In vitro fertilization is a popular medical service that promises many infertile couples to find happiness, baby. For IVF resorted on the advice of doctors. It is impossible to say for sure that in vitro fertilization promises conception of a baby.
Often there are abnormalities, such as ectopic pregnancy. According to statistics, 10% of all pregnancies obtained by IVF, it is accounted for ectopic pregnancy.
Can there be an ectopic pregnancy with IVF?
Pregnancy with IVF occurs by fertilizing an egg in a test tube. A woman who has already fertilized an egg cell is placed in the uterine cavity. This is done with the help of a special medical operation.
At the same time, the egg is placed on the medical glue, to better fix in place. However, glue after 2 days dissolves and then the embryo can begin to wander around the body. Of course, the risk of ectopic pregnancy with IVF is small, but it should not be excluded.
Outside the uterus, the embryo cannot survive for a long time. He begins to grow, there is not enough space and opportunity for this, respectively, it becomes necessary to remove the embryo from the body in order to save the life and health of the woman.
As a rule, during in vitro fertilization, several embryos are planted into the woman's body at once. This is done in order to increase the possibility of pregnancy.
It is possible that one embryo can fall out of the uterus, and will be fixed on the tubes. In such cases, a special operation is required, which is required to preserve the pregnancy, but at the same time remove the ectopic.
Types of location of the ovum
A fertilized egg can leave the uterus, entrenched in the following cavities:
- ovarian tissue;
- on remote pipes, namely their residues;
- cervical tissue.
More than 90% of pregnancy is normal. However, the embryo can attach in the wrong place. The egg cell is fixed and can injure the internal organ of the woman, there is heavy bleeding and discharge.
Important! A timelessly diagnosed problem of ectopic pregnancy can be fatal to a woman.
Regardless of the type of location of the ovum, the embryo requires surgical intervention, namely removal, since it simply cannot develop outside the uterus.
It’s impossible to think long about this issue, as there is a big risk of rupture of the fallopian tubes and health problems in the future. Therefore, as soon as possible, hospitalization and observation of experienced specialists is necessary.
Causes of an abnormal embryo location
An embryo located outside the uterus may have several causes in this location:
- Often when a woman cannot become pregnant, she is offered such a service as pipe overstimulation. It can cause injury to the internal organs. As a result, the ovaries do not cope with their main function, they do not retract the egg cell, but rather push it out of the uterus, thereby provoking a miscarriage or ectopic pregnancy.
- Spike pipes.
- A large number of abortions.
- Inflammation of the genitourinary system.
- Special (individual) structure of the uterus.
- Physical fatigue
- Use a long period of time spirals.
Often the reason for the abnormal location of the embryo after the procedure of in vitro fertilization is the failure to comply with the advice given by the doctors. Specialists could give general recommendations regarding the health of a person. If the patient did not follow the advice, then this could lead to such sad consequences.
Symptoms of ectopic pregnancy
The woman who was fertilized with IVF is under the constant supervision of doctors. But in these cases there are situations when such a pathology as an ectopic pregnancy is not immediately detected.
As a rule, a woman can feel the first symptoms when the embryo begins to grow. He is in uncomfortable conditions for himself. There is no place for its development and full growth, as a result, it puts pressure on the internal organs and provokes pain.
The first and important symptom is a strong pulling pain in the lower abdomen and bleeding.
Important! A woman after IVF, seeing the bleeding, might think that the embryo did not attach, and her period began. In fact, it is worth to be examined to exclude deviations.
Additional symptoms of ectopic pregnancy can be:
- positive pregnancy test;
- high levels of hCG in the blood;
- discharge of blood clots of dark color.
All these signs suggest that the egg is not attached in the uterus, but in another area. But at the same time, it is positive that the embryo did not injure the organ.
If, in addition to the above symptoms, there is also a rapid pulse, palpitations, pallor and often loss of consciousness, then urgent hospitalization is necessary. To save a woman in this case, doctors succeed by surgical removal of the ovum. Unfortunately, it cannot develop into a full-fledged child without a uterus.
If the girl managed to go to a medical facility with the initial symptoms and signs, then experts will help to find out what the problem is with health problems. The above symptoms are very similar to miscarriage or missed abortion.
In order to accurately diagnose an ectopic pregnancy, it is worth going through a series of tests, namely:
- Blood to determine the level of hCG in the blood - the result is sure to be positive, but at the same time stand on a low threshold. In uterine normal pregnancy, the level of hCG in the blood is very high.
- Ultrasound - usually prescribed in the third or fourth week after in vitro fertilization. The transvaginal method is used, which helps not only to determine the location of the fetus, but also to hear its heartbeat.
- Laparoscopy is a controversial method that is necessary only in extreme cases. When a specialist has several conflicting data, he can refer a patient for laparoscopy.
What to do when identifying?
As soon as experts have identified the cause of the woman’s poor health and the presence of an ectopic pregnancy has been established, then specialists can speak about the surgical removal of the embryo.
Unfortunately, the fetus cannot exist outside the uterus, therefore it is necessary to remove it from the body until it has caused damage to the woman. If you perform the operation in the early stages, then the probability of becoming pregnant again is high. Surgical intervention for the early detection of ectopic pregnancy is carried out without incisions and stitches.
This method is called laparoscopy. Doctors pierce the stomach in several places and remove the fertilized egg. As a result, the woman does not even have a trace that says that surgical intervention occurred.
If an ectopic pregnancy is detected in the later stages, then it may require a full-fledged operation with incisions. With a successful operation, without complications, the woman will be able to have children after the recovery.
When can you plan to conceive again?
Conception after removal of a fertilized egg is possible. Often women give birth to full-fledged children after an ectopic pregnancy. However, we can talk about the possibility in a particular case. It affects both the general health of the mother and the recovery period.
Doctors categorically prohibit pregnancy within 6 months after the operation. Initially, a woman will need to restore her body. The first month is forbidden to have sex. From the second month, experts prescribe oral contraceptives, with which you can restore the hormones of a woman.
After 3-4 months, the female organs are checked for ultrasound for the presence of adhesions and negative consequences of the operation. Only after 6 months with a successful recovery period, you can continue to attempt to recover. At the same time, it is important to take into account the opinion of your doctor.
Ectopic pregnancy after IVF is a rare pathology, but it can overtake any woman. To eliminate the risk of developing ectopic pregnancy, it is necessary to take into account all the advice and recommendations of the attending physician. At the same time, it is necessary to tune in to a positive outcome of the event.