how long does it take for a tube to rupture in an ectopic pregnancy?
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The structure containing the fetus typically ruptures after about 6 to 16 weeks, long before the fetus is able to live on its own. When an ectopic pregnancy ruptures, bleeding may be severe and even threaten the life of the woman.
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Time of rupture depends on the diameter of the fallopian tube where the pregnancy has implanted but is most commonly seen between 5 and 7 weeks gestation.
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An ectopic pregnancy can occur when untreated PID has caused scar tissue to develop in the fallopian tubes. The scar tissue prevents the fertilized egg from making its way through the fallopian tube to implant in the uterus. Instead, the egg implants in the fallopian tube.
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An ectopic pregnancy occurs when a fertilized egg grows outside of the uterus. Almost all ectopic pregnancies—more than 90%—occur in a fallopian tube. As the pregnancy grows, it can cause the tube to burst (rupture). A rupture can cause major internal bleeding.
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Signs and Symptoms Often, the first warning signs of an ectopic pregnancy are pain or vaginal bleeding. There might be pain in the pelvis, abdomen, or even the shoulder or neck (if blood from a ruptured ectopic pregnancy builds up and irritates certain nerves).
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Levels of this hormone increase during pregnancy. This blood test may be repeated every few days until ultrasound testing can confirm or rule out an ectopic pregnancy — usually about five to six weeks after conception.
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If the tube has already ruptured, and in some other cases, surgery is necessary to remove the pregnancy and sometimes a portion of the tube. Historically, anti-abortion groups have supported allowing abortion in the case of ectopic pregnancy, arguing that it is morally distinct from abortion in other cases.
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Fallopian tube damage is a common cause of ectopic pregnancy. A fertilized egg can become caught in the damaged area of a tube and begin to grow there. Some ectopic pregnancies occur without any known cause.
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An ectopic pregnancy occurs when the fertilized egg does not implant in the uterus but instead implants somewhere else, usually in one of the fallopian tubes. If the fallopian tube ruptures, internal bleeding can occur. Blood loss may cause weakness, fainting, pain, shock, or even death.
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Almost all ectopic pregnancies—more than 90%—occur in a fallopian tube. As the pregnancy grows, it can cause the tube to burst (rupture). A rupture can cause major internal bleeding. This can be a life-threatening emergency that needs immediate surgery.
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In many cases of ectopic pregnancy, the fertilised egg dies quickly and is broken down by your system before you miss your period or after you experience some slight pain and bleeding. In these cases an ectopic pregnancy is rarely diagnosed and it is assumed to be a miscarriage.
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Symptoms most often appear 6 to 8 weeks after the last normal menstrual period. Ectopic pregnancy may be treated in several ways, depending on whether the fallopian tube has burst. Don't ignore symptoms of ectopic pregnancy.
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The fetus rarely survives longer than a few weeks because tissues outside the uterus do not provide the necessary blood supply and structural support to promote placental growth and circulation to the developing fetus. If it's not diagnosed in time, generally between 6 and 16 weeks, the fallopian tube will rupture.
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In a few cases an ectopic pregnancy causes no noticeable symptoms and is only detected during routine pregnancy testing. However, most women do have symptoms and these usually become apparent between week 4 and week 12 of pregnancy.
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How are they diagnosed? Trans-vaginal ultrasound examination is the best way to diagnose an ectopic pregnancy. An intra-uterine pregnancy can usually be seen by 5-6 weeks gestation or when the HCG level is >1500 IU/l. If it is not in the uterus, it may be ectopic.
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There might be pain in the pelvis, abdomen, or even the shoulder or neck (if blood from a ruptured ectopic pregnancy builds up and irritates certain nerves). The pain can range from mild and dull to severe and sharp. It might be felt on just one side of the pelvis or all over.
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How Long Should You Wait to Conceive After an Ectopic Pregnancy? Doctors generally advise waiting for at least three months or two full menstrual cycles before trying for pregnancy.