What is ovulatory regress?

Pregnancy is the process by which sperm meets an egg, fertilizes it, and implants in the uterus. When the placenta develops abnormally, causing the placenta to degenerate, turning into fluid-filled sacs, it will gradually occupy the entire area of ​​the uterus and press on the fetus, overwhelming the development of the fetus, this is called an ovum. . So what is a retrograde pregnancy?

Ovulation is a condition in which the placenta does not develop normally. The placental trophoblastics grow too fast compared to normal, causing the connective tissues and blood vessels in the placenta to not develop in time, causing the placenta to degenerate and become water-filled sacs. These sacs stick in clusters, grow larger, if left for a long time, they will occupy the entire area of ​​the uterus, affecting the development of the fetus.
The rate of egg pregnancy is very low, only about 0.1%. Any woman of any age during pregnancy can get it. Most pregnant women are treatable and the survival rate is up to 90%.
So far, the exact cause of this phenomenon has not been found. However, there are a number of factors that can increase the risk of ectopic pregnancy, such as:
Reproductive age: Older pregnant women, women over 35 years old are more likely to have an abnormal pregnancy or in women under 20 years old has not fully developed physically. Because the molecule carries DNA during fertilization: In the ovary, there are incompletely developed eggs, which the pregnant woman's body does not remove as usual, but fertilizes with sperm or an unidentified male sperm. Complete or more complete fertilization of the egg causes a regressive pregnancy. Other causes: Pregnant women are malnourished (mainly protein deficient, vitamin A deficient), have immune system problems. A history of previous pregnancies also increases the risk of ovum in future pregnancies.

In fact, ovulatory regression has different forms, depending on the medical condition that the doctor will classify to have the appropriate treatment.
2.1 How many types of eggs are there? In order to be able to classify a retrograde ovulatory pregnancy, it must be based on its nature. There are 2 types of ovum pregnancy:
Complete ovum: This type occurs when only the placenta develops in the abdomen, there is no fetus Partial ovum: There is a placenta and a fetus is formed, but it is incomplete and unable to develop into a complete fetus. Both types are usually benign and do not cause cancer in pregnant women.

2.2 Manifestations of ovulatory regression Initial signs of ovulatory pregnancy are similar to those of early pregnancy such as nausea, vomiting, but there are abnormal signs:
Abnormal bleeding: Blood is red fresh or dark brown in the first 3 months High hCG level Pain, pressure in the pelvic area due to the placental trophoblastics growing too quickly, causing the abdomen to grow rapidly, especially in the period from week 13 ( 2nd trimester of pregnancy. At the same time, when he went to the doctor, he found: no fetal heart rate, ovarian cyst, high blood pressure, anemia, iron deficiency, hyperthyroidism

Pregnancy is a benign disease, but if not treated early, the large sacs can cause complications such as blood loss, malnutrition, and hemorrhage for pregnant women. The disease can become cancerous due to the invasion of the host cells by the ovum, the risk of maternal death is very high.
It is possible to have a retrograde ovulatory pregnancy even though the previous pregnancy was normal and the disease does not affect the next pregnancy.

When diagnosing an ovary, the doctor will proceed to remove the egg mass from the uterus by aspiration curettage by:
Aspiration curettage or dilation The doctor will dilate the cervix and cure the egg. . During aspiration curettage, use an isotonic saline or sweet solution mixed with oxytocin to stop bleeding, rapidly contract the uterus, and give antibiotics to avoid infection. When performing suction curettage, the patient will be anesthetized or anesthetized.
The second abortion will take place 2 to 3 days after the first time. Then send the curettage for surgery
Chemotherapy with drugs If the pregnant woman is at risk for cancer, or the hCG levels are still high, chemotherapy drugs may be needed after curettage.
Hysterectomy Total hysterectomy or total hysterectomy after curettage is performed in cases where the pregnant woman does not want to have children or in the case of a long, invasive pregnancy. too large to perforate the uterus, requiring removal.
The egg pregnancy should not be kept for a long time because this placenta cannot nourish the fetus. To ensure the safety of pregnant women, the doctor will abort the eggs. According to statistics, over 80% of pregnancies after curettage progressed well, the remaining 20% ​​of trophoblasts continued to develop and secrete hCG leading to complications.

After 2 weeks of pregnancy removal, the patient needs to have a blood test - quantitative beta hCG, done every 2 weeks for the first 3 months and again after 6 months. Follow up regularly to detect in time if there are residual fluid-filled sacs in the uterus.
Need periodic follow-up to check the level of hCG, ultrasound after 1 year of treatment to avoid the development of ovarian tissue that can cause cancer. The patient needs to use contraception for the first year after the procedure. You need to wait a year after your beta hCG levels return to normal before getting pregnant again. During pregnancy, it is recommended to go for an ultrasound check in the first trimester of pregnancy to make sure it's safe, there's nothing abnormal.
In order to give women the best health during pregnancy, Vinmec International Hospital currently deploys many maternity packages (12-27-36 weeks), in which the 12-week maternity package helps to Monitoring the health of mother and baby right from the beginning helps to detect and intervene in time health problems.
For the maternity monitoring program from 12 weeks, there are special services that other maternity packages do not have such as: Double Test or Triple Test to screen for fetal malformations; Quantitative test for angiogenesis factor pre-eclampsia, thyroid screening test, Rubella test, test for parasites transmitted from mother to child... The examination is always done by the team. Professional doctor with many years of experience in the profession.
Along with good quality of examination, Vinmec also has modern and advanced facilities to help examine and assess medical conditions more accurately, thereby helping customers to feel secure about their condition. own health.