Ectopic pregnancy treatment

Ectopic pregnancy treatment

Ectopic pregnancy treatment

Endometrial scraping is a way to increase the success of IVF or IVF.  This new technique in some women can greatly increase the chance of implantation in the cervix during a period of IVF. Endometrial scratching is similar to a Pap smear test, and its cost is negligible compared to other treatments. The likelihood of fertility for women who undergo this 2-minute endometrial scrape test a month before their IVF period is twice as high as for other women. Here's how you can do endometrial scraping, its effect on the success rate of IVF and pre and post care.

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How to do endometrial scraping

In this method, the endometrial lining of the uterine wall is scratched with a special tool in a superficial form. Local endometrial scratching causes an inflammatory reaction and an increase in white blood cells, leading to the release of more growth factors and cytokines.  Growth factors and cytokines play an important role in implantation and embryo and placenta growth.

Endometrial scratching increases the ability of the embryo to accept the uterus and thus the chance of pregnancy success.  The most commonly used endometrial scratching is for women who, despite good quality eggs, have had one or more failed IVF periods.  Any gynecologist who has been trained in uterine biopsy - a procedure similar to a Pap smear test or a biopsy for cancer screening - can do endometrial scraping. Endometrial scratching is possible at your doctor's office.  Combining this with a method of infertility or hysteroscopy can be effective if there is suspicion of fibroids or polyps.

Endometrial scraping at the right time is very important. Experts recommend scraping after ovulation and before starting the next menstrual period.  The best time for endometrial scratching is Day 5 of the monthly habit for those with regular menstrual periods. In the case of other people, the doctor will determine the appropriate day.  Also, endometrial scraping should not be done at the same time as IVF treatment is started. Experts recommend that endometrial scraping should be performed a period before the start of drug therapy for IVF or frozen embryo transfer.

The scratching process is not painful and does not require anesthesia or anesthesia, although you may feel a little unpleasant. Your doctor may advise you to take painkillers two hours before the scratch to prevent you from feeling bad. For endometrial scratching, the doctor first prepares the vaginal mouth for access to the uterus using a speculum, and then scrapes gently on the surface of the uterine wall by inserting a special tool. You may feel stuffy in the abdomen during scratches due to the movement of the tool. The entire endometrial scraping process will take about 5 minutes and then there may be some slight bleeding.

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Care before and after endometrial scraping

During the monthly menstrual period that is supposed to be an endometrial scratch, the woman should not have sex that is likely to become pregnant. Some doctors advise you to avoid sexual intercourse at all during the course of endometrial scraping for greater certainty. If a woman becomes pregnant while performing endometrial scraping, the fetus may be seriously injured. Because endometrial scratching is a very simple process, no special care is required before scratching. Since there may be vaginal bleeding after scratching, you need to bring a sanitary pad with you, and you may also have a slight feeling of cramping and slight bleeding, which will resolve after a while. After scratching you can continue your daily activities, although it is best to take a day off. Your doctor may prescribe antibiotics after a scratch, you may need to start taking antibiotics or other pills as prescribed.

Effect of Endometrial Scratch on Success IVF

Some recent research has confirmed that endometrial scraping at the right time doubles the chance of pregnancy and successful birth. Endometrial scratching has little risk of causing pain or infection to the patient, so specialists usually recommend this method to all patients who, despite good embryo quality, have failed IVF. In these cases, infertility is usually caused by an embryo's inability to implant or to be rejected by the uterus. For this reason, this method can greatly increase the chance of success.

Endometrial scratching may be unsuccessful for patients who are older and who have not been successful in genetically abnormal or poor quality embryos in previous IVF periods. In these cases, it is recommended that pre-implantation genetic testing be performed prior to endometrial scratching to ensure that the embryo is expert in quality and genetic health. With the advice of your doctor, you may know whether endometrial scratching is a good option for you.

10 common questions about Ectopic pregnancy treatment

1How long does it take to recover from an ectopic pregnancy?
Some people take longer to recover than others. It depends on how much blood you lost and what treatment you had. The bigger the operation and the more blood lost, the longer it takes to feel yourself again. Usually you should be fully recovered physically by six weeks, but in some people it may take longer
2How do you terminate an ectopic pregnancy?
In this case, bleeding needs to be stopped promptly, and emergency surgery is necessary. Laparoscopic surgery under general anesthesia may be performed. This procedure involves a surgeon using a laparoscope to remove the ectopic pregnancy and repair or remove the affected fallopian tube
3Can you save the baby in an ectopic pregnancy?
It is at this point that the pregnancy can become dangerous with any rupture likely to cause a massive bleed. ... Sadly, no medical technology currently exists to move an ectopic pregnancy from the fallopian tubes to the uterus
4How quickly does methotrexate work for ectopic pregnancy?
The methotrexate will stop the pregnancy and the level of pregnancy hormone in your blood should decrease over 2 to 4 days.
5What surgery do they do for ectopic pregnancy?
In other cases, an ectopic pregnancy can be treated with laparoscopic surgery. In this procedure, a small incision is made in the abdomen, near or in the navel. Next, your doctor uses a thin tube equipped with a camera lens and light (laparoscope) to view the tubal area
6What is ectopic pregnancy pain like?
Often, the first warning sign of an ectopic pregnancy is pelvic pain. Light vaginal bleeding may also occur. If blood leaks from the fallopian tube, you may feel increasing abdominal pain, an urge to have a bowel movement or pelvic discomfort.
7Can you remove an ectopic pregnancy without surgery?
Surgery. In most cases, keyhole surgery (laparoscopy) will be carried out to remove the pregnancy before it becomes too large. ... the entire fallopian tube containing the pregnancy is removed if your other fallopian tube looks healthy – otherwise, removing the pregnancy without removing the whole tube may be attempted.
8Can ectopic pregnancy miscarriage its own?
Not all ectopic pregnancies will cause bleeding in the abdomen. Some ectopic pregnancies do not rupture and they clear without treatment. The pregnancy often dies in a way similar to a miscarriage, but it is absorbed, and there is minimal pain or bleeding. ... the pregnancy is very small.
9Does urine test show ectopic pregnancy?
Diagnosis of ectopic pregnancy You have a urine sample tested for a hormone called human chorionic gonadotrophin (hCG). This hormone is produced throughout pregnancy. If you have the symptoms of an ectopic pregnancy, a negative pregnancy test doesn't rule out the possibility but does make it highly unlikely
10Can an ectopic pregnancy have a heartbeat?
— Ectopic pregnancy is diagnosed if the ultrasound detects a fetal heart beat or an embryo that is outside of the uterus. ... If the hCG is above a certain level (usually 1500 to 2000 mIU/mL), but no pregnancy is seen with ultrasound, an ectopic pregnancy is suspected


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