cervical pregnancy

Cervical pregnancy is a rare but dangerous type of ectopic pregnancy.

Cervical pregnancy refers to the implantation and development of a fertilized egg in the cervical canal. This is usually due to abnormal operation of the fertilized egg, or some abnormal factors in the cervical canal that make it easy for the fertilized egg to implant there. The patient may experience postmenopausal vaginal bleeding, which may vary in amount, and sometimes may even cause a large amount of bleeding, resulting in shock. In addition, symptoms such as lower abdominal pain may be associated. Gynecological examination may reveal cervical enlargement and softening. Ultrasound is important for diagnosis and can show that the gestational sac is located in the cervical canal. Blood βHCG monitoring can also help diagnose and evaluate the condition.

Treatment needs to be selected according to the specific situation. For early, small gestational sac and low bleeding cases, medical treatment such as methotrexate may be selected. For severe bleeding or progressive cases, surgery may be required, such as cervical curettage, cervical resection, etc., and uterine artery embolization may be performed if necessary to reduce bleeding. If not handled promptly or improperly, it may lead to severe bleeding, shock, or even life-threatening. In addition, it may affect future fertility.

After treatment, blood βHCG levels need to be closely followed until they return to normal to ensure complete elimination of pregnant tissues. Patients should still be alert to the possibility of recurrent ectopic pregnancy in subsequent pregnancies. Although

cervical pregnancy is rare, due to its potential serious risks, timely diagnosis and appropriate treatment are required to ensure the patient's life safety and reproductive health.