Consequences of an extrauterine pregnancy or a salpingocuesis

[Nadin007]

The dyne (ddina@pisem.net) - - ---Has transferred or carried operation on excision of the right pipe because of tubal pregnancy. Now different gynecologists give me different advice or councils. One approve or confirm, that check of the remained pipe is necessary for spending in 3 months after operation to not start adherent or adhesive process; others approve or confirm, that nothing inside can be touched or tampered with not less year; the third at all do not advise to check a pipe because of possible or probable complications after check and in half a year after operation it is possible to try to become pregnant. Prompt, to whom to listen?

[Manjasha]

Anna - - ---the Dyne! Basically, permeability of the remained pipe and presence of adherent or adhesive process should reveal already during operation. If it or this it has not been made optimum to begin inspection in 3-4 months after operation. Besides definition of a status of the remained pipe, it is necessary to be surveyed on sexual infections a gonorrhea, a clamidiosis and t.d..

[TI]

Lada (-195.16.98.214) - - ---whether the extrauterine pregnancy or salpingocuesis on early term Is diagnosed by usual ways. What way of diagnostics is more preferable?

[Irishka.]

Extrauterine pregnancies or Salpingocueses on an empty place do not arise, and risk to have an extrauterine pregnancy or a salpingocuesis if she already happened increases in some times. You correctly do or make, that concern to pregnancy responsibly or crucially.



Adherent or Adhesive process if he took place and has served as the reason of tubal pregnancy, should clean or remove during operation. But, at the same time, operation can cause adherent or adhesive process, especially if she was not laparoskopicheskaja.

After operation should pass or take place the quiet period, apply contraception during not less half a year is better, be especially cautious by way of sexual infections (if they persistirujut, they need to be was cured more likely) that they have not finished remained *quot; iN?N??O?*quot; a pipe. It is desirable to consult and pass or consult and take place a course of a physiotherapy.



But, by and large, precisely to tell or say as the second uterine pipe will function - it is impossible. Exists not only it or her prozodimost, should work adequately mucous the pipes, covered as cilia, etc.



Any diagnostic invasive or aggressive interventions, can, and will respond partially to a question on its or her status, but can spravotsirovat a trauma or an exacerbation of inflammatory process. Therefore it is better to refrain from them.



Therefore, as will carry. But if will try to become pregnant, if the test for pregnancy will be positive, make US in a week after a delay - precisely to make sure, that pregnancy uterine.



I wish good luck.

[julchikA]

Very reasonable, but slightly overdue answer.;)

[Mika]

I also did not know, that you are able to praise.

It is pleasantly flattered.

Only lateness of the answer I do not recognize.

Really the Dyne already has become pregnant? Really you in a course even it or this?

[Zhuzhu]

No. The dyne almost for certain has not become pregnant, however, with a high probability it is possible to assume, that she has already lost interest to our society and vdarilas in any temptation, type EKO. One hope, that before leaving or care she has included or has switched on *quot; ??oN?O?ON?y*quot; about new reports.



To me *quot; Ooa??Oy*quot; much more pleasantly than to criticize. It is a pity occasions a little...: (

[Nataxa]

The dyne (ddina@pisem.net) - - ---Has transferred or carried operation on excision of the right pipe because of tubal pregnancy. Now different gynecologists give me different advice or councils. One approve or confirm, that check of the remained pipe is necessary for spending in 3 months after operation to not start adherent or adhesive process; others approve or confirm, that nothing inside can be touched or tampered with not less year; the third at all do not advise to check a pipe because of possible or probable complications after check and in half a year after operation it is possible to try to become pregnant. Prompt, to whom to listen?



To check a uterine pipe sejsas it is not necessary. It not so prijanaja.bezboleznennaja procedure. Prophylaxis of adherent or adhesive process is not check, and a course of a physiotherapy (-therapy, interference-therapy, grjazelenchenie) .cherez some months after operation to leave on pregnancy (if are not present then to look the remained pipe) .proveritsja at infections for this term.:o

[4761]

To check a uterine pipe sejsas it is not necessary. It not so prijanaja.bezboleznennaja procedure. Prophylaxis of adherent or adhesive process is not check, and a course of a physiotherapy (-therapy, interference-therapy, grjazelenchenie) .cherez some months after operation to leave on pregnancy (if are not present then to look the remained pipe) .proveritsja at infections for this term.:o



The physiotherapy can be prophylaxis of solderings only when is begun in the first 2 day after operation. After prophylaxis is not present, for solderings are formed at the first 36 o'clock. After a fangotherapy long enough period of preservation, a strong edema of pipes and a high probability repeated extrauterine if to not wait sufficient time. The concrete physical factor can pick up only internal fizioginekolog, differently it is possible to do much harm strongly even simple transfer from which the patient can go to an out-patient department and itself to choose that there is in repertoir.

If a pipe to check (and it it is necessary to do or make) - that only by a control laparoscopy, instead of GSG.

[Raspberry]

I actually agree with Dr. Beloborodov, and not just because he was my classmate while we were ordinators back in Moscow:-).

The risk of subsequent ectopic pregnancy for this patient is about 4-8 times higher, than in general popuilation. However, there are no adequate tests to ensure the patient will not develop ectopic in the future. The best way is early ultrasound to determine the location of the pregnacy.