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Gynecologic Emergencies

Ectopic pregnancy, ovarian torsion and placental abruption require rapid diagnosis and surgical intervention.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Acil Servis department. Book Appointment →

What is Gynecologic Emergencies?

Gynecologic emergencies cover life-threatening conditions including ectopic pregnancy, ovarian torsion, pelvic inflammatory disease, placental abruption and postpartum hemorrhage. Most require rapid surgical evaluation.

Ectopic pregnancy is an important cause of acute abdominal pain in reproductive-age women and may present with hypovolemic shock if rupture occurs. Early ultrasound and beta-hCG measurement are critical for diagnosis.

In every reproductive-age woman, certain investigations should not be performed before pregnancy is excluded; this approach is standard in emergency department practice.

Symptoms

Lower abdominal pain
Abnormal vaginal bleeding
Pain along with missed period
Dizziness, syncope
Shoulder pain (sign of intra-abdominal bleeding)
Tachycardia, hypotension
Fever and vaginal discharge (in infection)

Risk Factors

History of prior ectopic pregnancy
Previous pelvic infection and surgery
Assisted reproductive treatment
Sexually transmitted diseases
Pregnancy and delivery complications
Smoking

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Call emergency services for sudden lower abdominal pain and dizziness
  • Go to the emergency department immediately for bleeding inconsistent with pregnancy
  • High fever and pelvic pain require infection evaluation
  • Pregnancy must be excluded in every reproductive-age woman

Treatment Methods

01
IV access and fluid support
02
Pain control and antiemetics
03
Emergency ultrasound and beta-hCG measurement
04
Laparoscopic surgery or methotrexate for ectopic pregnancy
05
Emergency laparoscopy for ovarian torsion
06
Broad-spectrum antibiotic therapy in PID

Which Department to Visit?

You can visit our Acil Servis department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.