{"id":325,"date":"2018-12-19T11:54:30","date_gmt":"2018-12-19T10:54:30","guid":{"rendered":"https:\/\/www.coparentalys.com\/blog\/?p=325"},"modified":"2018-12-19T11:54:30","modified_gmt":"2018-12-19T10:54:30","slug":"grossesse-extra-uterine-geu","status":"publish","type":"post","link":"https:\/\/www.coparentalys.com\/blog\/2018\/12\/19\/grossesse-extra-uterine-geu\/","title":{"rendered":"Grossesse extra-ut\u00e9rine (GEU)"},"content":{"rendered":"<h1><span style=\"color: #ff9900;\">D\u00e9tecter une grossesse extra-ut\u00e9rine (GEU)<\/span><\/h1>\n<p>La grossesse extra-ut\u00e9rine est une forme de grossesse se caract\u00e9risant par l\u2019implantation de l\u2019\u0153uf en dehors de l\u2019ut\u00e9rine.<\/p>\n<p>D\u00e9couvrez dans cet article la d\u00e9finition d\u2019une grossesse extra-ut\u00e9rine (GEU), ses sympt\u00f4mes, ses causes, ses cons\u00e9quences et son traitement.<\/p>\n<h2><span style=\"color: #339966;\">Qu\u2019est-ce qu\u2019une grossesse extra-ut\u00e9rine\u2009?<\/span><\/h2>\n<p>Lorsque l\u2019\u0153uf f\u00e9cond\u00e9 ne peut pas atteindre l\u2019ut\u00e9rus pendant la migration ou la nidation, on parle alors de grossesse extra-ut\u00e9rine ou grossesse ectopique.<\/p>\n<p>Le plus souvent, la grossesse extra-ut\u00e9rine se passe dans une trompe de Fallope (grossesse tubaire). Dans ce cas-l\u00e0, soit l\u2019\u0153uf est trop gros pour traverser la trompe et aller dans l\u2019ut\u00e9rus, soit la cavit\u00e9 est bloqu\u00e9e.<\/p>\n<p>Dans de rares cas, la grossesse extra-ut\u00e9rine se d\u00e9veloppe dans l\u2019ovaire, la cavit\u00e9 p\u00e9riton\u00e9ale ou l\u2019abdomen, on parle alors de grossesse ovarienne ou abdominale.<\/p>\n<p>L\u00e0, l\u2019intervention est beaucoup plus complexe, mais reste faisable. M\u00eame si la grossesse extra-ut\u00e9rine n\u2019arrive que pour 2 femmes enceintes sur 100, elle est la cause principale de mortalit\u00e9 au premier trimestre.<\/p>\n<p>Il est alors n\u00e9cessaire d\u2019interrompre la grossesse si elle est ectopique, et de proc\u00e9der \u00e0 un traitement d\u2019urgence.<\/p>\n<h2><span style=\"color: #339966;\">Les signes (sympt\u00f4mes) d\u2019une grossesse extr-ut\u00e9rine<\/span><\/h2>\n<p>Les premiers sympt\u00f4mes d\u2019une grossesse extra-ut\u00e9rine sont le retard des menstruations (sympt\u00f4me atypique d\u2019une grossesse), l\u2019apparition d\u2019une h\u00e9morragie irr\u00e9guli\u00e8re et anormale (pertes de sang de couleur s\u00e9pia ou noir\u00e2tres) et la pr\u00e9sence de douleurs pelviennes ainsi que de malaises.<\/p>\n<p>En effet, dans la trompe de Fallope, l\u2019\u0153uf va se d\u00e9velopper normalement jusqu\u2019\u00e0 ce que la trompe et l\u2019endom\u00e8tre ne puissent plus lui fournir les nutriments n\u00e9cessaires \u00e0 son \u00e9volution.<\/p>\n<p>L\u2019\u0153uf va alors se d\u00e9tacher petit \u00e0 petit de la trompe, cr\u00e9ant une infection, un kyste et une distension de celle-ci. L\u2019\u0153uf d\u00e9coll\u00e9 peut \u00eatre encore vivant ou d\u00e9j\u00e0 mort.<\/p>\n<p>Ce ph\u00e9nom\u00e8ne se nomme l\u2019h\u00e9matosalpinx. La grossesse ne peut plus avoir lieu, car une transplantation de l\u2019\u0153uf dans l\u2019ut\u00e9rus est impossible.<\/p>\n<p>Apr\u00e8s quelques semaines de grossesse extra-ut\u00e9rine, la femme va s\u2019apercevoir que les douleurs pelviennes s\u2019intensifieront, parfois jusqu\u2019aux \u00e9paules. Aussi, le toucher vaginal va \u00eatre assez douloureux, surtout dans le cul-de-sac de Douglas.<\/p>\n<p>Le toucher vaginal d\u2019une grossesse extra-ut\u00e9rine n\u2019est pas similaire \u00e0 une grossesse normale. En effet, en cas de GEU, on a souvent du mal \u00e0 d\u00e9tecter l\u2019\u0153uf et on doit utiliser une sonde pour mieux l\u2019identifier.<\/p>\n<p>Apr\u00e8s les signes, la d\u00e9tection de la grossesse ectopique se fait par \u00e9chographie et c\u0153lioscopie. Une fois le diagnostic confirm\u00e9, l\u2019intervention m\u00e9dicale (ou chirurgicale) doit se faire d\u2019urgence.<\/p>\n<h2><span style=\"color: #339966;\">Les causes d\u2019une grossesse extra-ut\u00e9rine<\/span><\/h2>\n<p>Bien que la cause exacte de la grossesse extra-ut\u00e9rine n\u2019a pas encore \u00e9t\u00e9 retrouv\u00e9e, il y a plusieurs facteurs de risques \u00e0 ce dysfonctionnement.<\/p>\n<p>On peut notamment s\u2019apercevoir que les femmes atteintes de maladies sexuellement transmissibles (MST) sont susceptibles d\u2019avoir une grossesse extra-ut\u00e9rine.<\/p>\n<p>En outre, les autres facteurs de risques sont le tabagisme, le curetage r\u00e9p\u00e9t\u00e9, l\u2019utilisation de dispositif intra-ut\u00e9rin (si la contraception n\u2019a pas pu fonctionner), les ant\u00e9c\u00e9dents de GEU, l\u2019\u00e2ge de la m\u00e8re (souvent entre 30 \u00e0 45 ans), ou la <a href=\"https:\/\/www.coparentalys.com\/blog\/2023\/08\/03\/insemination-femme-seule-comment-faire-un-enfant-en-etant-celibataire\/\">procr\u00e9ation m\u00e9dicalement assist\u00e9e<\/a>.<\/p>\n<p>Suite \u00e0 ces facteurs, les trompes de Fallope peuvent acqu\u00e9rir quelques anomalies, ou l\u2019\u0153uf peut augmenter de volume. Sinon, la grossesse extra-ut\u00e9rine peut \u00e9galement \u00eatre caus\u00e9e par un mauvais fonctionnement lors de la conception.<\/p>\n<p>En effet, l\u2019ovule a pu \u00eatre rejoint par le spermatozo\u00efde alors qu\u2019elle n\u2019a pas encore pu atteindre la trompe.<\/p>\n<h2><span style=\"color: #339966;\">Les cons\u00e9quences d\u2019une grossesse extra-ut\u00e9rine<\/span><\/h2>\n<p>Apr\u00e8s une grossesse extra-ut\u00e9rine, la femme a un risque accru de grossesse ou de r\u00e9cidive.<\/p>\n<p>Selon les statistiques, une femme a environ 60 % de chances de tomber enceinte dans les deux ans qui suivent sa grossesse extra-ut\u00e9rine. Quant aux r\u00e9cidives, le taux varie entre 10 \u00e0 30 %.<\/p>\n<p>Une des cons\u00e9quences d\u2019une grossesse extra-ut\u00e9rine peut \u00e9galement \u00eatre une autre grossesse extra-ut\u00e9rine. C\u2019est pour cette raison que la femme doit \u00eatre minutieusement surveill\u00e9e pendant les premi\u00e8res semaines de sa prochaine grossesse.<\/p>\n<p>D\u2019ailleurs, il est recommand\u00e9 de ne pas tomber enceinte pendant les trois mois qui suivent le traitement de la GEU.<\/p>\n<p>Normalement, la grossesse extra-ut\u00e9rine ne doit pas causer de changements sur la fertilit\u00e9 de la femme. Toutefois, si le traitement est l\u2019ablation des deux trompes, la femme ne pourra plus procr\u00e9er. Elle devra envisager une f\u00e9condation in vitro ou une adoption si elle souhaite encore avoir un enfant.<\/p>\n<h2><span style=\"color: #339966;\">Traitement d\u2019une grossesse extra-ut\u00e9rine<\/span><\/h2>\n<p>Une fois la grossesse extra-ut\u00e9rine d\u00e9tect\u00e9e, la femme doit \u00eatre hospitalis\u00e9e d\u2019urgence. Si la grossesse extra-ut\u00e9rine r\u00e9gresse spontan\u00e9ment, la femme peut subir un traitement sans intervention chirurgicale. Dans ce cas-l\u00e0, un m\u00e9dicament est pr\u00e9conis\u00e9 par voie g\u00e9n\u00e9rale.<\/p>\n<p>L\u2019\u00e9tat de la femme doit \u00eatre scrupuleusement surveill\u00e9. Pour les autres formes de grossesses extra-ut\u00e9rines, une intervention chirurgicale est primordiale.<\/p>\n<p>Lors de l\u2019op\u00e9ration, le chirurgien devra enlever toute la trompe ab\u00eem\u00e9e \u00e0 moins que celle-ci ait \u00e9t\u00e9 laiss\u00e9e intacte par l\u2019\u0153uf ou que la grossesse n\u2019est pas tubaire.<\/p>\n<p>On peut aussi se tourner vers une coeliochirurgie qui autorise \u00e0 enlever la GEU avec une petite incision, pendant la c\u0153lioscopie.<\/p>\n<p>La grossesse extra-ut\u00e9rine peut aussi \u00eatre trait\u00e9e par ponction sous surveillance \u00e9chographique.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>D\u00e9tecter une grossesse extra-ut\u00e9rine (GEU) La grossesse extra-ut\u00e9rine est une forme de grossesse se caract\u00e9risant par l\u2019implantation de l\u2019\u0153uf en<\/p>\n","protected":false},"author":1,"featured_media":418,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.12 - 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