Conceiving after 2 ectopics

Hi,

I have a beautiful 4 year old girl and would love to give her a brother or sister but since her arrival I’ve had 2 ectopic pregnancies. The first, the tube was removed by operation. The second was treated with Methotrexate.

We’re now a year on from the last ectopic and I find myself struggling. It’s so hard trying month after month as we’ve been doing that 3 years (with the ectopics in-between). And I’m 36 next month so age is not on my side anymore.

My question is, does anyone know if IVF is something I should be considering? The chances seem so low of it working at my age, and ectopic still can occur!? I did not realise this, so had convinced myself this was what I wanted, but now I’m not sure?

Any tips/help/advise, or sharing of similar stories would be greatly appreciated. Thank you.

Dear Lucy,

I am so sorry to hear of your ectopic pregnancies and losses. To experience one loss is difficult, to deal with multiple losses is heartbreaking and my heart truly goes out to you.

I very much understand that strong desire to conceive. I appreciate how frustrating it can be if it isn’t happening as quickly as we would like. Conceiving successfully can take time and can take some couples more than a year or so. While generally it is possible to conceive after an ectopic pregnancy, the amount of time it takes varies from couple to couple. Factors include age, general health, reproductive health and how often you have sex, among other things. It may be comforting to know that 65% of women are successfully pregnant within 18 months of experiencing an ectopic pregnancy and some studies suggest this rises to around 85% after two years.

In addition. having regular sex means having sex every 2/3 days throughout the month. Guidance from the UK’s National Institute of Health and Clinical Excellence advises that having sex around the time when the woman ovulates causes stress and is not recommended. We here at the EPT suggest having intercourse 2/3 times between days 10-20 of their cycle when trying to conceive.

As you have mentioned, there is sadly a risk of ectopic pregnancy even with IVF. Importantly, help is available if conceiving naturally has not yet been successful after some time trying - and the EPT advises that women under 35 should seek medical advice following 12 months trying to conceive and those over 35 should seek advice after 6 months. If you are in the UK, I would suggest speaking to your GP about referral to fertility specialists.

Sending much love,

Karen x

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