Ectopic pregnancies are a serious medical condition that can be harmful to the mother’s health. Unlike a normal pregnancy where the fertilized egg implants itself in the uterus, in an ectopic pregnancy, the fertilized egg implants outside of the uterus. The most common location for an ectopic pregnancy is within the fallopian tubes, which is why it is often referred to as a tubal pregnancy. However, ectopic pregnancies can also occur in other locations, such as the cervix, ovaries, or abdomen.
These pregnancies are considered risky and dangerous because they have the potential to cause severe complications. As the pregnancy progresses, the fertilized egg grows and can cause the tube to rupture, leading to internal bleeding. If left untreated, this can be life-threatening for the mother. Therefore, it is crucial to understand the symptoms of ectopic pregnancies and seek medical attention immediately if any signs are present.
The symptoms of an ectopic pregnancy can vary, but common signs include abdominal pain, vaginal bleeding, shoulder pain, dizziness, and fainting. It’s important to note that these symptoms can sometimes mimic those of a normal pregnancy or other conditions, which can make diagnosis difficult. However, if you experience any of these symptoms, it is important to consult with your healthcare provider to rule out the possibility of an ectopic pregnancy.
In conclusion, ectopic pregnancies are risky and dangerous due to their potential to cause harm to the mother’s health. It is vital for women to be aware of the symptoms and seek medical attention promptly if they suspect they may have an ectopic pregnancy. Early diagnosis and treatment can greatly reduce the risks and ensure the well-being of the mother. Remember, your health is important, so be proactive in understanding and addressing any concerns regarding your pregnancy.
Understanding Ectopic Pregnancies: A Comprehensive Guide
An ectopic pregnancy is a risky and potentially serious condition in which a fertilized egg implants and grows outside of the uterus. Instead of implanting in the uterus as it should, the fertilized egg attaches itself to various other locations within the reproductive system, most commonly the fallopian tube. These pregnancies are often referred to as “extrauterine” or “tubal” pregnancies.
Ectopic pregnancies can be harmful and dangerous because the structures in which the embryo implants are not designed to support the growth of a baby. The fallopian tubes, for example, are not equipped to stretch and accommodate a growing fetus. As the pregnancy progresses, the tube may rupture, leading to internal bleeding and potentially life-threatening complications.
It is important to recognize the signs and symptoms of an ectopic pregnancy, as early detection can help prevent serious complications. Common symptoms include abdominal pain, vaginal bleeding, and shoulder pain. In some cases, a woman may also experience dizziness, lightheadedness, or fainting. However, it is worth noting that some women may not experience any symptoms at all.
If left untreated, ectopic pregnancies can be extremely dangerous and even fatal. Therefore, it is essential that a diagnosis is made as soon as possible. Treatment options may include medication to stop the growth of the pregnancy or surgery to remove the ectopic pregnancy. In some cases, the fallopian tube may need to be removed as well.
While ectopic pregnancies are rare, they are a serious medical condition that require immediate attention. By understanding the risks and symptoms associated with ectopic pregnancies, individuals can seek prompt medical care and increase the chances of a positive outcome.
What Are Ectopic Pregnancies and How Common Are They?
Ectopic pregnancies are pregnancies that occur outside the uterus, most commonly in the fallopian tubes. They are also known as extrauterine pregnancies. These pregnancies are considered risky and serious medical conditions that require immediate attention and treatment.
Risk Factors
Ectopic pregnancies are more common in women who have certain risk factors, including:
- Previous ectopic pregnancies
- Previous pelvic inflammatory disease (PID)
- History of tubal surgery
- Women over the age of 35
- Smoking
- Endometriosis
Frequency
Ectopic pregnancies are relatively rare, occurring in about 1-2% of all pregnancies. However, they can be very serious and harmful if not diagnosed and treated promptly. In fact, ectopic pregnancies are one of the leading causes of maternal mortality in the first trimester of pregnancy.
It is important for women to be aware of the symptoms of an ectopic pregnancy, such as abdominal pain, vaginal bleeding, and shoulder pain. If any of these symptoms occur, it is crucial to seek medical attention immediately.
Recognizing the Signs and Symptoms of Ectopic Pregnancies
Ectopic pregnancies, also known as extrauterine pregnancies, are a serious and risky condition for pregnant individuals. It is important to be aware of the signs and symptoms of ectopic pregnancies in order to seek medical attention promptly and prevent harmful complications.
Signs of Ectopic Pregnancy
An ectopic pregnancy occurs when a fertilized egg implants itself outside of the uterus, commonly in the fallopian tubes. The most common symptom of an ectopic pregnancy is abdominal pain, which can be sharp, intense, and persistent. It may also be accompanied by vaginal bleeding.
It is important to note that ectopic pregnancies can present differently for each individual, and some people may not experience any symptoms until the condition becomes more serious. Therefore, it is crucial to pay attention to any changes in your body and consult a healthcare professional if you suspect an ectopic pregnancy.
Risk Factors and High-Risk Groups
While anyone can experience an ectopic pregnancy, certain factors increase the risk. Individuals who have previous ectopic pregnancies, reproductive tract abnormalities, or a history of pelvic infections are at a higher risk. Additionally, those who have undergone fertility treatments, have a history of tubal surgeries, or have become pregnant while using intrauterine devices (IUDs) are also more susceptible to ectopic pregnancies.
It is important for those in high-risk groups to be extra vigilant and seek medical advice if they notice any potential symptoms, as early diagnosis and treatment can help prevent serious complications.
Seeking Medical Attention
If you experience any of the symptoms mentioned above, it is crucial to seek immediate medical attention. Ectopic pregnancies can be harmful and potentially life-threatening if left untreated.
When visiting a healthcare professional, be prepared to provide a detailed medical history and description of your symptoms. Diagnostic tests such as ultrasound, blood tests, and pelvic examinations may be conducted to assess the presence of an ectopic pregnancy.
Remember, early detection of an ectopic pregnancy and prompt medical intervention is essential for ensuring the safety and well-being of the pregnant person. Do not hesitate to reach out to a healthcare professional if you have any concerns.
The Dangers of Untreated Ectopic Pregnancies
An ectopic pregnancy occurs when a fertilized egg implants outside of the uterus, commonly in the fallopian tube. If left untreated, ectopic pregnancies can be dangerous and potentially life-threatening for the mother.
Untreated ectopic pregnancies pose serious risks as they can result in internal bleeding. The fallopian tube, where the pregnancy implants, is not designed to support the growth of a fetus. As the pregnancy develops, the tube can rupture, causing severe bleeding in the abdominal cavity.
This internal bleeding is a medical emergency and requires immediate attention. If left untreated, the excessive blood loss can lead to shock and even death. Therefore, it is critical for women who suspect they may have an ectopic pregnancy to seek medical attention promptly.
Another danger of untreated ectopic pregnancies is the potential for long-term complications. If the fallopian tube ruptures, surgical intervention may be necessary to remove the pregnancy and repair any damage. In some cases, the affected fallopian tube may need to be removed altogether, which can impact future fertility.
Additionally, ectopic pregnancies can cause emotional and psychological distress for the woman and her partner. The loss of a pregnancy, especially in such a dangerous and potentially life-threatening situation, can be devastating. Seeking emotional support during this time is essential.
In summary, ectopic pregnancies that are left untreated can be risky and serious. The potential for internal bleeding and long-term complications makes it crucial to seek medical attention as soon as possible. Remember, prompt diagnosis and treatment can greatly reduce the harmful effects of an ectopic pregnancy and ensure the best possible outcome for both the mother and her future fertility.
Ectopic Pregnancies and Their Impact on Fertility
Ectopic pregnancies occur when a fertilized egg implants and starts growing in a location outside of the uterus, most commonly in the fallopian tubes. While these pregnancies are not as common as traditional pregnancies, they can be serious and harmful for both the mother and the developing fetus.
Tubal pregnancies, as they are also known, are serious because the fallopian tubes are not designed to support the growth of a baby. The risks associated with ectopic pregnancies include potentially life-threatening complications if the pregnancy is not detected and treated early.
In addition to the immediate dangers, ectopic pregnancies can also have long-term impacts on fertility. Since the fallopian tubes may become damaged or blocked during an ectopic pregnancy, it can make it more difficult for future pregnancies to occur. This is especially true if both tubes are affected or if the pregnancy goes undetected for an extended period of time.
It is important for women who have experienced an ectopic pregnancy to discuss their options and potential risks with their healthcare provider. Early detection and prompt medical intervention can help prevent serious complications and minimize the impact on future fertility.
Overall, ectopic pregnancies are dangerous and risky, not only because of the immediate harm they can cause, but also because they can have long-term effects on a woman’s ability to conceive in the future. It is crucial to seek medical attention at the first sign of symptoms to ensure a timely diagnosis and appropriate treatment.
Ectopic Pregnancies and the Risk of Rupture
Ectopic pregnancies are a serious and dangerous condition that can be harmful to a woman’s health. These pregnancies occur when a fertilized egg implants outside of the uterus, typically in the fallopian tube. The tube is not designed to support a growing embryo, and as the pregnancy progresses, it can cause the tube to rupture.
When an ectopic pregnancy ruptures, it can lead to internal bleeding, which is a medical emergency. This can cause severe pain and discomfort, as well as other symptoms such as dizziness, fainting, and shoulder pain. If left untreated, a ruptured ectopic pregnancy can be life-threatening.
It’s important to recognize the symptoms of an ectopic pregnancy and seek medical attention if you experience them. This includes abdominal pain, vaginal bleeding, shoulder pain, and lightheadedness. Early diagnosis and treatment are crucial to prevent complications and minimize the risk of rupture.
Healthcare providers can diagnose ectopic pregnancies through a combination of physical exams, ultrasound imaging, and blood tests. Treatment options for ectopic pregnancies vary depending on the individual’s health, the location of the pregnancy, and the severity of symptoms. In some cases, surgery may be necessary to remove the pregnancy and prevent further complications.
It’s important for women to be aware of the risks associated with ectopic pregnancies and to seek medical attention if they suspect they may be experiencing one. Early detection and prompt treatment can help prevent rupture and ensure the best possible outcome for both the woman and the pregnancy.
Diagnosing Ectopic Pregnancies: Medical Tests and Procedures
When it comes to diagnosing ectopic pregnancies, medical tests and procedures are vital in determining if a pregnancy is occurring outside of the uterus. Since extrauterine pregnancies can be serious and harmful, it is important to identify them early on to prevent dangerous complications.
One common diagnostic method is a transvaginal ultrasound. This procedure uses sound waves to create images of the reproductive organs, allowing healthcare professionals to visualize the location of the pregnancy. If the pregnancy is found to be outside of the uterus, it is highly likely to be an ectopic pregnancy.
Another important test is the hCG blood test.
This test measures the levels of human chorionic gonadotropin (hCG) in the blood. In a normal pregnancy, hCG levels rise steadily. However, in ectopic pregnancies, hCG levels may not increase as expected or may rise at a slower rate. Therefore, if hCG levels are not consistent with a typical pregnancy, further investigation is necessary.
In some cases, laparoscopy may be performed to provide a definitive diagnosis. In this surgical procedure, a small incision is made in the abdomen, and a thin, flexible tube with a camera is inserted. This allows healthcare professionals to directly visualize the pelvic organs and identify the presence of an ectopic pregnancy.
Early diagnosis of ectopic pregnancies is crucial because if left untreated, they can be risky and harmful. The developing embryo can cause the fallopian tube to rupture, leading to severe bleeding and potentially life-threatening complications.
Therefore, if you are experiencing symptoms such as abdominal pain, vaginal bleeding, or dizziness, it is essential to seek medical attention promptly. This will ensure that proper tests and procedures are conducted to accurately diagnose the presence of an ectopic pregnancy and prevent any dangerous outcomes.
Treatment Options for Ectopic Pregnancies
Ectopic pregnancies are a serious and dangerous condition that can be harmful to a woman’s health. If left untreated, they can lead to serious complications, including life-threatening bleeding and damage to the fallopian tubes. It is important to seek medical attention immediately if you suspect you may have an ectopic pregnancy.
Medical Management
In some cases, if the ectopic pregnancy is detected early and is small in size, it can be treated with medication. The most common medication used is methotrexate, which works by stopping the growth of the pregnancy. This option is typically only considered if the pregnancy is not causing severe symptoms and if the woman’s condition is stable. Regular monitoring and follow-up appointments are necessary to ensure that the treatment is successful.
Surgical Intervention
In other cases, surgical intervention is necessary to remove the ectopic pregnancy. This can be done through laparoscopy or laparotomy. During a laparoscopy, a small incision is made in the abdomen and a thin, flexible tube with a camera is inserted to view the fallopian tubes and remove the ectopic pregnancy. Laparotomy is a more invasive procedure that involves making a larger incision in the abdomen to directly access the fallopian tubes and remove the pregnancy.
The choice between medical management and surgery depends on several factors, including the size and location of the ectopic pregnancy, the woman’s overall health condition, and her desire for future fertility. The medical team will assess the situation and make the best decision for the individual case.
It is important to note that treatments for ectopic pregnancies can carry certain risks. Both the medical and surgical options come with their own set of potential complications and side effects. Risks include infection, damage to the fallopian tubes, and the possibility of future ectopic pregnancies. Consult with your healthcare provider to fully understand the risks and benefits of each treatment option.
If you have been diagnosed with an ectopic pregnancy, it is essential to follow your healthcare provider’s instructions and attend all follow-up appointments. Early detection and appropriate treatment can help minimize the risks associated with ectopic pregnancies and improve the chances of a successful outcome.
Methotrexate: A Non-surgical Approach to Managing Ectopic Pregnancies
Ectopic pregnancies, also known as extrauterine pregnancies or tubal pregnancies, are a serious condition that can be dangerous and harmful to the mother’s health. In these pregnancies, the fertilized egg implants outside of the uterus, usually within the fallopian tube. This can result in a variety of complications and health risks for the mother.
Traditionally, the management of ectopic pregnancies involved surgical intervention, such as laparoscopic surgery or laparotomy, to remove the ectopic pregnancy and repair any damage to the fallopian tube. While these surgical approaches are effective, they carry their own set of risks and complications.
Fortunately, medical advancements have allowed for the development of a non-surgical approach to managing ectopic pregnancies: the use of methotrexate. Methotrexate is a medication that works by inhibiting the growth of rapidly dividing cells, such as those found in the developing embryo.
By administering methotrexate, healthcare providers can stop the growth of the ectopic pregnancy, allowing the body to naturally absorb and eliminate it over time. This non-surgical approach can be particularly beneficial for women who wish to preserve their fertility, as it avoids the potential damage to the fallopian tube that can occur during surgery.
It is important to note, however, that methotrexate is not suitable for all ectopic pregnancies. The decision to use methotrexate as a treatment option depends on factors such as the size and location of the ectopic pregnancy, the presence of symptoms, and the overall health of the mother.
While methotrexate offers a non-surgical alternative for managing ectopic pregnancies, it is not without risks. Common side effects of methotrexate include nausea, vomiting, and fatigue. Additionally, there is a small risk of complications, such as an incomplete abortion or the need for surgical intervention if the treatment is not successful.
In summary, while ectopic pregnancies are indeed serious and can be dangerous, the use of methotrexate provides a non-surgical approach to managing these risky pregnancies. It offers a potential alternative for women who wish to avoid surgery and potentially preserve their fertility. However, the decision to use methotrexate should be made in consultation with a healthcare provider, taking into consideration individual circumstances and the potential risks involved.
Surgical Interventions for Ectopic Pregnancies: Exploring the Options
Ectopic pregnancies are a serious and potentially dangerous condition that occurs when a fertilized egg implants outside of the uterus. The most common type of ectopic pregnancy is a tubal ectopic pregnancy, where the egg implants in the fallopian tube instead of the uterus. This can be extremely harmful and can pose a serious risk to the mother’s health.
Why are surgical interventions necessary?
In most cases, ectopic pregnancies cannot be managed with medication or other non-surgical treatments and require surgical intervention. The main goal of surgery for ectopic pregnancies is to remove the developing pregnancy and repair any damage to the fallopian tube or surrounding tissues. It is important to take swift action to prevent the rupture of the fallopian tube, which can be life-threatening.
Types of surgical interventions
There are several surgical interventions that can be used to treat ectopic pregnancies:
1. Laparoscopic surgery: This minimally invasive procedure involves making small incisions in the lower abdomen and inserting a thin, lighted instrument called a laparoscope. Through this instrument, the surgeon can remove the ectopic pregnancy and repair any damage to the fallopian tube or other affected areas.
2. Laparotomy: This is a more invasive surgical procedure that involves making a larger incision in the abdomen to access the affected area. Laparotomy may be necessary if the ectopic pregnancy has caused severe damage or if there are complications that require a larger incision for better access and visualization.
3. Salpingectomy: This surgical procedure involves removing the entire affected fallopian tube. It is usually performed if the fallopian tube is severely damaged or if there is a risk of future ectopic pregnancies occurring in the same tube.
4. Salpingostomy: This procedure involves making a small incision in the fallopian tube and removing the ectopic pregnancy while preserving the tube. This may be a preferred option if the fallopian tube is still healthy and there is a desire to preserve fertility.
It is important to note that all surgical interventions for ectopic pregnancies come with some level of risk and should be carefully discussed with a healthcare provider. The decision on which surgical intervention to choose depends on factors such as the location and severity of the ectopic pregnancy, the overall health of the patient, and the desire for future fertility.
Recovery and Post-treatment Care for Ectopic Pregnancies
After receiving treatment for ectopic pregnancies, it is important for women to take the necessary steps for a healthy recovery and post-treatment care. Ectopic pregnancies can be serious and potentially life-threatening if left untreated, so it is crucial to closely follow medical advice and instructions to ensure a successful recovery.
Monitoring and Follow-up Visits
Following ectopic pregnancy treatment, it is common for healthcare providers to schedule regular monitoring and follow-up visits. These visits are important for tracking the progress of recovery and ensuring that there are no complications or further risks. During these appointments, healthcare providers may perform physical examinations and order blood tests or ultrasounds to assess the healing process.
Physical Rest and Emotional Support
Recovering from an ectopic pregnancy can be emotionally and physically challenging. It is vital for women to prioritize physical rest and give their bodies time to heal. Women may experience fatigue, pain, or other discomforts during the recovery period, so it is important to listen to their bodies and avoid overexertion. Emotional support from loved ones and healthcare professionals can also play a crucial role in the healing process.
Additionally, engaging in self-care activities, such as meditation, gentle exercise, or pursuing hobbies, can help alleviate stress and promote overall well-being during the recovery period.
It is important for women to remember that the emotional impact of an ectopic pregnancy can vary from person to person. Seeking professional counseling or joining support groups can provide additional emotional support and assistance in navigating the complex emotions that may arise during the recovery process.
Overall, a comprehensive approach to recovery and post-treatment care is key in ensuring optimal healing and well-being following an ectopic pregnancy. By closely following medical advice, monitoring progress, prioritizing physical and emotional rest, and seeking support when needed, women can take the necessary steps towards a healthy recovery.
Emotional Impact of Ectopic Pregnancies: Coping and Seeking Support
Ectopic pregnancies, also known as extrauterine pregnancies, can be emotionally challenging for individuals who experience them. The knowledge that a pregnancy is not developing in the uterus, where it is supposed to, can be distressing and difficult to accept. Coping with the emotional impact of an ectopic pregnancy is important for the wellbeing of the individual affected.
Understanding that ectopic pregnancies are not only harmful but also dangerous and potentially life-threatening is crucial. This knowledge can intensify the emotional impact of the situation. Feelings of fear, anxiety, sadness, and guilt are common responses to the serious and risky nature of ectopic pregnancies.
Seeking support from loved ones, healthcare professionals, and support groups can greatly assist in coping with the emotional burden. Speaking openly about one’s feelings and concerns can help individuals process their emotions and feel less alone in their experience. Counseling and therapy can also provide a safe space to explore and navigate the complex emotional landscape that accompanies an ectopic pregnancy.
In addition to seeking support, engaging in self-care practices is essential. Taking time to rest, relax, and engage in activities that bring joy and peace can help alleviate stress and promote overall emotional wellbeing. It is important for individuals to prioritize their mental and emotional health during this challenging time.
Another important aspect of coping with the emotional impact of ectopic pregnancies is acknowledging and addressing any unresolved grief or trauma. The loss of a pregnancy can be devastating, and it is essential to give oneself permission to grieve and heal. Support groups and therapy can be valuable resources for individuals navigating grief and trauma associated with ectopic pregnancies.
Overall, ectopic pregnancies are not only physically harmful but also emotionally challenging. Understanding the risks and seeking support can help individuals cope with the emotional impact and promote their overall wellbeing.
Future Pregnancy Planning after Ectopic Pregnancies
After experiencing an ectopic pregnancy, it is important to carefully consider future pregnancy planning. Ectopic pregnancies are not only risky and dangerous, but they can also have serious consequences for both the mother and the fetus. These extrauterine pregnancies occur when a fertilized egg implants outside of the uterus, typically in the fallopian tubes. The potential for harm is high in these cases, as the fertilized egg cannot develop properly outside of the uterus.
When planning for future pregnancies after an ectopic pregnancy, it is crucial to consult with a healthcare professional. They can provide guidance and support, helping to assess the risks involved and determine the best course of action. Depending on the individual situation, options may include close monitoring during early pregnancy, taking certain medications, or even considering alternative methods such as in vitro fertilization.
It is important to note that every woman’s situation is unique, and the approach to future pregnancy planning will vary. While ectopic pregnancies can be harmful and risky, it is still possible for many women to have successful pregnancies in the future. However, it is important to be vigilant for any signs or symptoms of another ectopic pregnancy, such as abdominal pain, vaginal bleeding, or dizziness. Early detection and prompt medical attention are crucial for ensuring the health and safety of both the mother and the baby.
Overall, while ectopic pregnancies are dangerous and harmful, they should not deter women from pursuing future pregnancies. With proper planning, expert medical guidance, and a vigilant approach, many women can go on to have healthy pregnancies after experiencing an ectopic pregnancy. It is important to prioritize health and well-being when considering future pregnancy options, and to ensure that you have the necessary support in place to navigate the potential risks and challenges.
Prevention and Risk Reduction Strategies for Ectopic Pregnancies
Ectopic pregnancies are serious and potentially harmful. They occur when a fertilized egg implants outside of the uterus, typically in the fallopian tubes. This extrauterine implantation can be risky and may lead to dangerous complications.
While it is not always possible to prevent ectopic pregnancies, there are steps that individuals can take to reduce their risk.
1. Early and Regular Prenatal Care
Receiving early and regular prenatal care is essential for detecting and managing ectopic pregnancies. By monitoring hormone levels and conducting ultrasounds, healthcare providers can identify potential ectopic pregnancies and take appropriate action.
2. Understanding Risk Factors
Knowing the risk factors for ectopic pregnancies can help individuals recognize if they are at higher risk and take necessary precautions. Some common risk factors include a history of pelvic infections, previous ectopic pregnancies, and damage to the fallopian tubes.
It is important to note: Even individuals without these risk factors can still experience an ectopic pregnancy, so awareness and regular check-ups are crucial.
In conclusion, ectopic pregnancies are potentially harmful and serious. However, by receiving early and regular prenatal care and understanding the risk factors, individuals can take steps to reduce their risk and protect their health.
When to Seek Medical Help: Understanding the Urgency of Ectopic Pregnancies
While ectopic pregnancies are rare, they can be serious and harmful if left untreated. It is important to recognize the signs and symptoms of an ectopic pregnancy and seek medical help immediately.
Recognizing the Signs and Symptoms
An ectopic pregnancy occurs when a fertilized egg implants outside of the uterus, typically in the fallopian tube. This is commonly referred to as a tubal pregnancy, but it can also occur in other areas such as the ovary or abdominal cavity.
The symptoms of an ectopic pregnancy may vary, but the most common signs to look out for include:
- Abdominal pain, which can be sharp or cramp-like
- Vaginal bleeding, often heavier or different from a normal period
- Pain in the shoulder or neck
- Dizziness or fainting
- Nausea or vomiting
- Painful urination or bowel movements
Understanding the Urgency
It is essential to seek medical help as soon as possible if you suspect an ectopic pregnancy. Ectopic pregnancies can be life-threatening if not diagnosed and treated promptly. The fertilized egg cannot develop properly outside of the uterus and can cause severe internal bleeding and organ damage.
Delaying medical help can lead to serious complications, including the rupture of the fallopian tube or other surrounding structures. This can result in heavy internal bleeding, shock, and even death in some cases.
Remember, ectopic pregnancies are not viable and cannot be carried to term. Seeking immediate medical assistance can help ensure your safety and well-being.
If you experience any symptoms of an ectopic pregnancy or are unsure, do not wait. Contact your healthcare provider or go to the nearest emergency room without delay.
Early detection and intervention are vital for minimizing the risks associated with ectopic pregnancies and preserving reproductive health.
Remember, the health of both the mother and the unborn baby is at serious risk if ectopic pregnancies are not promptly treated.