Dear Roguetigger,
I am so sorry to hear of your ectopic pregnancy and losses.
When we experience ectopic pregnancy we are suddenly faced with a life threatening emergency and it’s treatment, reduction in fertility, concerns about the future and the loss of our babies. Experiencing any one of these is an ordeal, putting them together is immense and your feelings are completely normal.
Experiencing some pain after an ectopic pregnancy is normal as your body has been through a great deal over the last few months. The pain may be due to adhesions (scar tissue that binds two parts of the body together) which form and take some time to settle. Your body may be preparing to ovulate and many women experience ovulation pain when they did not before their ectopic pregnancy - including myself. You also may have a heightened perception because of the sad loss that you have had to go through.
Your periods can take a while to get back to a rhythm that is more usual for you. I also found that my periods changed for a few months after my losses. If the pain persists, I suggest keeping a pain diary noting when the pain appears, especially in relation to your periods, the intensity on a scale of 0-10 and anything that helps the pain eg resting, hot water bottle, paracetamol etc. Visiting your doctors with this information helps them to assess how best to manage your symptoms.
Please do not be afraid to see your Dr with any concerns and if you were unhappy with the care you received from the last GP you saw, ask to see another one in your practice.
Trying to conceive again can be a challenging time for couples especially after experiencing loss. 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.
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.
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. 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.
Making the decision to begin trying to conceive is an emotional rollercoaster compounded by our sad loss. Again, you are not alone. We here emotional support whenever you need us. There is a specific TTC board you can look at too whenever feel ready.
Sending much love,
Karen x
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Further information is available at www.ectopic.org.uk
Email us at ept@ectopic.org.uk.
Our helpline is 020 7733 2653 (available Monday to Friday 10am - 4pm).
Detailed medical information can be found on our website. Please remember online medical information is NO SUBSTITUTE for expert medical advice from your own health care team.