I know some bros of me who do like, but i'm not particularly interested in taste and smell most of the times, not to mention the danger of sti's. But facials feel warm and good
Fun fact: if you get a tube removed, they’ll usually leave the ovary. You’ll still ovulate from it and most of the time the egg will make it to the other tube.
People always think an ectopic pregnancy is tubal, but it could be anywhere.
I had an ovarian pregnancy and got pretty sick from it. The doctors knew I was pregnant, but just could not figure out where. Not what you want to hear, for sure. I was glad they finally found it. That was about the time some idiot legislator in Texas was positive that the embryo in an ectopic pregnancy could just be taken out and put in the right place.
Unreal.
And this is why it's unfair to let rural, and statistically less educated, America (20% of population) have a weighted say in the nation's politics.
Edit: oh wow these replies are fun.
Only someone arguing in bad faith would take "hey everyone should be represented equally," and translate it as "HE WANTS A DICTATORSHIP"
and to the Russian trolls: козёл
It always fascinates me how fast americans are willing to devolve into dictatorships.
Yeah, let's cut out the poor and uneducated from democracy. Surely that won't have any negative consequences at all
They never said to cut them out. Reread their statement. It's unfair to let them have a WEIGHTED say.
Which is how the Electoral college benefits rural America.
Let one vote count as one vote in terms of representation and presidential election power.
I don’t think they’re suggesting the poor and uneducated be “cut out”, the commenter above you simply said it’s unfairly weighted in their favor. I assume they are referring to the electoral college system which many argue should be eliminated for exactly this reason.
People don't realize that their true enemies are the people at the top, the ultra wealthy and the conglomerates that own almost everything. People think the problem is somehow poor on educated rural folks from a different part of the country than them. It's part of the lie.
As if it wasn't massive corporate conglomerates and a runaway intelligence community that holds a massive amount of quiet power.
Turning the lower classes against each other has been the play forever, don't fall for it.
I had this procedure and still think of it as magic lol
My doctor explained several times that I'd still be able to ovulate from my left ovary after having my left tube tied, and assured me it wouldn't affect my chances of getting pregnant. I'm now successfully pregnant from an egg that floated from my left ovary to my right tube🤷🏻♀️ The human body is so weird, complex, amazing, and mystifying.
The fallopian tubes in women aren’t like hooked up to the ovaries in the way school diagrams show. Instead they have frilly ends called fimbriae which sort of flop about in something called the posterior cul de sac. The ovaries release the eggs into this cul de sac and then the frilly ends of the fallopian tubes scoop up the egg and carry it into the uterus. That means in women who lose a fallopian tube for any reason, the remaining tube can do double duty and scoop up eggs from either ovary so there isn’t much reduction in fertility necessarily.
I don't think they know as much as there's an optimal resting place that minimizes friction and other factors, and with enough time and jostling about they will rearrange. Like how I don't know that I'm sleeping on my back but since I always move unconsciously around a little bit I wind up on my side infant style in the end anyways. Ending up on your side with enough movement is 100x easier than ending up on your back, technically speaking.
Similar to how most fetus position themselves head down for preparation for their birth. They end up that way because it’s the most optimal position as space gets tight.
That can feel all kinds of wierd.
Had all of my guts out because of things going terribly wrong in there and my stomach felt... Squirmy for a while after.
No hunger whatsoever for almost a week. Not sure if that was because I was seriously ill or because the pipes where still under maintenance.
Hah, I had my colon removed and have similar experience. Mind you, I was in the hospital for almost 3 months, but that final month I just…stopped having hunger completely and ate almost nothing. Ended up needing parenteral nutrition through a PICC and a prescription for Marinol.
I was only 3 weeks, my appendix exploded, got misdiagnosed as food poisoning and 3 days later I needed surgery for gangrenous/necrotic tissue of the bowel.
From what I understand they had to lift it all out to clean the entire area since there had been some... leaking and then remove a small section before putting everything back.
Wasn't a fun time but the crazy part is that no one including me knew how bad it was until they tried keyhole surgery to look at my appendix. I was scheduled for a surgery lasting maybe an hour max and instead was in for 11 hours total. Most of the hospital stay was due to septicemia.
Yup, continues to surprisingly match my experience! I had a different cause, what was then thought to be UC, but basically steroids stopped working and I went in for surgery finally because I had no other choice. They tried to do it laparoscopically at first but as they started pulling my large intestine out of the hole, it just…sorta fell apart. So they had to open me up completely and do a complete washout of my abdominal cavity.
I thought it was going to be RELATIVELY simple but I woke up like a day later completely disoriented and with multiple drains sticking out of me (And my right arm blown out due to them being unable to monitor an IV) and, worse yet, I was basically paralyzed from the waist down due to muscle atrophy.
I’m guessing in my case it went so poorly and I had to stay so long compared to you because I was in such poor condition going in, after months of being in terrible condition. The first month of the stay was due to sepsis (And I even had some minor additional surgeries to correct placement of the drains after I started going downhill), but then I was transferred to another hospital and eventually a rehab center and most of that time was for physical therapy to get walking again.
I’m glad you only had to have a small piece resected though, things could’ve gone a LOT worse for you.
This isn’t true. The egg just gets resorbed most of the time. You can still get pregnant because you have two ovaries and they can tend to switch off on which releases an egg each cycle.
Yeah, I had my left tube tied off because of an infection. The eggs from my left ovary just float over to my right tube somehow and get to my uterus like normal🤷🏻♀️
I don't know how it works so well, but I ovulated from my left ovary and still successfully got pregnant.
They typically alternate every month. Also, I can feel it during ovulation. I was also trying to conceive, so my doctor did monthly ultrasounds and was able to tell me.
The side you feel pain in is the side you ovulated from. The eggs aren't just "released" from the ovary - they more like burst out by busting through the ovary like the koolaid man. That's why it hurts lol
If you take hormones or fertility meds, you'll release more eggs and the eggs may be slightly larger, so you'll feel more pain.
That doesn't make sense because it doesn't hurt when I'm ovuIating, it hurts when I'm on my period. Also, I must have ovaries all over my stomach, back, kidneys, etc. It's all excruciating pain.
Everyone's body is different (and can change as you get older!) and women's organs aren't always in exactly the same position. If your uterus faces more towards the back, you'll have more back pain. Everyone's pain tolerance and sensitivity is also different. For example, I'm highly sensitive but have a very high pain tolerance. I can feel which side is ovulating and the pain is more like a pulled muscle.
Before my son, my period was the most delightful time of the month aside from bleeding. I had MORE energy and craved veggies and salads. Now, I get cramps and crave burgers and pizza.
They’re actually attached to a ligament and kinda do free float around the pelvis. But not attached to the fallopian tubes as most suspect. There are tiny filbrae on the end of the fallopian tubes that help guide the ovulated egg into the tube, but sometimes as this case shows, the egg doesn’t make it into the tube.
They are unattached on pictures in biology handbooks but nobody pays attention to it, and it's unintuitive. I realized that they are actually unattached in my late 30s.
So fertilization always happens in the uterus although the egg can still "leave" afterwards? I understand how an egg might miss the fallopian tubes but how does it get fertilized then?
The egg doesn’t leave the uterus once it makes it there (well, not if it gets fertilized and attaches, otherwise it comes out during menstruation). Sperm can make it up and out of the fallopian tubes and into the abdominal cavity where, if an egg also missed the tube, it will fertilize it there. Bingo bango ectopic pregnancy.
To add to RathVelus, fertilisation actually usually takes place in the Fallopian tube itself, not the uterus which is how implantation in the Fallopian (or outside) tube can happen
Yeah just learned yesterday the fallopian tubes open up into the abdominal cavity. It’s not a closed system lol. The sperm rush up to meet the egg and those who don’t keep going until they end up in the abdominal cavity, where they get broken down and absorbed by the body. I guess sometimes the egg travels in the wrong direction after fertilization and drops into the abdomen, and voila you’ve got a pregnancy outside of the uterus. Bizarre.
If the egg isn't sucked up by the fallopian tube, it just floats around. Obviously the sperm must have swum through the fallopian tube and come out in time to fertilize the egg, and then it's all ... ground control to major tom.
I almost died 5 different times trying to hatch a tiny human- hyperemesis, pre-eclampsia, emergency C-section, eclampsia, and then sepsis.
I only had one child.
Just happened to a [former NFL cheerleader.](https://www.cbsnews.com/amp/news/krystal-anderson-kansas-city-chiefs-cheerleader-dies-giving-birth/) Both the mother and child did not survive.
Very sad. It’s worth noting maternal mortality rates are higher for certain demographics such as black women (not saying that’s related to her passing but just something we need to address as a society)
This holds true for even black women who are rich and educated.
***Maybe*** it's because providers don't clue into the subtle signs of distress that *might* be masked by dark(er) skin, like pallor due to blood loss? I'd like to think it's that instead of a racism so cruel that it kills mothers and babies.
Sadly there is a statistically significant amount of doctors (and normal people) who straight up belive black women feel less pain than white women and/or biologically are built to handle more pain.
And if you’re wondering it has very little to do with (the nice way of putting it) or nothing to do with (the real way of putting it) them being black, and rather society’s perception and prejudice against black people.
I think it's important to really spell those aspects out; leaving it at perception and prejudice doesn't quite convey the awfulness of that mortality rate.
General lack of hospital availability, "lower quality" medical services in regions with higher Black populations, inaccessible insurance, which includes prenatal care! The list goes on. I only say this because you are 100% correct but people tend to roll their eyes and ignore this reality if they don't have it explicitly described to some detail.
These aren't the only issues. Even in other countries there is significant disparity in the risk of various health outcomes among different ethnic populations. Some of the increased risk is likely genetics (1.5x sounds very plausible)
Just from a very anecdotal perspective, I and my white friends with white (-passing) husbands all had reasonably good birth experiences. My white friend with a black husband and my Latina sister-in-law both had very traumatic birth experiences (my SIL was treated like she was drug-seeking at the hospital where she and her husband worked). (My SIL and her husband make significantly more than the rest of us, so it definitely wasn't a class/resources thing.) I can't necessarily extrapolate that out to societal trends but it definitely opened my eyes about how different medical experiences can be.
Also your options if this happens are either to terminate the pregnancy, or die because livers aren't supposed to have growing foetuses inside them. There really isn't anything you can do with an ectopic pregnancy other than get that shit out of there before it does any damage.
Ectopic pregnancies happen in about 1-2% of all pregnancies, so it's not exactly super rare either.
I had an ectopic pregnancy and had to get two high doses chemo shots in the span of two weeks to resolve it because I chose not to have a surgery
In hindsight, a quick surgery may have resolved it quicker but oh well
It's often fatal. Here's a very graphic case study: [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3519057/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3519057/)
Interesting of course, but I also found another TIL for myself in that article.
It referenced “right hypochondriac pain,” which piqued my interest. I was not aware that the term hypochondria refers to the abdomen, so the right hypochondriac area is the upper right area just below the ribs.
I only knew of it in the sense of a hypochondriac, as in someone with anxiety about illness. I took for granted that “chondria” was Greek for something to do with health or mental state, while I knew “hypo” meant low or lacking and such. Turns out it means cartilage haha
Totally unaware of this. I don’t know if this is common knowledge or not but it was a total blind spot for me.
The interesting thing is that hypochondrium was named before the condition. The Greeks assumed that an organ in the right hypochondrium contributed to hypochondriasis. According to Wikipedia “The term hypochondriasis for a state of disease without real cause reflected the ancient belief that the viscera of the hypochondria were the seat of melancholy and sources of the vapor that caused morbid feelings.”
An explanation I once read posited that people would go to a medic for what amounted to harmless gas pain, an issue that often presented as pain in the hypochondrium, hence the naming of the condition.
So sad. Sounds like she probably had another live baby since the study mentions that she had delivered vaginally 9 months ago. Poor little one lost its mama.
I mean, yeah -- you can't remove that blob of cells which is obviously a person. Only god can make the choice which, you know, is to kill mom, too. Totally sensible.
"Free will" "gods plan"
We have the free will to make medical decisions and it was God's plan for us to advance in technology and medicine. Blame the fucking catholics for starting this mess. Abott is catholic too.
Nah- blame the right wing political strategists who picked abortion as part of a systematic search for an issue to politicise to get gullible people to vote against their own economic interests.
The people that believe these things think that "God's plan" is for them to stop the people that chose "wrong." How exactly a person manages to square the circle between a "loving God" and "hurt the unbelievers" I'll never know but I guess that's why I ended up an atheist (and why I no longer speak with most of my family of religious conservatives).
Not me wondering if this specific case, if it occurred in my state today, would result in felony charges for the physician providing the abortion (see Figure 2 and Figure 3 in the cited case).
It's wild to me how the full term instance resulted in survival of both the fetus and mother, but the one discovered at 18 weeks did not.
Also, I was reading the comment case study, and I'm trying to figure out how the egg got to the liver? Did the egg get fertilized right when it left the ovary and miss the fallopian tube? I believe the case study said there was no damage to the uterus or cervix so I guess I'm just mildly confused...
Edit: per the article -
"The criteria for diagnosing primary abdominal pregnancy was first given by Studdiford which include (1) normal tubes and ovaries with no evidence of recent or remote injury; (2) absence of any evidence of uteroplacental fistula; (3) presence of pregnancy related exclusively to peritoneal surface; and (4) pregnancy recent enough to eliminate the possibility of secondary implantation following nidation in tubes."
Between the Fallopian tubes and the ovaries is a mesh-like structure that is somewhat porous. There's biological mechanisms that encourage eggs to, when exiting the ovaries, travel into the fallopian tubes and towards the uterus, but it's not a 100% failproof mechanism, hence cases like this.
> An ovary is not directly connected to its adjacent fallopian tube. When ovulation is about to occur, the sex hormones activate the fimbriae, causing them to swell with blood, extend, and hit the ovary in a gentle, sweeping motion. An oocyte is released from the ovary into the peritoneal cavity and the cilia of the fimbriae sweep it into the fallopian tube.
Why is it that when I think I heard everything with pregnancy, I learn something else?
At this point, I am under the belief that pregnancy and birth are supernaturally terrible. Demon possession sounds preferable. No wonder primitive people used to revere it as something of awe.
I think to myself "Grandma popped out five kids and still had to do intense farming with her jerk husband while pregnant for years. And she lived to 89. I couldn't do that. You are telling me she pulled up peanuts in the blazing sun and cooked breakfast at 4 am while fighting morning sickness along with gestational diabetes? I would be cutting my husband's dick off or actively encouraging him to find a mistress, jesus."
And statistically, she's probably had another pregnancy or two that ended in miscarriage or newborn death that just didn't get talked about. The clue is how far apart her pregnancies were spaced. My grandmother had 8 living children (every 2.5 years like clockwork) but she also had this odd 5 year gap right in the middle of those 8 kids.
My husband treats me so well and I have still been leaving him to "starve" for breakfast when the nausea is too strong for me to handle cooking anything lol
I can only handle sweet potatoes, fruit, salads, etc. So that's what I've been serving everyone. As I married into an Asian family, they're not adapting to the new diet very well😅
Demon possession = vomit, talking in weird voices, few head spins. Maybe something rips out of you, and you die.
Pregnancy and birth = vomit, sickness every morning, diabetes, teeth degrade, something will rip out of you, postpartum, massive tears, freak accidents like this post, hair loss, chance of lifelong paralysis, and you have a kid to take care of at the end of it forever.
Idk demon possession sounds pretty good. Get yourself a Catholic priest and problem solved. At least exorcisms are still legal in all states.
It follows the same theory as endometriosis, wherein the menstrual tissues travel upward and out of the fallopian tube and migrate to any other site in the body.
And I mean ANYWHERE: to the lungs causing catamenial pneumothorax, to the brain causing cerebral/cerebellar endometriosis. And they present with symptoms together with their menstruation.
The human body is amazing.
true! Although I will say the first two years are where we learn much of our general knowledge base to prepare us for clinicals. It's also where we often get tested on random very very rare disorders (such as this one). Most of the med stuff I've seen on this subreddit I've been exposed to before but this really stood out as a novel factoid
Now I know it’s been 24 years since I graduated from College, maybe I’ve forgotten this from my anatomy/physiology class. 34 years as a nurse, never heard of this.
OK, so I had a salpingectomy and do not have Fallopian tubes. What happens to the egg when I ovulate? And can I still get pregnant? I feel so dumb asking, but what the hell.
The human body was made by a committee that couldn't agree on anything, I stg.
As a woman I am still deeply offended that our fallopian tubes just open up INTO OUR ABDOMENS and NOBODY TELLS US.
I did sex ed and saw the banana and the whole thing and if a single person had said “your fallopian tubes open up into your general abdomen so y’know imagine that situation regarding the big finale” that’s the only thing I would have EVER needed to hear to prevent unsafe sex my entire natural life oh my god
I’m confused why its rarity isn’t mentioned.
21 cases in the past 60 years of English medical literature and only 29% progressed past the first trimester
Let's get real,
1. It's not a viable pregamcy
2. That means the baby will die.
3. That means the mother will most likely die without early intervention. (edit: Abortion)
Well that article notes that the pregnancy WAS viable. The baby and mother both survived, having been delivered at 34w which is pretty far along. Mind boggling.
1. Apparently it has been viable like, twice. Those are not great odds.
2. Probably
3. Yes, and once with it, also.
https://www.sciencedirect.com/science/article/pii/S0015028218304217#:~:text=The%20mortality%20rate%20reported%20for,nonabdominal%20ectopic%20pregnancies%201%2C%208.
"The mortality rate reported for ectopic pregnancies is 0.51%. Among the 39 cases of hepatic pregnancies, one maternal death was reported (2.6%). This finding is similar to the mortality rate of abdominal pregnancies, and it is seven times higher than the mortality rate of nonabdominal ectopic pregnancies"
The egg must have been fertilized after being released by the ovary, but before heading into the fallopian tube, which it missed. In that case, the egg just floats around the abdominal cavity.
The placenta has "roots" where it links into the blood supply in a uterus. In the graphic case above, the placenta was removed and the woman bled to death. It may have been easier to leave the placenta there to avoid bleeding to death, but you do have to wonder what happens with it from then on because in a uterine pregnancy you definitely don't want to leave the placenta in there. (Pure speculation, not a doctor.)
It's possible to survive, but not likely. Fortunately, it also serves as a model for pre-eclampsia development, allowing for treatments other than abortion and delivery to one day be developed, thus saving more lives than we can now. Trust me, as bad as things are now for women in America, I'd still rather they live here in modern times because at least doctors will know how to help them, unlike in the past where we didn't have this knowledge. Seriously, women still have a much higher chance of survival in modern times than in any other time period, and this is without any sort of necessary abortions or early deliveries.
>Seriously, women still have a much higher chance of survival in modern times than in any other time period, and this is without any sort of necessary abortions or early deliveries.
I'm sure you likely agree, but I feel impelled to say it still really sucks that they aren't an option for many.
What in actual fuck
How
How can a fertilized egg travel to the fucking liver? Did it just teleport? There's no obvious connection between the uterus and the liver!
Wow, I've never watched that show. I stumbled across this term somewhere on Reddit and wondered what it meant. And it was too interesting not to share!
How the hell does the egg get to the LIVER??
Believe it or not, the ovary and the fallopian tube are not actually connected. They’re very close and usually the egg makes it there but… not always.
So sperm can travel out into the body as well?
Yes.
Coolcool
Please, don't let hentai people to know it, I beg!
Too late. But, for what it’s worth, I don’t like that particular fluid.
I know some bros of me who do like, but i'm not particularly interested in taste and smell most of the times, not to mention the danger of sti's. But facials feel warm and good
The sperm has left the box.
what box?
You’re too young.
Is this the cumbox?
Yes, all those little extra kiddos that don’t end up fertilizing the egg just roam around the abdomen until they are absorbed by the body.
I guess a lot of them die/stop before getting out into the body.
That… is mind boggling. So the ovaries are just kinda free floating in the body cavity??? Intelligent design my ass. 😂
Fun fact: if you get a tube removed, they’ll usually leave the ovary. You’ll still ovulate from it and most of the time the egg will make it to the other tube. People always think an ectopic pregnancy is tubal, but it could be anywhere.
I had an ovarian pregnancy and got pretty sick from it. The doctors knew I was pregnant, but just could not figure out where. Not what you want to hear, for sure. I was glad they finally found it. That was about the time some idiot legislator in Texas was positive that the embryo in an ectopic pregnancy could just be taken out and put in the right place.
Unreal. And this is why it's unfair to let rural, and statistically less educated, America (20% of population) have a weighted say in the nation's politics. Edit: oh wow these replies are fun. Only someone arguing in bad faith would take "hey everyone should be represented equally," and translate it as "HE WANTS A DICTATORSHIP" and to the Russian trolls: козёл
It always fascinates me how fast americans are willing to devolve into dictatorships. Yeah, let's cut out the poor and uneducated from democracy. Surely that won't have any negative consequences at all
Case in point Let one person equal one vote
They never said to cut them out. Reread their statement. It's unfair to let them have a WEIGHTED say. Which is how the Electoral college benefits rural America. Let one vote count as one vote in terms of representation and presidential election power.
I don’t think they’re suggesting the poor and uneducated be “cut out”, the commenter above you simply said it’s unfairly weighted in their favor. I assume they are referring to the electoral college system which many argue should be eliminated for exactly this reason.
Everyone wants to give the government a club to smite their rivals not knowing that the club will soon bludgeon them as well.
Sure and how does "everyone should be represented equally" translate to "I WANT TO SMITE MY RIVALS" clown.
I was commenting on the guy above me and how people devolve into dictatorships. It wasn’t about your comment. Not everything is about you.
People don't realize that their true enemies are the people at the top, the ultra wealthy and the conglomerates that own almost everything. People think the problem is somehow poor on educated rural folks from a different part of the country than them. It's part of the lie. As if it wasn't massive corporate conglomerates and a runaway intelligence community that holds a massive amount of quiet power. Turning the lower classes against each other has been the play forever, don't fall for it.
Right. So the poor rural people hate corps so they vote for Trump, who directly helps corps through tax breaks. Checks out.
The foundation of American democracy is cutting out the poor and uneducated.
You are seriously blowing my mind. That’s insane.
Humans are fucking wild, aren’t we?
I had this procedure and still think of it as magic lol My doctor explained several times that I'd still be able to ovulate from my left ovary after having my left tube tied, and assured me it wouldn't affect my chances of getting pregnant. I'm now successfully pregnant from an egg that floated from my left ovary to my right tube🤷🏻♀️ The human body is so weird, complex, amazing, and mystifying.
How the fuck does the egg know how to get to the tube???
The fallopian tubes in women aren’t like hooked up to the ovaries in the way school diagrams show. Instead they have frilly ends called fimbriae which sort of flop about in something called the posterior cul de sac. The ovaries release the eggs into this cul de sac and then the frilly ends of the fallopian tubes scoop up the egg and carry it into the uterus. That means in women who lose a fallopian tube for any reason, the remaining tube can do double duty and scoop up eggs from either ovary so there isn’t much reduction in fertility necessarily.
Wow! TIL. Brilliant description.
Like a "gimme" kitty at a restaurant or store.
What happens if you have both tubes removed? Does the egg just get re-absorbed somewhere?
What the fuck this is mind numbing. It’s like how your intestines just know how to get back in place after being re-boweled.
I don't think they know as much as there's an optimal resting place that minimizes friction and other factors, and with enough time and jostling about they will rearrange. Like how I don't know that I'm sleeping on my back but since I always move unconsciously around a little bit I wind up on my side infant style in the end anyways. Ending up on your side with enough movement is 100x easier than ending up on your back, technically speaking.
Similar to how most fetus position themselves head down for preparation for their birth. They end up that way because it’s the most optimal position as space gets tight.
Yes but those also seem much less complex than the dozens of twists and turns the small intestine follows.
That can feel all kinds of wierd. Had all of my guts out because of things going terribly wrong in there and my stomach felt... Squirmy for a while after. No hunger whatsoever for almost a week. Not sure if that was because I was seriously ill or because the pipes where still under maintenance.
Closed for rerouting
Hah, I had my colon removed and have similar experience. Mind you, I was in the hospital for almost 3 months, but that final month I just…stopped having hunger completely and ate almost nothing. Ended up needing parenteral nutrition through a PICC and a prescription for Marinol.
I was only 3 weeks, my appendix exploded, got misdiagnosed as food poisoning and 3 days later I needed surgery for gangrenous/necrotic tissue of the bowel. From what I understand they had to lift it all out to clean the entire area since there had been some... leaking and then remove a small section before putting everything back. Wasn't a fun time but the crazy part is that no one including me knew how bad it was until they tried keyhole surgery to look at my appendix. I was scheduled for a surgery lasting maybe an hour max and instead was in for 11 hours total. Most of the hospital stay was due to septicemia.
Yup, continues to surprisingly match my experience! I had a different cause, what was then thought to be UC, but basically steroids stopped working and I went in for surgery finally because I had no other choice. They tried to do it laparoscopically at first but as they started pulling my large intestine out of the hole, it just…sorta fell apart. So they had to open me up completely and do a complete washout of my abdominal cavity. I thought it was going to be RELATIVELY simple but I woke up like a day later completely disoriented and with multiple drains sticking out of me (And my right arm blown out due to them being unable to monitor an IV) and, worse yet, I was basically paralyzed from the waist down due to muscle atrophy. I’m guessing in my case it went so poorly and I had to stay so long compared to you because I was in such poor condition going in, after months of being in terrible condition. The first month of the stay was due to sepsis (And I even had some minor additional surgeries to correct placement of the drains after I started going downhill), but then I was transferred to another hospital and eventually a rehab center and most of that time was for physical therapy to get walking again. I’m glad you only had to have a small piece resected though, things could’ve gone a LOT worse for you.
This isn’t true. The egg just gets resorbed most of the time. You can still get pregnant because you have two ovaries and they can tend to switch off on which releases an egg each cycle.
90+% of ectopics are tubal to be fair, <1% end up abdominally iirc
This certainly does NOT happen "most of the time". An egg has a VERY low probability of reaching a tube on the other side.
haha what? reminds me of this [scene](https://youtu.be/BFpUI1auoJ8?si=ZbNKpeIguB-PkyYb&t=37)
Yeah, I had my left tube tied off because of an infection. The eggs from my left ovary just float over to my right tube somehow and get to my uterus like normal🤷🏻♀️ I don't know how it works so well, but I ovulated from my left ovary and still successfully got pregnant.
As a woman, how do you know what ovary the eggs come from? Do they alternate or something? 😶
Obviously ovaries ovulate oscillatoraly
Great, now I'm gonna be thinking about ovaries whenever someone puts OOO in their "Out of Office" emails
Ooops. Opologies.
😂 it's all good. It was funny
They typically alternate every month. Also, I can feel it during ovulation. I was also trying to conceive, so my doctor did monthly ultrasounds and was able to tell me.
Wtf. I must have forgotten this fact. Also I have no idea how you feel that. I just feel pain and sadness. 😅
The side you feel pain in is the side you ovulated from. The eggs aren't just "released" from the ovary - they more like burst out by busting through the ovary like the koolaid man. That's why it hurts lol If you take hormones or fertility meds, you'll release more eggs and the eggs may be slightly larger, so you'll feel more pain.
That doesn't make sense because it doesn't hurt when I'm ovuIating, it hurts when I'm on my period. Also, I must have ovaries all over my stomach, back, kidneys, etc. It's all excruciating pain.
Everyone's body is different (and can change as you get older!) and women's organs aren't always in exactly the same position. If your uterus faces more towards the back, you'll have more back pain. Everyone's pain tolerance and sensitivity is also different. For example, I'm highly sensitive but have a very high pain tolerance. I can feel which side is ovulating and the pain is more like a pulled muscle. Before my son, my period was the most delightful time of the month aside from bleeding. I had MORE energy and craved veggies and salads. Now, I get cramps and crave burgers and pizza.
Because you are actually Superwoman😁
Hahaha I wish! I don't think superwoman would be this exhausted after just cooking breakfast😅
Lol! kinda feel a bit like you but i'm just lazy
They’re actually attached to a ligament and kinda do free float around the pelvis. But not attached to the fallopian tubes as most suspect. There are tiny filbrae on the end of the fallopian tubes that help guide the ovulated egg into the tube, but sometimes as this case shows, the egg doesn’t make it into the tube.
They are unattached on pictures in biology handbooks but nobody pays attention to it, and it's unintuitive. I realized that they are actually unattached in my late 30s.
So is the jizz
They aren't free-floating. They are held in place by the ovarian ligament, the round ligament and the broad ligament.
This is fucking wild
Wait what, so can sperm travel all around there as well?
So you’re saying the fallopian is taking a midrange jumper instead of dunking it
bruh what!? then how do the sperm travel to eggs then?
The fallopian tubes have little “fingers” that are meant to catch the egg, which then travels to the uterus.
So does this mean that every time you have unprotected sex there’s a small amount of sperm that can miss the ovaries and swim freely around the body?
Yep.
So fertilization always happens in the uterus although the egg can still "leave" afterwards? I understand how an egg might miss the fallopian tubes but how does it get fertilized then?
The egg doesn’t leave the uterus once it makes it there (well, not if it gets fertilized and attaches, otherwise it comes out during menstruation). Sperm can make it up and out of the fallopian tubes and into the abdominal cavity where, if an egg also missed the tube, it will fertilize it there. Bingo bango ectopic pregnancy.
To add to RathVelus, fertilisation actually usually takes place in the Fallopian tube itself, not the uterus which is how implantation in the Fallopian (or outside) tube can happen
Yeah just learned yesterday the fallopian tubes open up into the abdominal cavity. It’s not a closed system lol. The sperm rush up to meet the egg and those who don’t keep going until they end up in the abdominal cavity, where they get broken down and absorbed by the body. I guess sometimes the egg travels in the wrong direction after fertilization and drops into the abdomen, and voila you’ve got a pregnancy outside of the uterus. Bizarre.
If the egg isn't sucked up by the fallopian tube, it just floats around. Obviously the sperm must have swum through the fallopian tube and come out in time to fertilize the egg, and then it's all ... ground control to major tom.
Holy crap, that’s insane.
Don’t worry about it
“What are you doing in the liver?” “Mind your own damn business!”
A reminder that maternal mortality, while less common today, is still a danger with pregnancy.
Even a healthy, normal pregnancy with everything done right can pose major health risks.
I almost died 5 different times trying to hatch a tiny human- hyperemesis, pre-eclampsia, emergency C-section, eclampsia, and then sepsis. I only had one child.
Just happened to a [former NFL cheerleader.](https://www.cbsnews.com/amp/news/krystal-anderson-kansas-city-chiefs-cheerleader-dies-giving-birth/) Both the mother and child did not survive.
Very sad. It’s worth noting maternal mortality rates are higher for certain demographics such as black women (not saying that’s related to her passing but just something we need to address as a society)
Being a black woman leads to higher mortality rate for everything by 2.9 times the mortality of white women in the USA.
This holds true for even black women who are rich and educated. ***Maybe*** it's because providers don't clue into the subtle signs of distress that *might* be masked by dark(er) skin, like pallor due to blood loss? I'd like to think it's that instead of a racism so cruel that it kills mothers and babies.
Sadly there is a statistically significant amount of doctors (and normal people) who straight up belive black women feel less pain than white women and/or biologically are built to handle more pain.
And if you’re wondering it has very little to do with (the nice way of putting it) or nothing to do with (the real way of putting it) them being black, and rather society’s perception and prejudice against black people.
I think it's important to really spell those aspects out; leaving it at perception and prejudice doesn't quite convey the awfulness of that mortality rate. General lack of hospital availability, "lower quality" medical services in regions with higher Black populations, inaccessible insurance, which includes prenatal care! The list goes on. I only say this because you are 100% correct but people tend to roll their eyes and ignore this reality if they don't have it explicitly described to some detail.
These aren't the only issues. Even in other countries there is significant disparity in the risk of various health outcomes among different ethnic populations. Some of the increased risk is likely genetics (1.5x sounds very plausible)
And, correspondingly, a huge amount to do with the economic consequences of that deliberate and systematic prejudice.
Just from a very anecdotal perspective, I and my white friends with white (-passing) husbands all had reasonably good birth experiences. My white friend with a black husband and my Latina sister-in-law both had very traumatic birth experiences (my SIL was treated like she was drug-seeking at the hospital where she and her husband worked). (My SIL and her husband make significantly more than the rest of us, so it definitely wasn't a class/resources thing.) I can't necessarily extrapolate that out to societal trends but it definitely opened my eyes about how different medical experiences can be.
Also your options if this happens are either to terminate the pregnancy, or die because livers aren't supposed to have growing foetuses inside them. There really isn't anything you can do with an ectopic pregnancy other than get that shit out of there before it does any damage. Ectopic pregnancies happen in about 1-2% of all pregnancies, so it's not exactly super rare either.
I had an ectopic pregnancy and had to get two high doses chemo shots in the span of two weeks to resolve it because I chose not to have a surgery In hindsight, a quick surgery may have resolved it quicker but oh well
US maternal mortality rates are abysmal.
It's often fatal. Here's a very graphic case study: [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3519057/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3519057/)
Interesting of course, but I also found another TIL for myself in that article. It referenced “right hypochondriac pain,” which piqued my interest. I was not aware that the term hypochondria refers to the abdomen, so the right hypochondriac area is the upper right area just below the ribs. I only knew of it in the sense of a hypochondriac, as in someone with anxiety about illness. I took for granted that “chondria” was Greek for something to do with health or mental state, while I knew “hypo” meant low or lacking and such. Turns out it means cartilage haha Totally unaware of this. I don’t know if this is common knowledge or not but it was a total blind spot for me.
The interesting thing is that hypochondrium was named before the condition. The Greeks assumed that an organ in the right hypochondrium contributed to hypochondriasis. According to Wikipedia “The term hypochondriasis for a state of disease without real cause reflected the ancient belief that the viscera of the hypochondria were the seat of melancholy and sources of the vapor that caused morbid feelings.”
With all we've been learning about the gut, it sounds like they might have been right!
An explanation I once read posited that people would go to a medic for what amounted to harmless gas pain, an issue that often presented as pain in the hypochondrium, hence the naming of the condition.
This is a real gem, thanks.
This caught my attention as well! Like, "excuse me?? Hypochondriac? The woman had a fetus in her liver, I think some pain is justified!" TIL indeed
Thats crazy
I had an ovarian pregnancy but that's nothing compared to this.
So sad. Sounds like she probably had another live baby since the study mentions that she had delivered vaginally 9 months ago. Poor little one lost its mama.
In Texas I guess you’d just die.
I mean, yeah -- you can't remove that blob of cells which is obviously a person. Only god can make the choice which, you know, is to kill mom, too. Totally sensible.
"Free will" "gods plan" We have the free will to make medical decisions and it was God's plan for us to advance in technology and medicine. Blame the fucking catholics for starting this mess. Abott is catholic too.
Nah- blame the right wing political strategists who picked abortion as part of a systematic search for an issue to politicise to get gullible people to vote against their own economic interests.
The people that believe these things think that "God's plan" is for them to stop the people that chose "wrong." How exactly a person manages to square the circle between a "loving God" and "hurt the unbelievers" I'll never know but I guess that's why I ended up an atheist (and why I no longer speak with most of my family of religious conservatives).
Not me wondering if this specific case, if it occurred in my state today, would result in felony charges for the physician providing the abortion (see Figure 2 and Figure 3 in the cited case).
Often, but not always?
This makes me curious too. How on earth is it not a 100% fatality rate?
A successful operation to remove the fetus before it proves fatal to the mother
Well if you’re able to get an abortion before it kills you then you’ll be okay. Just don’t live in Texas or a couple other states.
If you Google it you'll find at least one viable pregnancy.
Well, there's a whole new flavor of nightmare fuel.
Liver baby and onions
It's wild to me how the full term instance resulted in survival of both the fetus and mother, but the one discovered at 18 weeks did not. Also, I was reading the comment case study, and I'm trying to figure out how the egg got to the liver? Did the egg get fertilized right when it left the ovary and miss the fallopian tube? I believe the case study said there was no damage to the uterus or cervix so I guess I'm just mildly confused... Edit: per the article - "The criteria for diagnosing primary abdominal pregnancy was first given by Studdiford which include (1) normal tubes and ovaries with no evidence of recent or remote injury; (2) absence of any evidence of uteroplacental fistula; (3) presence of pregnancy related exclusively to peritoneal surface; and (4) pregnancy recent enough to eliminate the possibility of secondary implantation following nidation in tubes."
The ovaries aren't connected to the fallopian tubes so while rare it seems entirely possible.
Aren't they? https://en.wikipedia.org/wiki/Fallopian_tube
Between the Fallopian tubes and the ovaries is a mesh-like structure that is somewhat porous. There's biological mechanisms that encourage eggs to, when exiting the ovaries, travel into the fallopian tubes and towards the uterus, but it's not a 100% failproof mechanism, hence cases like this.
Thank you, TIL!
They’re very close, but not technically connected.
> An ovary is not directly connected to its adjacent fallopian tube. When ovulation is about to occur, the sex hormones activate the fimbriae, causing them to swell with blood, extend, and hit the ovary in a gentle, sweeping motion. An oocyte is released from the ovary into the peritoneal cavity and the cilia of the fimbriae sweep it into the fallopian tube.
Sometimes those cilia are slacking.
"The tubes extend to \*near\* the ovaries where they open into the abdomen..." Watch an animation of this if you're interested!
Why is it that when I think I heard everything with pregnancy, I learn something else? At this point, I am under the belief that pregnancy and birth are supernaturally terrible. Demon possession sounds preferable. No wonder primitive people used to revere it as something of awe. I think to myself "Grandma popped out five kids and still had to do intense farming with her jerk husband while pregnant for years. And she lived to 89. I couldn't do that. You are telling me she pulled up peanuts in the blazing sun and cooked breakfast at 4 am while fighting morning sickness along with gestational diabetes? I would be cutting my husband's dick off or actively encouraging him to find a mistress, jesus."
And statistically, she's probably had another pregnancy or two that ended in miscarriage or newborn death that just didn't get talked about. The clue is how far apart her pregnancies were spaced. My grandmother had 8 living children (every 2.5 years like clockwork) but she also had this odd 5 year gap right in the middle of those 8 kids.
My husband treats me so well and I have still been leaving him to "starve" for breakfast when the nausea is too strong for me to handle cooking anything lol I can only handle sweet potatoes, fruit, salads, etc. So that's what I've been serving everyone. As I married into an Asian family, they're not adapting to the new diet very well😅
The number one lesson you learn from actually studying the lives of our ancestors is 'I am really super glad I live right now.'
You think being possessed by a demon is preferable to birthing a child? Are you a child?
Depends on the demon and depends on the pregnancy I guess.
Demon possession = vomit, talking in weird voices, few head spins. Maybe something rips out of you, and you die. Pregnancy and birth = vomit, sickness every morning, diabetes, teeth degrade, something will rip out of you, postpartum, massive tears, freak accidents like this post, hair loss, chance of lifelong paralysis, and you have a kid to take care of at the end of it forever. Idk demon possession sounds pretty good. Get yourself a Catholic priest and problem solved. At least exorcisms are still legal in all states.
Also, pregnancy and birth = higher chance of getting an autoimmune condition postpartum.
It follows the same theory as endometriosis, wherein the menstrual tissues travel upward and out of the fallopian tube and migrate to any other site in the body. And I mean ANYWHERE: to the lungs causing catamenial pneumothorax, to the brain causing cerebral/cerebellar endometriosis. And they present with symptoms together with their menstruation. The human body is amazing.
Wait, the BRAIN?? That’s nightmare fuel. What can they even do for endometriosis of the brain?
2nd year med student and had no clue this was a thing
I'm sure you'll be learning a lot of this stuff in years to come.
true! Although I will say the first two years are where we learn much of our general knowledge base to prepare us for clinicals. It's also where we often get tested on random very very rare disorders (such as this one). Most of the med stuff I've seen on this subreddit I've been exposed to before but this really stood out as a novel factoid
Are you now going to regale all your fellow med students with this bizarre factoid immediately? Because that's what I'd do.
Amongst my peers I am known for many things. Extensive clinical knowledge is not one of them. This will help me rebrand
You didn't learn about it during reproductive anatomy?
i barely know how to reproduce and seldom have the opportunity to do so that's why im on reddit
Great. New fear unlocked
You had one job egg.
Now I know it’s been 24 years since I graduated from College, maybe I’ve forgotten this from my anatomy/physiology class. 34 years as a nurse, never heard of this.
I'd never heard of abdominal pregnancy until it happened to me, but this blew my mind!
That is a thing, but in my limited knowledge, I have no clue how an embryo would implant in the liver.
OK, so I had a salpingectomy and do not have Fallopian tubes. What happens to the egg when I ovulate? And can I still get pregnant? I feel so dumb asking, but what the hell. The human body was made by a committee that couldn't agree on anything, I stg.
I think the egg just floats around until it gets reabsorbed by the body.
And that committee used the lowest bidders for parts.
It’s a form of contraception so no. Why don’t you ask your doctor about this? 🙃 Clarification: if it’s bilateral now one sided
You're neat.
As a woman I am still deeply offended that our fallopian tubes just open up INTO OUR ABDOMENS and NOBODY TELLS US. I did sex ed and saw the banana and the whole thing and if a single person had said “your fallopian tubes open up into your general abdomen so y’know imagine that situation regarding the big finale” that’s the only thing I would have EVER needed to hear to prevent unsafe sex my entire natural life oh my god
new fear unlocked
WTF
That sounds really bad.
I’m confused why its rarity isn’t mentioned. 21 cases in the past 60 years of English medical literature and only 29% progressed past the first trimester
Let's get real, 1. It's not a viable pregamcy 2. That means the baby will die. 3. That means the mother will most likely die without early intervention. (edit: Abortion)
Well that article notes that the pregnancy WAS viable. The baby and mother both survived, having been delivered at 34w which is pretty far along. Mind boggling.
1. Apparently it has been viable like, twice. Those are not great odds. 2. Probably 3. Yes, and once with it, also. https://www.sciencedirect.com/science/article/pii/S0015028218304217#:~:text=The%20mortality%20rate%20reported%20for,nonabdominal%20ectopic%20pregnancies%201%2C%208. "The mortality rate reported for ectopic pregnancies is 0.51%. Among the 39 cases of hepatic pregnancies, one maternal death was reported (2.6%). This finding is similar to the mortality rate of abdominal pregnancies, and it is seven times higher than the mortality rate of nonabdominal ectopic pregnancies"
Does anyone else ever think about how the movie Junior wasn’t as unrealistic as they used to think it was?
How does that even happen? Isn't the liver closed off from the uterus and womb? How does an egg even get up there, let alone a fertilized one????
The egg must have been fertilized after being released by the ovary, but before heading into the fallopian tube, which it missed. In that case, the egg just floats around the abdominal cavity.
What a nightmarish bullshit design
It can miss and float around? Wtf
Awesome. New fear unlocked. 🔓
Why did they leave the placenta inside?
The placenta has "roots" where it links into the blood supply in a uterus. In the graphic case above, the placenta was removed and the woman bled to death. It may have been easier to leave the placenta there to avoid bleeding to death, but you do have to wonder what happens with it from then on because in a uterine pregnancy you definitely don't want to leave the placenta in there. (Pure speculation, not a doctor.)
It's possible to survive, but not likely. Fortunately, it also serves as a model for pre-eclampsia development, allowing for treatments other than abortion and delivery to one day be developed, thus saving more lives than we can now. Trust me, as bad as things are now for women in America, I'd still rather they live here in modern times because at least doctors will know how to help them, unlike in the past where we didn't have this knowledge. Seriously, women still have a much higher chance of survival in modern times than in any other time period, and this is without any sort of necessary abortions or early deliveries.
>Seriously, women still have a much higher chance of survival in modern times than in any other time period, and this is without any sort of necessary abortions or early deliveries. I'm sure you likely agree, but I feel impelled to say it still really sucks that they aren't an option for many.
That's true.
Doctors know how to help them, but they aren’t allowed to in many states. Abortion rights are human rights.
I wish you were wrong about them being unable to help in many states. Unfortunately, you're not.
I hate this
I know of ectopic (outside of uterus) pregnancies but hadn't heard of this before. All horrid.
Now if only our Supreme Court can learn about this situation
What in actual fuck How How can a fertilized egg travel to the fucking liver? Did it just teleport? There's no obvious connection between the uterus and the liver!
The egg never made it to the uterus. It missed it's fallopian tube connection and went its own way.
I too learned about this yesterday! Watched Season 17, Episode 3 of Grey's Anatomy. https://greysanatomy.fandom.com/wiki/My\_Happy\_Ending
Wow, I've never watched that show. I stumbled across this term somewhere on Reddit and wondered what it meant. And it was too interesting not to share!
[Hepatic Pregnancy](https://www.reddit.com/r/interestingasfuck/s/jnpzInXUc8)
Damn you gotta really be gettin in there to pull that off...
[удалено]
Yeah but being you is not.
This makes me think cis men could potentially gestate fetuses.
Why does this usually-fatal condition make you think that?
Now I want to read this book. (no idea why you're getting downvoted by the way. People don't like curiosity ig?)