Progressing pregnancy is an ectopic pregnancy, that is, a pathology. With its onset in the female body, there are processes inherent in uterine pregnancy only in the early stages. The ovary begins to develop a yellow body. In the uterus a decidual membrane is formed, which does not differ from the membrane in uterine pregnancy.
The uterus softens a little. It increases in size. In the body, there are symptoms characteristic of normal pregnancy. This is a delay in menstruation (in some women with ectopic pregnancy this symptom is absent), swollen mammary glands and even appears colostrum. Also there are those very changes from the nervous system, as in normal pregnancy: irritability and drowsiness, mood swings and tearfulness. There may be skin pigmentation, cyanosis of the mucous membranes of the vagina and cervix with the formation of decidual tissue.
If you carry out a vaginal examination, you can clearly see the softening of not only the uterus, but also its isthmus. But after 6 weeks of such progressing pregnancy, the uterus lags behind in terms of normal pregnancy. The gynecologist already observes the signs of Horwitz-Geghar and Gubarev.
Signs of a progressive pregnancy
How does a woman distinguish and determine the symptoms of a progressing pregnancy on her own? Unfortunately, in the early stages it is very difficult. Sometimes she may have cramping pains in the lower abdomen. They are not permanent, but periodic. There may be a slight increase in ESR (this is determined by a doctor for blood analysis).
The diagnosis of a progressive ectopic pregnancy at an early age and for doctors is difficult. But there are signs more characteristic for an ectopic pregnancy, rather than for a uterine pregnancy. This is a tumor-shaped formation on the side of the uterus, which the gynecologist detects on palpation, a two-handed examination. Such formation is painful and pulsating.
The difficulty of diagnosing a progressing pregnancy is often complicated by the fact that changes in the tube may be old, that is, arising from a background of an earlier inflammatory process. Therefore, the "pregnant" tube is so difficult to distinguish from a tumor of the ovaries, their inflammation.
If we talk about analyzes, then, in addition to increased ESR about a progressing pregnancy, a lower indicator of the level of chorionic gonadotropin, the pregnancy hormone, may also be indicative.
In order to accurately diagnose, in addition to the above symptoms, the doctor collects an anamnesis, that is, information about the regularity of a woman's menstrual cycle, possible long-term infertility and inflammatory diseases of genital organs, abortions and childbirth. In addition, a woman has ultrasound or laparoscopy.
With a progressing pregnancy, the uterus of the woman already stops increasing by the sixth week. And the fetal egg that develops in the tube grows further. Up to 12 weeks, it is about the size of a goose egg.
That is why, if there is a suspicion of ectopic pregnancy, a woman is immediately put in a hospital. There she is at any time provided with surgical care.
Women should know that it is possible to conceive and give birth to a healthy child after an ectopic pregnancy. Yes, the chances are declining, but they are there. And for their improvement, gynecologists are recommended to be protected at least six months after the ectopic pregnancy with oral contraceptives.