When To Try Again After Ectopic Pregnancy?

When To Try Again After Ectopic Pregnancy
Trying for another baby – You may want to try for another baby when you and your partner feel physically and emotionally ready. You’ll probably be advised to wait until you’ve had at least 2 periods after treatment before trying again to allow yourself to recover.

  • If you were treated with methotrexate, it’s usually recommended that you wait at least 3 months because the medicine could harm your baby if you become pregnant during this time.
  • Most women who have had an ectopic pregnancy will be able to get pregnant again, even if they’ve had a fallopian tube removed.

Occasionally, it may be necessary to use fertility treatment such as IVF, The chances of having another ectopic pregnancy are higher if you’ve had one before, but the risk is still small. If you do become pregnant again, it’s a good idea to let your GP know as soon as possible so early scans can be carried out to check everything is OK.
View complete answer

Is it hard to get pregnant again after an ectopic pregnancy?

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.
View complete answer

Can you get pregnant straight after an ectopic pregnancy?

If your other fallopian tube is healthy, you should still be able to get pregnant. But if your other fallopian tube is damaged or not there, you may have fertility issues.
View complete answer

Can I get pregnant after 2 ectopic?

Abstract – Seventy-six patients with two or more ectopic pregnancies treated at the Department of Obstetrics and Gynecology, University Central Hospital, Tampere, Finland over a period of 14 years (1972-1985) were retrospectively analyzed. Conservative tubal surgery had originally been performed in 57% of patients with a repeat tubal pregnancy, and in 41% of control patients with a single tubal pregnancy.

After two ectopic pregnancies, 53 patients were actively trying to conceive. Of these patients, 25% achieved delivery, 40% had a third ectopic pregnancy, and 35% did not conceive. Ipsilateral tubal pregnancy occurred in 83% after salpingotomy, in 88% after fimbrial evacuation, and in 47% after tubal resection.

You might be interested:  What Kind Of Bra To Wear During Pregnancy?

Conservative surgery was performed in 16 patients with only one tube where an ectopic pregnancy occurred; 25% had a term delivery, 25% had a repeat ectopic pregnancy, and 50% did not conceive. Follow-up of 19 patients after three tubal pregnancies showed that 16% delivered, 26% had a repeat tubal pregnancy, and 58% did not conceive.
View complete answer

Why do I keep getting ectopic pregnancy?

How do I know if I’m at risk of an ectopic pregnancy? – There are several risk factors that could increase your chance of developing an ectopic pregnancy. A risk factor is a trait or behavior that increases your chance for developing a disease or condition. You may be at a higher risk of developing an ectopic pregnancy if you’ve had:

A previous ectopic pregnancy. A history of, an infection that can cause scar tissue to form in your fallopian tubes, uterus, ovaries and cervix. Surgery on your fallopian tubes (including, also referred to as having your tubes tied) or on the other organs of your pelvic area. A history of infertility. Treatment for infertility with in vitro fertilization (IVF)., An intrauterine device (IUD), a form of birth control, in place at the time of conception. A history of smoking.

Your risk can also increase as you get older. Women over age 35 are more at risk than younger women. Many women who experience an ectopic pregnancy don’t have any of the above risk factors.
View complete answer

How common is miscarriage after ectopic?

Ectopic, Miscarriage, Termination, And Stillbirth In The Second Pregnancy – Table 4 presents the hazards ratios and 95% CIs of pregnancy loss following EP versus different types of intrauterine first pregnancies. Compared to women who had a first live birth, the risk of a second ectopic was 13 times higher after an initial EP (AHR 13.0, 95% CI 11.63–16.86).

Risks of miscarriage (AHR 1.57, 95% CI 1.32–1.87) and stillbirth (AHR 2.75, 95% CI 1.52–4.97) were higher after an initial ectopic, but the chance of having a termination in the next pregnancy was reduced (AHR 0.66, 95% CI 0.53–0.83). In comparison with an initial miscarriage, the risk of a further EP was more than six times higher (AHR 6.07, 95% CI 4.83–7.62), but that of a miscarriage was less following an initial EP (AHR 0.51, 95% CI 0.43–0.61).

Compared to women who terminated their first pregnancy, women with an initial EP faced more than 12 times higher risk of a further ectopic, 41% increased risk of a miscarriage, more than double the risk of a stillbirth, but a reduced risk of terminating a second pregnancy (AHR 0.35, 95% CI 0.28–0.44).
View complete answer

What are the chances of recurrence of ectopic pregnancy?

Previous History of EP and REP – According to the statistics, the recurrence rate of EP ranges from 10 to 27% in the general population ( 5 ). Patients with a previous history of EP are at a higher risk of REP ( 15 ): about a third of patients would develop EP again after the first EP.

The main risk factor for EP is fallopian tube damage. Patients with a previous history of pelvic infection, especially those who underwent a conservative operation or tubal microsurgery for a tubal pregnancy, have a higher incidence of EP after assisted pregnancy ( 16, 17 ). The subjects in this study were all patients with a history of EP.

The recurrence rate of EP in patients undergoing ART and its correlation with previous treatments of EP were investigated in this study. The management of EP includes expectant behavior, conservative drug treatment (methotrexate) and surgical treatment.

  • Surgical treatment could be divided into conservative operations and radical resection.
  • No matter what kind of treatment is used in patients with EP, the pathological changes of the fallopian tubes might persist, or the fallopian tubes on the affected side might adhere again, resulting in secondary infertility.
You might be interested:  How To Deal With Acidity In Pregnancy?

When applying general drug conservative treatment, drugs are used to interfere with the synthesis of DNA and RNA of the embryonic cells, making it difficult for them to grow and stopping the development of the embryo, but the damage the pregnancy products inflict on the fallopian tubes and any subsequent tubal inflammation cannot be effectively removed.

  • Zhang Anhong ( 18 ) found that among 156 patients with tubal pregnancy, the recurrence rate of tubal pregnancy in the drug conservative treatment group (16.67%) was significantly higher than that in the diseased side salpingectomy group (6.94%).
  • Our research came to a similar conclusion, that previous treatment of EP with methotrexate (24.49%) increased the risk of REP after ART treatment compared with salpingectomy (16.73%).

The surgical treatment of tubal pregnancy includes tubal sparing focus clearance (conservative operation) and salpingectomy on the affected side. Some studies have suggested that previous treatment of EP with a conservative operation had a comparable risk of REP as salpingectomy ( 19, 20 ).

  1. The results of this study showed that comparing with salpingectomy, the risk of REP after a conservative operation was increased.
  2. Some previous reports are consistent with our findings ( 21, 22 ).
  3. In addition, our data also showed that there was no correlation between REP and the number of previous EPs.

In contrast, a previous study reported that the risk of REP was increased with a history of a higher number of previous EPs ( 23 ).
View complete answer

Is it common to have 2 ectopic pregnancies in a row?

One Ectopic Often Predicts Another Your chances of having a normal pregnancy are excellent One Ectopic Often Predicts Another Your chances of having a normal pregnancy are excellent, but your chances of having another ectopic pregnancy have also increased.

  • Question: I had an ectopic pregnancy two years ago, and they treated it with a medication called methotrexate.
  • What are my chances of having a normal pregnancy now, and what I should watch out for? Answer: Jan.22, 2001 – Your chances of having a normal pregnancy are excellent, but your chances of having another ectopic pregnancy have also increased.

An ectopic pregnancy – one that’s developing outside the uterus – is diagnosed in about one in every 100 pregnancies. More than 95% develop in the fallopian tube, but these pregnancies can also occur in an ovary, the cervix, or even the abdomen. Risk factors for them include a previous ectopic pregnancy; tubal surgery such as tubal ligation or sterilization reversal; a past tubal infection; use of an intrauterine device (IUD); use of the “morning-after” pill; use of the progesterone-only or “mini” pill; and fertility treatments including in vitro fertilization and gamete intrafallopian transfer.

You might be interested:  How To Stop Pregnancy In One Month?

Ectopic pregnancy has traditionally been treated with surgery, which may involve removing the fallopian tube or removing the embryo. Nonsurgical treatment can be used in cases where the ectopic pregnancy is early and hasn’t ruptured. It involves the injection of a chemotherapeutic medication, methotrexate, which halts the pregnancy’s development.

In general, after one ectopic pregnancy your chances of having a future pregnancy that is in the uterus are about 60-70%. But women with a history of ectopic pregnancy often have difficulty getting pregnant again, and as many as 20-30% of them end up being infertile, especially if they have any of the risk factors noted above.

  1. Your risk of having another ectopic pregnancy is much higher once you’ve had the first; as many as one in 10 women will have a second ectopic pregnancy.
  2. The increased risk is probably about the same whether your ectopic was treated with surgery or medication, though it’s too early to have much data on this.

Because the risk of a second ectopic pregnancy is so high, you should take precautions when you get pregnant again. If you miss a period and might be pregnant, let your doctor know right away. The first step is to find out if you are pregnant and where the pregnancy is located.

  1. This may be difficult early in the pregnancy, so be aware of the early signs of an ectopic pregnancy, such as pain and vaginal bleeding or spotting.
  2. With your history, your doctor may assume you’re having another ectopic pregnancy until an intrauterine pregnancy can be clearly seen on ultrasound.
  3. Your doctor will examine you, do a transvaginal ultrasound, and draw your blood for an hCG level if a pregnancy is not yet visible.

When the hCG rises above 2,000 mIU/mL, your doctor should be able to see an intrauterine pregnancy; the same is true around 28 days after you last ovulated (about six weeks after your last period). Sometimes an additional blood sample for hCG level is taken 48 hours after the first and compared with the first level.

An hCG level that increases but is less than double the previous one is considered abnormal and suspicious of an ectopic pregnancy. Otherwise, your doctor will prescribe additional observation and testing. Once the pregnancy is confirmed to be inside the uterus, there’s usually no further need for concern about an ectopic pregnancy Amos Grnebaum is a practicing obstetrician and gynecologist in New York specializing in high-risk pregnancies.

: One Ectopic Often Predicts Another Your chances of having a normal pregnancy are excellent
View complete answer