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Ask Dr. Arun Phophalia Your Own Question

Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: OB GYN
Satisfied Customers: 29641
Experience:  MBBS, MS. Deal with women related all surgical problems including genito-urinary and breast surgery.
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does an abdominal ectopic pregnancy always end in a so ...

Customer Question

does an abdominal ectopic pregnancy always end in a so called abortion? can you give birth if you have an abdominal ectopic pregnancy?
Submitted: 6 years ago.
Category: OB GYN
Expert:  Dr. Arun Phophalia replied 6 years ago.

Greetings.

An ectopic pregnancy will always cause problem because of it's complications and terminate itself (abortion). Even abdominal ectopic pregnancy cannot survive for full term and give birth or deliver, as nutrition to fetus will be affected at some stage or the growth of fetus will affect the adjacent organs, ensuing complications. Read here;

http://www.mayoclinic.com/health/ectopic-pregnancy/DS00622

Dr. Arun

Customer: replied 6 years ago.
Reply to Dr. Arun Phophalia's Post: how common is an abdominal ectopic pregnancy after a total hysterectomy?
Expert:  Dr. Arun Phophalia replied 6 years ago.

Hello,

It is quite rare. Read some reports;

http://www.popline.org/docs/0147/732984.html

http://www.greenjournal.org/cgi/content/abstract/109/2/519

http://medind.nic.in/jaq/t05/i2/jaqt05i2p185.pdf

In the first report you can read the ways, how it can happen.

Dr. Arun

Customer: replied 6 years ago.
Reply to Dr. Arun Phophalia's Post: i have only just found out this could happen, i know the chance is rare, but nevertheless. i was always under the impression that after a hysterectomy you can never get pregnant. i guess a condom will have to be used everytime now as i cannot risk falling pregnant.
Expert:  Dr. Arun Phophalia replied 6 years ago.

Hello,

Since it is quite rare, chance of pregnancy would be very remote. Do not worry about it. Condoms are usually not necessary after total hysterectomy to prevent pregnancy.

Dr. Arun

Dr. Arun Phophalia, Doctor
Category: OB GYN
Satisfied Customers: 29641
Experience: MBBS, MS. Deal with women related all surgical problems including genito-urinary and breast surgery.
Dr. Arun Phophalia and 4 other OB GYN Specialists are ready to help you
Customer: replied 6 years ago.
If i didnt use a condom and got pregnant, how will i now i'm pregnant? i am still getting mini periods due to the 20% of cervix still remaining, will they just stop? What other symptoms will there be?
Expert:  Dr. Arun Phophalia replied 6 years ago.

Hello,

Probably pain abdomen would be the most common symptom. The period kind of thing which you get from the cervix, needs to be evaluated by your doctor. One gets periods because of uterus and endometrium shedding. The cervix if giving you bleeding, has to be examined by your gynecologist.

Dr. Arun

Customer: replied 6 years ago.
Please can a gynaecologist answer my question. As i feel your answer is not sufficient by saying i'd 'probably get abdomen pain'.
Expert:  Dr Jef Burk replied 6 years ago.

Hi

There has only ever been 36 reported cases of ectopic pregnancy after hysterectomy.( as of 2006 anywhere in the world )

Most of these have occurred shortly after surgery - ie there was a fertilized egg in a fallopian tube at the time of surgery.

Therefore your risk of becoming pregnant is less than one in a million.

This would present with - pelvic pain , abdominal distension, vomiting , breast tenderness and sometimes vaginal bleeding.

I hope this helps.

Dr Jef

Customer: replied 6 years ago.
If i did become pregnant, how/what kind of surgery do they do to 'terminate' it?
Also i don't particularly want my partner to use a condom,if i get an infection, how will i know?

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