After Ectopic Pregnancy Surgery When To Try To Conceive?

Why must I wait for three months before trying to conceive? – While there is no clear, researched evidence on how long a couple should wait to try to conceive after having treatment for ectopic pregnancy, we and other medical professionals advise that it may be best to wait for at least three months or two full menstrual cycles (periods) before trying to conceive for both physical and emotional reasons.

• The bleed that occurs in the first week or so of treatment for an ectopic pregnancy is not your first period.
• It is the bleed that occurs in response to falling hormones associated with the lost pregnancy.
• Physically, this timeframe is to allow your cycle to return to normal and for there to be a clear period to date a new pregnancy from.

The date of the first day of the period is what is used to decide when to scan a new pregnancy; information that is invaluable in ensuring you are not suffering from another ectopic pregnancy. The first proper period you have after an ectopic pregnancy may be heavier than usual and the second more like your usual period.

A normal period would suggest you are hormonally ready to be able to try to conceive. Having two periods can also give an idea of menstrual cycle length, which may be different for a few months after your ectopic before settling back into its usual rhythm. This wait allows the internal inflammation and bruising from the ectopic and any associated treatment to heal.

In addition to the physical aspects of ectopic pregnancy, many people also feel an intense emotional impact. Taking time before trying to conceive again enables the necessary process of grief to surface and be worked through. The emotional recovery that is often needed can be significant and many underestimate this aspect.

1. If you have had either one or two injections of methotrexate, you should wait until your hCG levels have fallen to below 5mIU/mL (your doctor will advise you when this is through blood or urinary tests) and then take a folic acid supplement for 12 weeks before you try to conceive.
2. This is because the drug may have reduced the level of folate in your body which is needed to ensure a baby develops healthily.

The methotrexate is metabolised quickly but it can affect the quality of your cells, including those of your eggs, and the quality of your blood for up to three months after it has been given. The medicine can also affect the way your liver works and so you need to give your body time to recover properly before a new pregnancy is considered.

• A shortage of folate could result in a greater chance of a baby having a neural tube defect such as cleft lip and palate, or even spina bifida or other neural tube defects.
• If you have had medical management followed by surgery, you can start taking a folic acid supplement again once your doctors have confirmed that all of the pregnancy has resolved.

This is particularly important if you have been having blood tests to check hCG levels after your surgery. You can start to try to conceive again 12 weeks after the date that the methotrexate was administered. The NHS website has more information on vitamins, supplements, and nutrition during pregnancy.
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Is it safe to get pregnant after ectopic surgery?

It’s normal to feel this way. Continue to take care of yourself with: –

Adequate sleep Exercise Proper nutrition Avoidance of drugs and alcohol, and cigarette smoking ― all of which might negatively affect the grieving process

Most women who experience ectopic pregnancy and treatment will achieve a successful pregnancy in the future, even if they’ve lost one fallopian tube as part of the therapy. There is a 10% risk of recurrence, which is why it’s important to work with your health care team when planning for a future pregnancy. Also, early documentation of an intrauterine gestational sac is of paramount importance.
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How long does it take to get pregnant with one fallopian tube?

Pregnancy is absolutely possible with one fallopian tube, assuming you and the solo tube are healthy. In fact, as many as 85% of women who are at optimal pregnancy age (22 – 28) and who only have one tube conceive a baby within two years of trying consistently – even after an ectopic pregnancy.
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Can you get pregnant 1 month after laparoscopy?

Written by: Department Of General Laparoscopic Surgery Published: February 12, 2021 4 min Read

It would be best if you had a time of few weeks before getting pregnant after going through laparoscopy. You will experience a moderate amount of pain and bloating during the following days of laparoscopy. So, getting pregnant immediately after laparoscopy is not a good idea. It is essential to recover before performing any physical activity, including intercourse. This course usually varies from a few days to several weeks. Listening to your body is necessary to be safe from any further complications. Take a lot of rest and nutrition to recover faster.
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Is it harder to conceive with 1 tube?

Contact the Viera Fertility Clinic Today – When getting pregnant is a struggle, it’s normal to feel frustrated, depressed, or even hopeless. The good news is that pregnancy is absolutely possible with just one fallopian tube. To learn more about fertility treatment solutions or to schedule an appointment with one of our skilled and experienced embryologists, contact the,
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Is it easier to get pregnant with one tube?

13 Jan I Have Only 1 Fallopian Tube. Can I Get Pregnant? – Having one functioning fallopian tube should not affect your ability to get pregnant as long as there aren’t other infertility factors at work. If, however, there is an anatomical abnormality or blockage in your functioning tube or you are diagnosed with additional infertility issues such as PCOS, endometriosis, poor sperm quality, etc., it may require expert fertility assistance to help you get pregnant.
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What should you avoid after ectopic surgery?

Other home care –

Continue with the coughing and deep breathing exercises that you learned in the hospital. Avoid constipation:

Eat fruits, vegetables, and whole grains. Drink 6 to 8 glasses of water every day, unless directed otherwise. Use a laxative or a mild stool softener if your healthcare provider says it’s OK.

Wash your incision with mild soap and water. Pat it dry. Don’t use oils, powders, or lotions on your incision. Shower as usual.

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How long after Endo surgery Can you try for a baby?

How soon can you get pregnant after endometriosis surgery? – You may feel eager to grow your family as soon as possible after your laparoscopic surgery. However, for your own health, it’s important that you’ve fully recovered before you have intercourse or begin a pregnancy.

1. While average recovery times for laparoscopic surgery range from about 2 to 4 weeks, it also depends on your unique situation.
2. Communicate with your doctor about when it will be safe to get pregnant after laparoscopy.
3. Factors such as the extent of your surgery, areas where the tissue was removed, and more, will affect your recovery and whether or not your body is prepared for pregnancy.

That said, many couples are able to start trying to conceive within about a month of the surgery date.
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Can I get pregnant naturally after laparoscopy?

Discussion – The association between endometriosis and infertility has been given much attention; however, the role of surgery in enhancing pregnancy rates remains elusive. In the present study, we retrospectively studied the natural conception rate of infertile women with endometriosis during one postoperative year and found that 41.9% of women successfully conceived without ART or hormone treatment.

To date, only two randomized controlled trials have studied whether laparoscopic surgical treatment of minimal and mild endometriosis yielded a higher pregnancy rate than diagnostic laparoscopy only. Marcoux et al. reported that in the 36 weeks after laparoscopic resection or ablation of endometriosis, the cumulative pregnancy rate was 30.7%, compared with 17.7% in the controls.

As a well-designed trial engaging 172 patients, it provided a solid level of evidence supporting surgery for early stage endometriosis. Gruppo Italiano, on the other hand, did not find a pregnancy rate in the resection/ablation group (24%) significantly different from the no treatment group (29%),

1. As for deep infiltrating endometriosis, reported pregnancy rates range from 30% to 67%, with an overall weighted mean of about 50%, which has been considered to be an overestimate due to selection bias and publication bias,
2. Our data were in agreement with the aforementioned findings showing an average pregnancy rate of 41.9%, while the pregnancy rate for stage IV was lower than the average of the rest (stage I, 35.7%; stage II, 44.4%; stage III, 53.3%; and stage IV 20.0%).

The pregnancy rates were not inversely proportional to the stages, which reflected the inadequate predictive value of the AFS staging system with regard to the pregnancy rate, In order to overcome the limit of the current staging system, several predictive factors for the pregnancy rate in infertile patients with endometriosis have been suggested, such as complete cul-de-sac obliteration and peritubal/ovarian adhesion,

• In our study, it is noteworthy that the PCDS obliteration and peritubal/subovarian adhesion was more frequently shown in the not-pregnant group, as opposed to the presence of endometrioma.
• In stage IV, all of the four patients who failed to conceive had PCDS obliteration or peritubal/subovarian adhesion, whereas one patient who became pregnant did not.

In addition, regardless of the stage, the not-pregnant group had more peritubal/subovarian adhesion and PCDS obliteration than the pregnant group, although it did not reach statistical difference partially due to the small number of patients. Further study on a larger number of patients is warranted to clarify the role of peritubal/subovarian adhesion and PCDS obliteration in endometriosis-caused infertility.

• Accordingly, the need for radical interventions for rectovaginal lesions has been proposed; however, it is questioned whether the efficacy outstripped the risk of major complications such as ureteral and rectal injuries.
• Douay-Hauser et al.
• Observed that extensive surgery for deep endometriosis in infertile women did not modify the global fertility outcome but was associated with a higher complication rate.

In addition, according to the review of Vercellini et al., radical excision of rectovaginal endometriosis did not greatly improve reproductive prognosis. In this study, most of the patients conceived within 6 months after the surgery, as has generally been reported,

Somigliana et al. observed that delaying conception after surgery was associated with a lower pregnancy rate and a higher rate of recurrence of endometriosis. Thus, after a thorough analysis of the patients’ reproductive status such as age, duration of infertility and other infertility causes, surgery and a prompt attempt at natural conception with sufficient time (at least six months) is advisable.

In conclusion, the present study shows that the natural conception rate was 41.9% during the first year after laparoscopic surgery in infertile women with endometriosis and no other factors. This information should be useful to infertile patients seeking treatment for endometriosis and the physicians counseling them.
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How long does it take to fully recover from laparoscopic surgery?

Recovery times – The time it takes to recover from laparoscopy is different for everybody. It depends on factors such as the reason the procedure was carried out (whether it was used to diagnose or treat a condition), your general health and if any complications develop.

If you’ve had laparoscopy to diagnose a condition, you’ll probably be able to resume your normal activities within 5 days. The recovery period after laparoscopy to treat a condition depends on the type of treatment. After minor surgery, such as appendix removal, you may be able to resume normal activities within 3 weeks.

Following major surgery, such as removal of your ovaries or kidney because of cancer, the recovery time may be as long as 12 weeks. Your surgical team can give you more information about when you’ll be able to resume normal activities.
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Can ectopic pregnancy affect future pregnancies?

Having an ectopic pregnancy may affect your future fertility, and it increases your risk of having another ectopic pregnancy. When an ectopic pregnancy grows in a fallopian tube, it can damage the surrounding tubal tissue. This may make it more likely that an egg will get stuck there in the future.
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What happens to your body after ectopic pregnancy surgery?

You will be given pain relief. You should expect to be sore for some days but it should always be improving. Following open surgery, you will have pain for some weeks and it will be sore to walk. You will take some weeks to recover following open surgery.
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