Ovarian pregnancy
| Ovarian pregnancy | |
|---|---|
| Synonyms | |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Abdominal pain, vaginal bleeding |
| Complications | Rupture, hemorrhage |
| Onset | |
| Duration | |
| Types | |
| Causes | Ectopic pregnancy |
| Risks | Pelvic inflammatory disease, endometriosis, intrauterine device usage |
| Diagnosis | Ultrasound, laparoscopy |
| Differential diagnosis | Tubal pregnancy, miscarriage |
| Prevention | |
| Treatment | Surgery (oophorectomy or salpingectomy) |
| Medication | |
| Prognosis | Generally good with treatment |
| Frequency | Rare |
| Deaths | N/A |
Ovarian pregnancy is a type of ectopic pregnancy that occurs when a fertilized egg implants in the ovary instead of the uterus. This condition is rare, accounting for only 0.5% to 1% of all ectopic pregnancies.
Causes
The exact cause of ovarian pregnancy is unknown, but it is thought to be related to problems with the fallopian tubes or the ovary itself. Some possible causes include pelvic inflammatory disease, previous ectopic pregnancy, previous pelvic or abdominal surgery, and certain fertility treatments.
Symptoms
The symptoms of ovarian pregnancy are similar to those of other types of ectopic pregnancies. They include abdominal pain, vaginal bleeding, and a missed menstrual period. However, ovarian pregnancy can also cause severe abdominal pain and shock if the ovary ruptures.
Diagnosis
Ovarian pregnancy is usually diagnosed through a combination of ultrasound and blood tests. The ultrasound can show the location of the pregnancy, while the blood tests can measure levels of the hormone human chorionic gonadotropin (hCG), which is produced by the placenta.
Treatment
The treatment for ovarian pregnancy is usually surgery to remove the pregnancy. This can often be done laparoscopically, which is a minimally invasive procedure. In some cases, the entire ovary may need to be removed.
Prognosis
The prognosis for women with ovarian pregnancy is generally good, especially if the condition is diagnosed and treated early. However, there is a risk of future ectopic pregnancies.
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Contributors: Prab R. Tumpati, MD