Follow-up, re-examination to prepare for pregnancy after egg aspiration

This is an automatically translated article.

The article was professionally consulted by MSc, Dr. Trinh Thi Thanh Huyen - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital

Ovarian pregnancy is a pregnancy with an abnormality in the development of the placenta. Follow-up follow-up, follow-up examination after egg abortion as well as things to prepare to get pregnant again is extremely important. With the desire to have a completely smooth and healthy pregnancy, the following are essential for women who have had an ovulatory pregnancy.

1. What is egg pregnancy?

An egg pregnancy is still considered a pregnancy because there is still fertilization of the egg and sperm. However, the abnormality in the oocyte is due to the rapid growth of the placental spines, filling the uterine cavity and crowding the fetus. This causes vaginal bleeding and severe morning sickness that persists into the second trimester.
When doing tests, pregnant women are noted that the concentration of ßhCG is very high, higher than the gestational age and rapidly increasing continuously. The ultrasound also does not hear the fetal heart, does not see the image of the embryo, but only spots like the image of a bunch of grapes.
To date, although the cause of ectopic pregnancy is not clear, the majority of cases of ectopic pregnancy have been observed, and are found to be benign. However, there are still a small number of cases where there is a risk of progression to glioblastoma.
Early detection of ectopic pregnancy for early treatment is very necessary, helping to limit blood loss due to ovum causing vaginal bleeding or spontaneous miscarriage, uterine wall due to invasive egg pregnancy, so it is difficult to recover. good, high risk of bleeding, life-threatening. In addition, the prevention of pregnancy after the intervention of oocyte retrieval requires a good plan because the uterine wall is inherently damaged and needs time to recover before undertaking a new pregnancy.

2. How is the menstrual cycle after egg extraction?

Because hCG levels remain high above normal for quite some time after an abortion, your monthly menstrual cycle temporarily stops. It is only when hCG levels drop to normal levels that the menstrual cycle begins again.
If you have been prescribed chemotherapy treatment, during this time, the drugs may also have an effect on menstrual problems. Menstruation usually only starts again within 3 to 6 months after treatment ends. However, in some women receiving injections of methotrexate, menarche may develop earlier, as soon as hCG returns to normal.

3. What is the possibility of pregnancy after egg aspiration?

All women after intervention to resolve ovum have the same chances of getting pregnant as other women. Not only that, you can still get pregnant even if you have chemotherapy treatment.
The possibility of pregnancy is only impossible when the egg pregnancy has severe complications and requires hysterectomy. However, indications for this intervention are rare and must be considered and discussed very carefully, especially in women who still wish to continue becoming pregnant.

4. How is the next pregnancy after egg aspiration?

Pregnancy after egg aspiration will still proceed like a normal pregnancy if you have followed the right monitoring time and regardless of any treatment for the previous pregnancy problem.
This is only guaranteed when you have effective methods of contraception during hCG monitoring until the process is complete. If you accidentally get pregnant earlier, you will again have elevated hCG levels in your blood and urine tests. This will make it difficult to follow up the next course because it is difficult to know for sure that the trophoblasts have completely disappeared.
In addition, the risk of recurrent ectopic pregnancy is highest in the first few months. Therefore, you will need to wait a year after finishing treatment before taking another pregnancy test; It also allows the amount of time needed for the uterine wall to be fully restored to its original state.

5. How to follow up after aspiration to prepare for pregnancy

After you have had an ectopic pregnancy, you will need a urine test or a blood test (or both) every 2 weeks. These tests are intended to check that the level of hCG will gradually decrease until it is below the normal range.
If hCG levels tend to go down within 8 weeks after the intervention, you will be scheduled to follow up in the next 6 months. If hCG levels fall again more slowly than this, you will need to continue to be monitored for the next 6 months. Only when your hCG levels return to normal will you still need to continue with the 4 week urine sample to be sure, then it will be accepted that the monitoring is complete.
If the level of hCG does not decrease after treatment, rule out pregnancy, it is a sign that some abnormal cells are still present. This is called persistent ovulatory disease, which occurs in about 10 to 15 out of 100 women who have had a complete egg pregnancy and about 1 in 100 after a partial egg pregnancy. At this point, chemotherapy treatment is necessary and you need to seriously continue to prevent pregnancy.
After the prescribed monitoring period, ensure that the urine hCG level is negative, the woman must have a general examination as well as a specialist in obstetrics and gynecology, repeat some other tests to decide whether to allow it. pregnant again. Until you find out that you are pregnant again, you need to monitor the pregnancy more closely than a normal pregnant woman in the first trimester to make sure that the fetus develops properly, eliminating the possibility of egg recurrence. and if so, get timely intervention.
In summary, although the risk of recurrent ectopic pregnancy is very low, in order for the next pregnancy to be safe for both mother and child, post-abortion follow-up should be followed properly. Therefore, women should choose a reputable and reliable antenatal clinic to prepare for a new pregnancy with solid steps.
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Articles refer to the source: Cancerresearchuk.org