Why Can’T I Get Pregnant After Ectopic Pregnancy?

Why Can
Getting pregnant after a tubal pregnancy can be difficult and there are risks. Women that have had ectopic pregnancies often have damaged, scarred or blocked tubes, – There are 2 main reasons that fallopian tubes in women that have had ectopics might be abnormal.

The tube was already damaged. Ectopics are often caused by scarred fallopian tubes which cause the early embryo to get stuck in the tube before it reaches the uterus. Sometimes the fallopian tube was normal until the tubal pregnancy. A tubal pregnancy can cause significant damage to the inner lining of the tube.

Ectopic pregnancy occurs when the fertilized embryo implants on a tissue other than the endometrial lining of the uterus. They are almost always in the fallopian tubes.
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Can you become infertile after an ectopic pregnancy?

Its effect on a woman’s fertility – Ectopic pregnancies are usually detected early on with monitoring by the woman’s OB-GYN. This increases the chance of the woman having a successful pregnancy later. While an ectopic pregnancy can cause subsequent infertility, about 65% of women who have had this condition have a healthy pregnancy within 18 months.

And the chances appear to increase after additional time. A woman’s chance of future pregnancy success after an ectopic pregnancy is usually related to the health of her fallopian tubes. Our fertility specialists can evaluate a woman’s tubal health and possible infertility after this type of pregnancy, and advise her on options for future pregnancy.

Women who have had an ectopic pregnancy are at higher risk of having another one. It’s important to be aware of the signs and symptoms of ectopic pregnancies during future pregnancies. Women who become pregnant again after having an ectopic one should consult their OB-GYN to confirm the pregnancy is in the uterus.
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How does ectopic pregnancy affect future fertility?

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 are 2 possible outcomes from an ectopic pregnancy?

Possible outcomes – In many cases of ectopic pregnancy, the fertilised egg dies quickly and is broken down by your system before you miss your period or after you experience some slight pain and bleeding. In these cases an ectopic pregnancy is rarely diagnosed and it is assumed to be a miscarriage.
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How much harder is it to get pregnant with one tube?

Blocked Fallopian Tubes Do not Always Mean Fertility Treatments – Finally, it is important to know that many issues affecting fallopian tubes can be treated via laparoscopy. So, just because you have a blocked or malfunctioning tube does not mean you are on a one-way track to fertility treatment.

  1. In fact, fertility specialists always prefer to fix something like this so they are clients have a better chance of conceiving at home – always more fun than the alternative.
  2. If you are interested in conceiving a baby and you only have one tube, you’re looking into a tubal ligation reversal, or you require tubal surgery to clear a current tube block, we highly recommend connecting with a fertility specialist to create a personalized fertility plan.

While OB/GYNs prioritize their patients’ wellbeing, fertility specialists prioritize their patients’ wellbeing and their fertility future. We take great care when operating on a woman’s fallopian tube(s) to absolutely minimize any complications or post-surgical scarring that could compromise fertility down the road.
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How many times can you get ectopic pregnancy?

Will I still be able to have a baby in the future? – For most women, an ectopic pregnancy is a β€˜one off’ event and does not happen again. Even if you have only one fallopian tube, your chance of getting pregnant again is only slightly reduced. If you do get pregnant again, you may be offered an ultrasound scan at 6 to 8 weeks to confirm that the pregnancy is developing in the womb.
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What happens to your body after ectopic pregnancy?

Although the pregnancy is not in the uterus, the hormones produced by the early pregnancy cause the lining of the uterus to become thickened. Therefore after your ectopic pregnancy is treated, you should expect some heavy period-like bleeding for a week or so.
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What is the future of 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.
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Where does the egg go if you only have one fallopian tube?

Conceiving With IVF – Fertility treatment may be needed for some women with only one fallopian tube to conceive. In vitro fertilization (IVF) is often recommended to women who have been trying to get pregnant for approximately a year with no success. What makes IVF a good option for women with only one fallopian tube is that the treatment completely bypasses the fallopian tubes.
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Can I conceive naturally after 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. In this case, talk to your doctor about other ways to get pregnant, like IVF (in vitro fertilization).
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How long does it take to fully recover from an ectopic pregnancy?

Surgery – In most cases, keyhole surgery (laparoscopy) will be carried out to remove the pregnancy before it becomes too large. During a laparoscopy:

you’re given general anaesthetic, so you’re asleep while it’s carried outsmall cuts (incisions) are made in your tummya thin viewing tube (laparoscope) and small surgical instruments are inserted through the incisionsthe entire fallopian tube containing the pregnancy is removed if your other fallopian tube looks healthy – otherwise, removing the pregnancy without removing the whole tube may be attempted

Removing the affected fallopian tube is the most effective treatment and isn’t thought to reduce your chances of becoming pregnant again. Your doctor will discuss this with you beforehand, and you’ll be asked whether you consent to having the tube removed.

Most women can leave hospital a few days after surgery, although it can take 4 to 6 weeks to fully recover. If your fallopian tube has already ruptured, you’ll need emergency surgery. The surgeon will make a larger incision in your tummy (laparotomy) to stop the bleeding and repair your fallopian tube, if that’s possible.

After either type of surgery, a treatment called anti-D rhesus prophylaxis will be given if your blood type is RhD negative (see blood groups for more information). This involves an injection of a medicine that helps to prevent rhesus disease in future pregnancies.
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