Ectopic Pregnancy

An ectopic pregnancy occurs when a fertilised egg implants outside the main cavity of the uterus—most commonly in a fallopian tube. If left untreated, it can pose serious health risks to the mother. At Grosvenor Gardens Healthcare, our private obstetricians provide swift, compassionate care to diagnose ectopic pregnancies early and guide you through the safest course of action.

Why Early Diagnosis Matters

• Potential Complications: Ectopic pregnancies can damage the fallopian tube, leading to internal bleeding if the tube ruptures.
• Preserving Fertility: Prompt treatment can help prevent complications that might affect future fertility.
• Maternal Wellbeing: By identifying an ectopic pregnancy quickly, you reduce the risk of more serious health issues and emotional distress.

Understanding Ectopic Pregnancy

How It Occurs

After fertilisation, the embryo should travel down the fallopian tube and implant in the uterine lining. In an ectopic pregnancy, the embryo implants elsewhere—often within a fallopian tube (tubal ectopic), but sometimes in an ovary, the cervix, or the abdominal cavity. Because these locations can’t support normal growth, urgent medical attention is required.

Risk Factors

While an ectopic pregnancy can happen to anyone, certain factors increase the likelihood:

• Previous Ectopic Pregnancy: Having had one ectopic pregnancy raises your risk of another.
• Pelvic Inflammatory Disease (PID): Infections like chlamydia or gonorrhoea can damage fallopian tubes.
• Smoking: Associated with higher rates of tubal ectopic pregnancies.
• Fertility Treatments: IVF or other assisted reproductive techniques may slightly heighten the risk.
• Pelvic Surgery: Scarring from previous operations can affect egg transportation.

Key Symptoms to Watch For

Ectopic pregnancy symptoms often appear in the first trimester—usually between 6 to 10 weeks of gestation. Common signs include:

• Abdominal or Pelvic Pain: Ranging from mild cramping to sharp, continuous pain (often on one side).
• Vaginal Bleeding: Light spotting or heavier bleeding, sometimes mistaken for an irregular period.
• Shoulder Tip Pain: Caused by internal bleeding irritating the diaphragm, felt at the tip of the shoulder.
• Dizziness or Fainting: If internal bleeding is significant, it can lead to low blood pressure and light-headedness.

If you notice any combination of these symptoms, particularly sharp or worsening pain, it’s crucial to seek medical advice promptly.

Diagnosis & Treatment at Grosvenor Gardens Healthcare

1. Initial Consultation
• Our obstetricians will review your symptoms, medical history, and perform a physical exam.
• We may request blood tests to measure the hormone hCG (human chorionic gonadotropin), as abnormal levels can indicate an ectopic pregnancy.
2. Ultrasound Scan
• A transvaginal ultrasound helps pinpoint the location of the embryo and detect any internal bleeding.
• If the scan isn’t conclusive, repeated tests may be needed over a short period.
3. Personalised Treatment Plan
• Medical Management: If an ectopic pregnancy is diagnosed early and you’re stable, medication such as methotrexate can help dissolve the ectopic tissue.
• Surgical Intervention: In cases of suspected rupture, severe pain, or high hCG levels, a laparoscopy (keyhole surgery) may be required to remove the ectopic pregnancy and, if necessary, repair or remove the affected fallopian tube.
• Monitoring & Follow-Up: After treatment, we’ll monitor your hCG levels until they return to normal, ensuring the ectopic tissue has been fully resolved.
4. Emotional Support & Counselling
• We understand an ectopic pregnancy can be emotionally distressing. Our team offers empathetic support, answering your questions and providing resources for coping with loss or anxiety about future fertility.

Future Fertility & Recovery

• Fertility Outlook: Many women go on to have healthy pregnancies after an ectopic. However, early consultations and appropriate follow-up are important to spot any recurring risk factors.
• Recovery Time: Physical and emotional recovery can vary. We encourage you to take as much time as you need, and to reach out for psychological support if required.

Book Your Private Consultation

If you’re experiencing possible ectopic pregnancy symptoms—or simply seeking a second opinion—contact Grosvenor Gardens Healthcare today. Our private obstetricians provide swift diagnosis and tailored treatment, helping you navigate this challenging time with confidence and care.

Contact us to schedule an appointment at our Dulwich or Belgravia clinic. Let us guide you towards the most appropriate care for your health and peace of mind.

Other Services we offer: 

Private Gynaecologists

Private GP

Private Paediatrician

Private Obstetrician & Maternity Hospital

Private Colposcopy