Temperature with ectopic pregnancy. Early symptoms of ectopic pregnancy

Ectopic pregnancy is the most insidious and unpredictable gynecological disease. The woman has practically no chance to predict its development or to conduct any prophylaxis. The only thing you can do is protect yourself. But if you plan a baby, this method also becomes irrelevant.

There is a similar pathology is not so and rarely. Approximately 2.5% of all pregnancies occur in the ectopic. In 98% of cases, the embryo is implanted in pipes that can not withstand the pressure of the growing fetal egg. Therefore after a while there is a break. The situation is critical - an urgent operation is needed to save the woman's life. Today we will talk about how you can recognize the first symptoms of an approaching disaster and seek help in time.

Physiological processes

As we know from the course of physiology, an ovum is fertilized in the fallopian tubes, along which it slowly descends from the ovaries into the uterus. Normally, it easily overcomes its path. This is facilitated by the reduction of the smooth muscles of the walls of the tubes, the movement of the cilia of the mucosa and the relaxation of the sphincter, which prevents the egg from entering the uterus until the organ is ready to receive it. However, everything can go completely wrong, and therefore it is important to know the early symptoms of ectopic pregnancy.

What is the reason?

If a fetal egg can not enter the uterus, and the time is running out (a fertilized egg should be implanted within ten days), then it will have nothing else but to penetrate into the wall that is now available. And it is the uterine tube.

By the way, if you are preparing for pregnancy and building temperature charts, then you have every chance to notice deviations in time. The temperature in ectopic pregnancy rises much higher than with conventional embryo implantation. Therefore, do not even wait for a second measurement the next day - immediately seek help from a doctor.

So, we have already found out that disturbances of peristalsis can cause abnormal implantation. Let's look at the main factors that can lead to such consequences:

• Inflammation. A regular visit to a gynecologist is the best prevention of such disorders. But in neglected cases, they lead to neuroendocrine disorders. Further the situation grows, as a snowball, - the obstruction of fallopian tubes develops. Most often, chlamydial infection leads to such disorders.
• Early symptoms of ectopic pregnancy should be known to women who use an ectopic spiral. Approximately in 4% of cases such contraception leads to similar consequences. And if the spiral was used for five years, then the risk is even higher. Increased basal temperature with ectopic pregnancy with regular measurements can be the first bell for you. In principle, it is not the spiral itself that is to blame, but the inflammatory processes that are caused by the presence of a foreign body in the uterine cavity.
• Abortion is another serious risk factor. They contribute to the growth of inflammatory and adhesion processes.
• Smoking seriously increases the risk of developing an ectopic pregnancy.

Classification

Ectopic pregnancy is a pathology that is characterized by the fact that the embryo is outside the uterus. Surprisingly, he can be deployed in a variety of places. Gynecologists distinguish tubal, ovarian, abdominal, and horny pregnancy (in the rudimentary horn of the uterus). Most often diagnose tubular, although the remaining species are even more difficult to identify.

Abdominal WB is divided into primary and secondary. In the first case, the embryo was initially fixed on the internal organs of the abdominal cavity, for example, in the intestine. And in the second case, the fetal egg was "thrown out" from the fallopian tube, but it was attached to the abdominal cavity. The temperature at an ectopic pregnancy in any of the listed cases will be strongly raised or increased, that should prompt at once on an idea on immediate reference to the doctor.

Early diagnosis

The basal temperature chart for ectopic pregnancy would be a very valuable source of information, but we do not always conduct such observations. So, what figures will we see if we keep track of the temperature every day? In the first phase of the cycle, it usually fluctuates around 36.7. In the second - rises to 0.4 degrees, most often the indicators reach 37.1 - 37.4 degrees. One day before the month, it falls to the norm. If this does not happen, then this is one of the signs of pregnancy.

But the temperature with ectopic pregnancy rises to a mark of 38 degrees and above. This is a very disturbing symptom, which should be immediately notified by the attending physician. In parallel, make a pregnancy test. It will be positive in any case.

Main symptoms

How else can you suspect that you have the WB? In fact, the diagnosis is quite complicated. Sometimes even doctors can not put the correct diagnosis until the tube bursts and the strongest pain does not cause the call of the ambulance. The first thing you can note is the delay of another menstruation or its difference from the usual course (scant discharge). There are weak or moderate pains of a pulling character. There may be bloody, spotting discharge, signs of early toxicosis. The mammary glands grow and become very sensitive.

Doctor's visit

In fact, WB can be detected before the delay. The spotting that results from an ectopic pregnancy is often perceived as a regular menstruation. Therefore, the only way to correctly diagnose is to see a doctor. The gynecologist reveals the cyanosis of the cervix, an increase in this organ. And at a palpation it is possible to reveal increase or morbidity of a pipe or an ovary.

These are the main signs that a doctor can note during an examination on an armchair with an ectopic pregnancy. What body temperature should be normal and with deviation, we have already talked. If such measurements were carried out, then inform the doctor about them. However, only this can not be the basis for the diagnosis. The doctor will definitely prescribe tests for HCG, as well as ultrasound.

Features of the survey

Ectopic pregnancy on ultrasound is not diagnosed as clearly as we would like. Therefore, it is important to collect the entire history, analyze the basal temperature, your own observations, the results of a gynecologist's examination and a pregnancy test. Using these data, an ultrasound specialist can make the most reliable conclusion. For example, if everything talks about pregnancy, but there is no yellow body in the uterine cavity, then you need to pay attention to the appendages. Anomalous fetal localization is possible.

But it's not so simple. It happens that specialists stop the examination, discovering the fetus in the uterus. The woman is reassured that all her worries are in vain, and she feels normal pregnancy symptoms. And in a few days she is taken to the hospital with internal bleeding. Therefore, examination of the appendages is mandatory in the procedure of ultrasound.

Additional evidence of the presence of WB is the detection of signs of a viable fetus in the area of the fallopian tubes or abdominal cavity. In this case, the patient is immediately sent to a hospital. Timely care helps to maintain the health of women.

In the hospital

Now the doctor must decide which type of intervention he can apply. Ectopic pregnancy removal by laparoscopy is a microsurgical operation. This is the most effective and safe operation, which allows you to save the fallopian tube.

Removal of ectopic pregnancy in this case is carried out under general anesthesia. During her, the woman is made three small incisions, after which there is scarring and scarring left. It begins with the fact that the doctor enters through a tiny incision a special chamber and examines the organs of the small pelvis. This is done in order to finally make sure of the presence of an ectopic pregnancy, and not a cyst, which can be very similar in symptoms. If the initial diagnosis is confirmed, then the embryo attached to the tube is removed. If necessary, the spikes are removed and the patency of the pipe is restored.

Operation in emergency cases

If the patient has entered a serious condition, then another operation is performed to remove the ectopic pregnancy. It is called a laparotomy. The main indications are a rupture of the uterine tube and a large internal blood loss. There is an operation under general anesthesia. The surgeon cuts the abdominal cavity and removes the tube along with the embryo. Of course, such intervention is more serious, and it will take a long time for rehabilitation. However, if you follow all the recommendations of a doctor, then there are still chances of having a baby.

Rehabilitation therapy

Pregnancy with a single tube is quite possible. The most important thing now is not to rush things. Approximately six months after the intervention, it will take all the processes to return to normal. Otherwise, there is a big risk of re-entry. It's no secret that the probability of becoming a mother after removing one of the pipes is reduced by half. However, if the patient undergoes a full course of treatment right after the operation, then this is enough to cause a normal pregnancy in the near future. A woman after such an operation is recommended:

• Anti-inflammatory therapy is a very important point, which needs to be given proper attention.
• Reception of enzyme preparations, which promote resorption of adhesions.
• Physiotherapy.
• Light physical activity.
• Obligatory intake of oral contraceptives for a period of at least six months.

Pregnancy with a single tube is quite possible. In the most extreme case, there is a chance to get pregnant with IVF, when a fertilized embryo is inserted directly into the uterus.