What are the causes of Ectopic Pregnancy? - Dr. Rashmi Chaudhary скачать в хорошем качестве

What are the causes of Ectopic Pregnancy? - Dr. Rashmi Chaudhary

Ectopic pregnancy is a state where the fertilized ovum is retained inside the fallopian tube. It doesn’t migrate toward the uterine cavity. For fertilization and after fertilization the migration of the fertilized egg to the uterine cavity which is its normal site there are certain things which are important. The development of the fallopian tube should be healthy, there should not be any sign of pelvic inflammatory disease and the hormonal stage should be in a balanced status. In any if the tubal pathology or architecture is disturbed or distorted or there is a damage to the fallopian tube because of infection or because of some other disturbed hormonal status, it will result in ectopic pregnancy. Most of the cases of ectopic pregnancy we are not able to pin point what is the cause. But in some cases there are certain conditions where we can say that these patients can have more incidence of ectopic pregnancy. One of the most important cause is pelvic inflammatory disease. It is the inflammation of the tubes, ovaries and the uterine cavity and associated adenexas in which an infection happens and this infection can happen because of some sexually transmitted disease like the neisseria or gonorrhoeal infection or Chlamydia. The Chlamydia is one of the most important cause for the distortion of the pelvic anatomy. There is a damage to the celia. So once the celiary movement is damaged the fertilized ovum cannot migrate into the uterine cavity. As well as these can lead to the development of blind force in the fallopian tube, lots of minor and flimsy adhesions in the fallopian tube and more adhesions in the fallopian tube leads to pouches. So this fertilized ovum is actually impacted in these blind pouches. It doesn’t lead to the uterine cavity and entrapped there, and starts burrowing there. Another important cause for ectopic pregnancy could be an intra uterine contraceptive device which we call as the copper T. Since copper T prevents implantation in the uterine cavity, so indirectly it favours implantation outside the uterine cavity. A woman who has undergone pelvic surgeries like tubal ligation procedures or tubal sterilization reversal procedures or any abdominal surgery, they develop infection and inflammation in and around the uterus as well as around the fallopian tube. Any abdominal surgery, it will predispose to disturbed tubal architecture as well as the anatomy and it can favour the ectopic pregnancy. If the woman is on progesterone pills or emergency contraception in which high doses of progesterone are being used, this also predispose to ectopic pregnancy. Endometriosis is a state of disturbed hormonal status in which the endometrial tissue are implanted outside the uterine cavity, in the ovaries, over the tubes, or the gut. So this also because of the development of adhesions and disturbed tubal architecture can favour implantation of ectopic pregnancy. A smoking woman is also more prone for developing ectopic pregnancy. A woman who has undergone one previous ectopic pregnancy are at a more risk of developing ectopic pregnancy in future compared to those woman who have not got ectopic pregnancy.