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Laparoscopy remains the criterion standard for diagnosis; however, its routine use on all patients suspected of ectopic pregnancy may lead to unnecessary risks, morbidity, and costs.
Moreover, laparoscopy can miss up to 4% of early ectopic pregnancies.
To be perfectly honest, I’d say we handled the possibility of miscarriage fairly well, diving head first into work and trying to pass the days.
The only true sense of optimism we were hanging onto was the fact that I had just stopped taking the pill when I found out I was pregnant and as most women know, the normalcy of your cycle takes a serious detour into crazytown.
Ectopic pregnancy is the result of a flaw in human reproductive physiology that allows the conceptus to implant and mature outside the endometrial cavity (see the image below), which ultimately ends in the death of the fetus. Unfortunately, only about 50% of patients present with all 3 symptoms.
Without timely diagnosis and treatment, ectopic pregnancy can become a life-threatening situation. Patients may present with other symptoms common to early pregnancy (eg, nausea, breast fullness).
My husband and I planned to keep our “little secret” a secret until we had confirmation via our first ultrasound (doctors generally do not offer blood tests anymore, so the at home test is usually the only indicator until your first ultrasound).
The reason I’ve shared this story with a number of people is to warn other women of two things: first, not everything in pregnancy follows a specific formula or set of rules and secondly, doctors can be really insensitive.
If you find yourself in a similar situation, think of our story and realize that your body might not fall into the cookie cutter model for ovulation.
My story, as I like to call it, of miscalculated ovulation.
Today doctors use a mathematical formula to calculate your baby’s projected due date, which is almost entirely based on a 28-day ovulation cycle (which starts from the first day of your last menstrual period: REMEMBER THAT DATE).