices (IUDs), progesterone-only oral contraceptives, or the morning after pill, you may be more likely to have a tubal pregnancy.

If you think that you may be at risk of tubal pregnancy, talk to your doctor about it before attempting to conceive. Although there is nothing that can be done to prevent tubal pregnancy, if monitored closely it can be detected early.

If you are pregnant and experience any of the symptoms of tubal pregnancy, contact your doctor immediately. Tubal pregnancy is just one of those things that you want to have checked out, even if you only have so much as a hunch. It can't hurt to be sure, and it may save your life.

Susan Tanner is a wife and mother of three. She is also the editor of pregnancy-guide.net. Pregnancy-Guide is an online community for mothers to find support and valuable information. Please visit Pregnancy-Guide for valuable [http://www.pregnancy-guide.net]pregnancy information.

Article Source: [http://EzineArticles.com/?What-You-Need-to-Know-About-Tubal-Pregnancy&id=104990] What You Need to Know About Tubal Pregnancy

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JOAS MEDICAL DIAGNOSTIX, Ikotun Lagos Nigeria, offer comprehensive infertility screening tests for both couples like Transvaginal Scan for uterine and ovarian functions,Ovulation/follicular tracking, HSG to evaluate the fallopian tubes, blood tests for hormone check, semen analysis etc. We also offer a simple assisted reproductive procedure like INTRAUTERINE INSEMINATION [IUI].
For accurate assessment of your fertility situation, contact us at JOAS MEDICAL DIAGNOSTIX, Ikotun Lagos Nigeria.


For FREE Consultation and FREE Counseling. Also for Quality and Accurate Medical Diagnostic Tests Contact
JOAS MEDICAL DIAGNOSTIX

JOAS MEDICAL DIAGNOSTIX-------WE ARE AN ULTRAMODERN MEDICAL IMAGING CENTER. WE ARE EXPERTS IN ULTRASOUND SCAN SERVICES, 3D/4D COLOUR DOPPLER SCAN SERVICES, X-RAY/RADIOLOGY SERVICES, ECG SERVICES, INFERTILITY SERVICES, HSG SERVICES, LABORATORY SERVICES,BLOOD BANKING SERVICES , DNA SERVICES, AND HEALTH CONSULTANCY/COUNSELLING SERVICES.

We are located at

JOAS HOUSE, 2, Okesuna Street,
Opposite The Synagogue Church Busstop,
Bolorunpelu, Ikotun, Lagos
Postcode: 100265
Nigeria.  

TEL:
08064981455
08032509975
08184590752
08037668535


EMAIL:



DISCLAIMER
The contents, blogs and postings provided in this site are offered strictly for informational purposes only and should not be construed as legal, medical nor financial advice on any matter. We have made every effort to ensure the accuracy of the information presented, and if you have any questions regarding the contents please contact us.
The informations provided in this site is subject to change without notice.
This site may contain links to other internet sites, we are not responsible for the privacy, practices nor the content of such sites, nor their relationships

Wednesday, May 12, 2010

10 THINGS TO KNOW ABOUT YOUR OVULATION AND FOLLICULAR TRACKING THAT CAN CHANGE YOUR MARRIAGE FOR GOOD

10 THINGS TO KNOW ABOUT YOUR OVULATION AND FOLLICULAR TRACKING THAT CAN CHANGE YOUR MARRIAGE FOR GOOD



Ovulation occurs when a mature egg is released from the ovary, pushed down the fallopian tube, and is available to be fertilized. The lining of the uterus has thickened to prepare for a fertilized egg. If no conception occurs, the uterine lining as well as blood will be shed. The shedding of an unfertilized egg and the uterine wall is the time of menstruation.

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Key Facts of Ovulation:

[1] An egg lives 12-24 hours after leaving the ovary

[2] Normally only one egg is released each time of ovulation

[3] Ovulation can be affected by stress, illness or disruption of normal routines

[4] Some women may experience some light blood spotting during ovulation

[5] Implantation of a fertilized egg normally takes place 6-12 days after ovulation

[6] Each woman is born with millions of immature eggs that are awaiting ovulation to begin

[7] A menstrual period can occur even if ovulation has not occurred

[8] Ovulation can occur even if a menstrual period has not occurred

[9] Some women can feel a bit of pain or aching near the ovaries during ovulation called mittelschmerz, which means "middle pain" in German

[10] If an egg is not fertilized, it disintegrates and is absorbed into the uterine lining

A woman's monthly cycle is measured from the first day of her menstrual period until the first day of her next period. On average, a woman's cycle normally is between 28-32 days, but some women may have much shorter cycles or much longer ones. Ovulation can be calculated by starting with the day the last menstrual period (LMP) starts or by calculating 12-16 days from the next expected period. Most women ovulate anywhere between Day 11 - Day 21 of their cycle, counting from the first day of the LMP. This is what many refer to as the "fertile time" of a woman's cycle, because sexual intercourse during this time increases the chance of pregnancy. Ovulation can occur at various times during a cycle, and may occur on a different day each month. It is important to track your cycle; there are tools online to help you do this , such as TRANSVAGINAL ULTRASOUND FOLLICULAR TRACKING [FOLLICULOMETRY]

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FOLLICULAR TRACKING [FOLLICULOMETRY]
If you are a woman trying to conceive, one of your biggest challenges in fertility as you grow older is the suitability of your eggs. Egg production can be greatly affected by your age both in quality and in number. By the time you are in your late 30s or early 40s, you will probably have more poor quality eggs available than good quality eggs. The impact of poor quality eggs is reflected in the general decline of pregnancy rates as women age.

One of the first steps a woman should take when making the decision to conceive is to have Follicle (Follicular) Tracking carried out by a doctor or a qualified sonographer. This will help to identify two things; whether or not she is ovulating and, if she is, the scan will additionally pinpoint the exact time when the follicle ruptures and releases the egg. This information enables a couple to time intercourse in order to maximise their chances of conception.

What is Follicle Tracking?

Follicle Tracking involves a series of vaginal ultrasound scans, starting from day 9 to day 20 of your cycle. These scans allow you to observe the follicle(s) developing in your ovary. The scans are performed using a small plastic probe which is inserted in the vagina. The process is relatively painless.

The Process of Follicle Tracking

Initially, a base line scan is carried out to determine the overall health of the reproductive area and to check for any issues that may impede conception such as fibroids, polycystic ovarian syndrome or ovarian cysts.

During a normal cycle the egg develops within a follicle in the ovary. This follicle is a thin walled structure containing fluid along with the egg attached to its inner membrane. The follicle appears as a circular fluid-filled bubble on the screen and can be seen when it is about 7-8 mm in size. It grows at a rate of about 1-2 mm per day and is ready for ovulation when it measures within the correct range of 17-25 mm in diameter. During the tracking process, the number of developing follicles and their size are measured and charted as well as ovulation being noted if and when it occurs.

In conjunction with assessment of the follicles, the development of the lining of the womb is also recorded during Follicle Tracking. In order for a pregnancy to occur, the uterine lining must be receptive to a fertilised egg in order for the embryo to implant successfully. The Follicle Tracking process measures the appearance, development and thickness of the lining of the womb as the cycle progresses.

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How do I know Ovulation has occurred?

Following ovulation, the follicle usually disappears from the scan picture completely or the walls of the follicle become irregular and collapsed. This is the best evidence that ovulation has occurred. Fluid can often be simultaneously detected in the abdomen behind the uterus. This is the follicular fluid that is released when the follicle ruptures.

What else can Follicle Tracking detect?

As well as general issues that may impede pregnancy, which will be identified during the base line scan, there are other problems that Follicle Tracking can detect, including:

1. Follicles which do not grow to the correct size before rupturing

2. Follicles which do not grow at all

3. Follicles which do not rupture at the appropriate time

4. The lining of the womb may not have thickened sufficiently to enable implantation of a fertilised egg.

Each of these aspects can be identified using Follicle Tracking, which gives you a much clearer view of what is happening, when it is happening and what, if anything, is going wrong.

How many scans per cycle will I need?

Usually in each cycle there will be between 4 and 6 scans, but this depends on the cycle. You can ovulate any time from day 6 to day 26 of your cycle and the base line scan will help to determine the initial size of the dominant follicle. Following a consultation between you, the sonographer and Karen, the timing of the next scan will be ascertained. As the cycle progresses, a very clear picture will develop of how the follicle is growing and if the lining of the womb is developing in conjunction with the follicle.

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How long does the scan take?

Follicle Tracking takes between 5 and 10 minutes to perform. You will receive a written report .

Who should have Follicle Tracking?

There are four main reasons to choose Follicle Tracking:

1. If you don’t know when you are ovulating – ovulation can occur from day 6 to day 26 and while ovulation predictor sticks can work accurately for some women, they can also be up to 5 days out.

2. If you are not sure you are ovulating at all – this can be very hard to detect without scanning as periods may seem normal.

3. If you have had several early miscarriages – Follicle Tracking will be able to assess the womb lining, ensuring it is in the appropriate state to enable implantation to occur.

4. If you are on Clomid – this drug is used to induce ovulation, to correct irregular ovulation, to increase egg production and to correct a condition known as luteal phase deficiency, where the lining of the womb does not sustain the pregnancy. Many doctors recommend that women on Clomid are monitored to ensure the ovaries and the lining are both responding normally.

Culled from......... http://www.karencostin.ie/follicletracking.htm


http://www.americanpregnancy.org/gettingpregnant/understandingovulation.html


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JOAS MEDICAL DIAGNOSTIX, Ikotun Lagos Nigeria, offer comprehensive infertility screening tests for both couples like Transvaginal Scan for uterine and ovarian functions,Ovulation/follicular tracking, HSG to evaluate the fallopian tubes, blood tests for hormone check, semen analysis etc. We also offer a simple assisted reproductive procedure like INTRAUTERINE INSEMINATION [IUI].
For accurate assessment of your fertility situation, contact us at JOAS MEDICAL DIAGNOSTIX, Ikotun Lagos Nigeria.


For FREE Consultation and FREE Counseling. Also for Quality and Accurate Medical Diagnostic Tests Contact
JOAS MEDICAL DIAGNOSTIX

JOAS MEDICAL DIAGNOSTIX-------WE ARE AN ULTRAMODERN MEDICAL IMAGING CENTER. WE ARE EXPERTS IN ULTRASOUND SCAN SERVICES, 3D/4D COLOUR DOPPLER SCAN SERVICES, X-RAY/RADIOLOGY SERVICES, ECG SERVICES, INFERTILITY SERVICES, HSG SERVICES, LABORATORY SERVICES,BLOOD BANKING SERVICES , DNA SERVICES, AND HEALTH CONSULTANCY/COUNSELLING SERVICES.

We are located at

JOAS HOUSE, 2, Okesuna Street,
Opposite The Synagogue Church Busstop,
Bolorunpelu, Ikotun, Lagos
Postcode: 100265

TEL:
08032509975,
08184590752,
08058166504,
08064981455


EMAIL:



DISCLAIMER
The contents, blogs and postings provided in this site are offered strictly for informational purposes only and should not be construed as legal, medical nor financial advice on any matter. We have made every effort to ensure the accuracy of the information presented, and if you have any questions regarding the contents please contact us.
The informations provided in this site is subject to change without notice.
This site may contain links to other internet sites, we are not responsible for the privacy, practices nor the content of such sites, nor their relationships