Conceiving after IUD ectopic

I had an ectopic pregnancy in early March. It was treated with the removal of my right Fallopian tube. I wasn’t trying and had a copper IUD at the time (had it six months). I was intending to start trying to conceive shortly after it happened when I found out I was pregnant.

Long story short I have now been trying to conceive for roughly 3 months (it is currently the 4th month). I had a very early chemical pregnancy in cycle 2. I’m just looking for some hope. I have three children and I have remarried and we long to have a child together

Dear Drixie-Pixie,

I am so sorry to hear of your ectopic pregnancy and losses,

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. 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.

I wish I could give more precise information, but as I do not have access to your and your partner’s medical records, it is difficult for me to provide specific details. Generally, we and many healthcare professionals advise keeping a healthy balanced diet, maintaining a healthy weight and abstaining from alcohol and smoking.

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.

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. 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.

As a gentle reminder regarding conceiving again, we and many medical professionals advise waiting for two menstrual cycles following your ectopic pregnancy. It is important to allow time for your body to recover and emotions to surface and be worked through. This is so that you have some comfort that your body is returning to its natural rhythm and you have a last menstrual period date from which to date a new pregnancy - key information in checking you are not suffering from an ectopic pregnancy in the future. The first bleed soon after surgery for ectopic pregnancy is not classed as a period as it is the body’s response to falling hormone levels.

Sending much love,

Karen x

The Ectopic Pregnancy Trust

Registered Charity Number: 1071811

Ectopic pregnancy patient information suite: Highly Commended in the 2019 BMA Patient Information Awards


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