Pregnant Again After Getting Pregnant Outside the Womb

Pregnancy outside the womb in medical science is called ectopic pregnancy. This condition occurs when the fertilized egg grows in the wrong place. Naturally in order to develop into a perfect fetus, the egg must be in the uterus. But the egg actually grows outside the uterus such as in the fallopian tubes, abdominal cavity, ovaries or cervix.

Pregnancy outside the womb can be caused by inflammation of the oviduct or fallopian tubes, infection of the uterus, or pelvic inflammatory diseases caused by sexually transmitted diseases, such as chlamydia or gonorrhea. Caesarean sections and surgery on organs around the uterus can also lead to pregnancy outside the womb. Although rare, pregnancies that occur in women who use contraceptives in the womb have a risk of becoming pregnant outside the womb.

If you have experienced pregnancy outside the womb and have the above conditions, you should check yourself to reduce the risk of re-exposure to ectopic pregnancy.

Risks and Effects of Pregnancy Outside the Womb On Fertility

Sad, disappointed, depressed you must feel when you have to lose the fetus due to this condition. The question is whether getting pregnant outside the womb can be repeated in the next pregnancy? Can your chances of becoming a mother be lost because you’ve had an ectopic pregnancy?

Pregnancy outside the womb or ectopic pregnancy does have an effect on fertility and affects the chances of getting pregnant again. The condition also increases the risk of re-occurrence of ectopic pregnancies in subsequent pregnancies. In ectopic pregnancies where the fetus grows in the fallopian tubes and damages surrounding fallopian tissue, the egg may re-become stuck in the fallopian tubes in subsequent pregnancies.

There are several factors that affect your fertility after an ectopic pregnancy, including:

  • Your other fallopian tube condition post-ectopic pregnancy.
  • The extent of damage to your fallopian tubes after pregnancy outside the womb.
  • There is no history of infertility.

However, early detection is key to avoiding damage to your other fallopian tubes. As long as one of your fallopian tubes is still in good condition, then you still have a chance to get pregnant.

If you have ever been pregnant outside the womb, your risk of re-having an ectopic pregnancy is 10 percent. That means your chances of getting a normal pregnancy in your next pregnancy are 90 percent. Therefore, you don’t have to worry too much.

Planning a Post-Pregnancy Pregnancy Outside the Womb

If you look psychologically, the right time to start a pregnancy program after pregnancy outside the womb, can not be equated. After losing the fetus, surely one’s soul will be shaken. Most women are also afraid to try to get pregnant again because an ectopic pregnancy is such a sad experience. However, try to live a healthy lifestyle, as well as avoid smoking and alcoholic beverages, during these recovery periods.

Try asking yourself. How ready are you to get pregnant again. When you feel ready to start a pregnancy program, you can discuss it with your obstetrician.

Despite the psychological problems, usually the doctor has allowed you to start the program to get pregnant again after at least three months. Especially if the previous ectopic pregnancy is treated with laparoscopic surgery.

The same applies to those of you who get methotrexate injections in ectopic pregnancy treatment. Wait for a minimum of three months or until your hCG (human chorionic gonadotropin) levels are below 5 mlU/mL. Your doctor will monitor your hCG levels through a blood test. Injections of this methotrexate can lower levels of folic acid in the body, whereas folic acid plays an important role in the development of the baby. That is why, you are advised to take folic acid supplements before starting the pregnancy program.

However, if you have surgery as a treatment for an ectopic pregnancy beforehand, then the best time to start the pregnancy program is six months after.

Chances of Getting Pregnant Again After Pregnancy Outside the Womb

Once ready, both physically and psychologically, you can start a pregnancy program. You certainly hope that the doctor will soon declare you positively pregnant. But this is when your patience is tested. There is no exact time as to when the next pregnancy could occur.

There are women who get pregnant quickly, but some are slow. Depending on the condition of each, for example the condition of the tuba. If your fallopian tubes have been damaged, then your chances of getting pregnant will decrease. However, if you have healthy tubal residues, your chances of getting pregnant also increase. In addition, age factors and intensity of sexual intercourse are also influential.

Having regular sexual intercourse at the right time can maximize the chances of getting pregnant. The best advice is to have sex between the 10th and 16th days before the next menstrual cycle begins.

If you have tried but still have difficulty getting pregnant after experiencing pregnancy outside the womb, you may be able to consult a doctor about the IVF program.

Instill in yourself to always think positively. Although it sounds clichéd, it can affect the way the body works as a whole. Having safe sex and checking your health condition regularly are important steps to reduce the risk of getting pregnant outside the womb.

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Cause of Premature Birth When Pregnant Twins

Preterm birth may occur when the pregnancy has not entered the age of 37 weeks or more than 3 weeks of the lack of due date of birth. Babies born prematurely are known to be susceptible to a variety of serious health problems when compared to babies born in accordance with the schedule of his birth.

Up to now there are some cases of premature birth which is not yet clear what is the cause. Some maternal and child health experts argue that there are several factors and health problems that can lead to premature birth, especially in pregnancy with twins.

Cause Premature Birth on Twins

Perhaps many of the mothers who often wonder why the pregnancy twins always are associated with premature birth. Here are some of the factors that cause premature birth on the birth of twins.

Attitude and Lifestyle during Pregnancy

Attitude and lifestyle is a risk factor for preterm birth. To avoid the premature birth, the mother had to organize the attitude and style of everyday life during pregnancy. Eat nutritious foods every day, regular exercise and enough rest so that the health and development of the fetus in the womb to grow well.

Sense of Worry

Mother may often hear that pregnancy with twins have a risk of interruption of pregnancy is greater when compared with the pregnancy of the child. However, even so mothers do not need to worry about this. Stay calm and do not panic twins undergo pregnancy to avoid premature delivery.

Sharing Placenta

Pregnancy with twins are divided into two types of pregnancies has two placenta for each baby and pregnancy that has just one placenta for two babies. If the mother become pregnant with twins who entered in the second type which has only one placenta, the mother should give more attention and so extra during pregnancy.

Ectopic Pregnancy

Ectopic pregnancy is pregnant outside the womb or uterus. The condition causes bleeding from the vagina and severe pain in the pelvis or lower abdomen. Ectopic pregnancies should be treated immediately as they can be dangerous, and the fetus will also not develop normally.

Pregnancy begins with an egg that has been fertilized by sperm cells. In the normal process of pregnancy, the fertilized egg will settle in the fallopian tube (ovary) for approximately three days, before being released into the uterus. In the womb, the fertilized egg will continue to develop until the delivery period arrives.

In ectopic pregnancies, fertilized eggs do not attach to the uterus, but to other organs. Fallopian tubes are the organ most commonly affixed to eggs in ectopic pregnancies. In addition to fallopian tubes, ectopic pregnancy can also occur in the ovaries, cervix (cervix) or in the abdominal cavity.

Causes of Ectopic Pregnancy

Although it is not yet known exactly what causes ectopic pregnancy, it is often associated with damage to the fallopian tubes, which are the ducts connecting the ovaries and uterus.

Fallopian tube damage can be caused by:

  • Genetic factors.
  • Congenital born.
  • Hormonal imbalance.
  • Inflammation due to infection or medical procedures.
  • Abnormal development of reproductive organs.

Ectopic Pregnancy Risk Factors

Ectopic pregnancy can be experienced by any woman who has actively had sex. There are several factors that can increase the risk of ectopic pregnancy, namely:

  • 35 years of age or older while pregnant.
  • Has a history of pelvic inflammation and endometriosis.
  • Suffer from sexually transmitted diseases, such as gonorrhea and chlamydia.
  • Having an ectopic pregnancy in a previous pregnancy.
  • Having repeated miscarriages
  • Had surgery on the abdominal and pelvic areas.
  • Have undergone treatment related to fertility problems.
  • Using spiral type contraceptives.
  • Have a smoking habit.

Ectopic Pregnancy Symptoms

Ectopic pregnancies tend not to show symptoms at an early stage. Early signs of ectopic pregnancy are similar to regular pregnancies, such as nausea, hardened breasts, and stalled menstruation.

While in the advanced stages, there are some symptoms that are often felt by people with ectopic pregnancy, namely abdominal pain and bleeding from the vagina. The symptoms will get worse over time.

When to see a Doctor

Check with your doctor immediately if any of the following symptoms appear while pregnant:

  • Pain such as punctures in the abdomen, pelvis, shoulders, and neck.
  • Pain on one side in the lower part of the abdomen, which worsens over time.
  • Pain in the rectum during bowel movements.
  • Light to severe bleeding from the vagina, with a darker blood color than menstrual blood.
  • Dizziness or weakness.
  • Diarrhea.

These symptoms should be immediately examined by a doctor because they can indicate rupture of the fallopian tubes due to ectopic pregnancy.

Ectopic Pregnancy Diagnosis

The doctor will perform an examination with a transvaginal ultrasound to ensure the occurrence of ectopic pregnancy. In addition to helping the obstetrician see the condition of the patient’s reproductive organs, this procedure can accurately ascertain the location of the pregnancy.

Another test that can be done is a blood test, to measure levels of the hormones hCG and progesterone. In ectopic pregnancies, levels of both hormones tend to be lower than normal pregnancies.

Ectopic Pregnancy Treatment

Fertilized eggs will not be able to grow normally if they are outside the uterus. Therefore, ectopic tissue should be removed immediately, so that the patient avoids serious complications. There are several treatment options that can be done to deal with ectopic pregnancy, among others:

Injectable methotrexate

Early stage ectopic pregnancy can be overcome by injecting methotrexate. The drug will stop the growth of ectopic cells, while destroying the already formed cells. After the injection, the doctor will monitor the levels of hCG hormone in the blood every 2-3 days, until the levels decrease. Declining hCG levels indicate pregnancy is no longer developing.

Laparoscopic surgery

Another option to cope with ectopic pregnancy is by keyhole surgery or laparoscopy. Through this procedure, the obstetrician will remove the ectopic tissue and the fallopian tubes where the ectopic tissue is attached. However, if possible, the fallopian tubes are sufficiently repaired without having to be removed.

Laparotomy surgery

To treat patients who have severe bleeding due to ectopic pregnancy, the obstetrician will perform an emergency action in the form of laparotomy. In laparotomy, the doctor will make a large incision in the abdomen as a way to remove the ectopic tissue and ruptured fallopian tubes.

Ectopic Pregnancy Prevention

Ectopic pregnancies cannot be prevented, but the risk of experiencing this condition can be lowered. There are a number of ways that can be done, including:

  • Avoid risky sex behaviors, such as changing sex partners by not using condoms.
  • Avoid smoking, since before pregnancy.

Pregnant women are also recommended to have regular blood tests and ultrasounds. In addition to monitoring the progress of pregnancy, regular examinations can detect ectopic pregnancies early, so that they can be treated immediately.