I would be grateful for some advice. I had an ectopic in Jan 2013 in my left tube which was treated surgically with salpingostomy and the tube was saved. I was told both tubes looked healthy and there were no adhesions or scarring. In June I fell pregnant again but my HCG levels were very low (only got to about 100) and dropped quickly and I had, what I was told was a chemical pregnancy at 6 weeks. I was convinced this was an ectopic in my left tube that resolved naturally due to the pain and twinges in my left tube. I had a HSG in October that showed the left tube was blocked near the womb but the right tube was clear and there was prompt spillage of the dye. Last Sunday I had a faintly positive pregnancy test when I was 4 weeks 3 days. I knew immediately the pregnancy wasn’t viable. I know that I ovulated from my right side due to strong ovulation pain. I was convinced I was having an ep in my right tube, as I was getting the familiar sharp stitch like pain in my tube. I had my HCG tested Monday and the level was 21 and I was told I would miscarry. This morning I had a negative pregnancy test and I think I will start bleeding any time.
I had chlamydia for 9 months eight years ago but had no symptoms and it was treated with antibiotics, however from my research the infection can damage the tube with no symptoms.
I would really appreciate any advice on what might be happening and what I can do. I feel that the last 2 pregnancies were very small ectopics that resolved naturally but is this really possible? What should I do now? I wanted to try IVF but am worried that this will put me at increased risk of another eptopic as apparently the embryo can float into the tube. Should I look into having my tubes removed (which I do not want to do) or is it too soon for that? If the last 2 pregnancies were chemical pregnancies, what could be causing this and what can I do about it? I assume I won’t get any help on the NHS for recurrent miscarriage as you need to have had 3 miscarriages and an ep sadly doesn’t count. Is it possible that I still am infected with chlamydia even though I have tested negative and it could be causing chemical pregnancies and if so, how can I find out?
I can’t get anywhere with the medical profession on the NHS. Should I ask for a private consultation about my recurrent loss before starting IVF or should I just start ivf?
I feel so lost I would so appreciate some advice.
Thank you
Sarah
I just wanted to add that I will be 38 this year so time isn’t on my side.
Dear Sarah,
It is hard to comment without full medical records but I would suggest to be careful making decisions about your body without knowing what is happening to it.
From your message it suggests that there was no evidence that you had an ectopic pregnancy in June because there was no scan demonstrating this - I am not saying it was or wasn’t, only that there is no evidence to suggest it was. You did have a hSG level that rose and fell though.
Equally (and I am so sorry for your loss), there doesn’t seem to be any evidence of an ectopic pregnancy now. Again, you have had a rising hSG level though.
I will be totally honest and direct with you, as I am sure this is what you would prefer, from the limited information I have, it does not sound like the June and March positive pregnancy tests were ectopic pregnancies. However, if you are having positive pregnancy tests and then testing negative this instead suggests you are possibly miscarrying early, like you suggest, and perhaps eggs are being fertilised but are not successfully implanting?
Given you are age 38 and have been trying to conceive unsuccessfully since January 2013, you do meet criteria for the NHS to refer you for IVF consultation now without waiting for a third pregnancy test that fails. It would be worthwhile having a conversation with your GP about this.
Best wishes,
EPT Host 13
Hi Sarah,
I didn’t want to read and run but I unfortunately don’t have much advice for you. I just want to let you know to stay strong and keep trying! I’m sorry for your losses and wish you all the luck!
When you mentioned removing your tubes and doing IVF - be careful of this as I have looked into the benefits of IVF and have heard although it can bypass the tubes there is a chance that the fertilized egg can float back into the stump of the removed tube! I don’t know what the stats are but from reading lots on ppl’s experience IVF is not the quick fix that even I thought it might be!
Have a robust convo with your doctors and look at your options - I understand and feel your frustrations! Trust me I am experiencing an ectopic now, conception wasn’t even easy for me either and feel my future is bleak now… But I have hope and pray if it’s meant to be it’s mean to be.!
Lots of positive vibes coming your way 
Hi Sarah,
I didn’t want to read and run but I unfortunately don’t have much advice for you. I just want to let you know to stay strong and keep trying! I’m sorry for your losses and wish you all the luck!
When you mentioned removing your tubes and doing IVF - be careful of this as I have looked into the benefits of IVF and have heard although it can bypass the tubes there is a chance that the fertilized egg can float back into the stump of the removed tube! I don’t know what the stats are but from reading lots on ppl’s experience IVF is not the quick fix that even I thought it might be!
Have a robust convo with your doctors and look at your options - I understand and feel your frustrations! Trust me I am experiencing an ectopic now, conception wasn’t even easy for me either and feel my future is bleak now… But I have hope and pray if it’s meant to be it’s mean to be.!
Lots of positive vibes coming your way
Hi, I am new to the forum. I had an ectopic pregnancy removed by surgery and have had a Fallopian tube removed on the 11th May. Have made a good recovery physically, but mentally it is now hitting me what has happened and I’m not dealing with it all well, have become depressed.
We were not actively trying for a baby but having suffered the loss it has made us question if we should try again for another. I am 36 and have 2 children, and was using the logynon pill, due to antibiotics it did not work correctly. Worried now how to cover next few months of recovery with contraception until we decide to try again. Please advise, do I need help?
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