Dear sarahc,
I am so sorry too hear of your ectopic pregnancy loss.
The first period may be more painful or less so than usual, heavier or lighter, and last for longer or shorter than usual – there really is no set pattern. You should be able to manage any discomfort with over-the-counter (OTC) pain relief medications and should not be soaking a pad in less than an hour. So that you can monitor this flow, we usually advise wearing sanitary pads for your first period rather than tampons or moon cups.
The periods after this are usually more like your usual pattern. However, although there is no medical reason for it, women do very often report some irregularity in their cycle for several months after an ectopic pregnancy.
Regarding trying to conceive again we and other medical professionals advise that it may be best to wait for at least three months or two full menstrual cycles (periods) before trying to conceive for both physical and emotional reasons.
Physically, this timeframe is to allow your cycle to return to normal and for there to be a clear period to date a new pregnancy from. The date of the first day of the period is what is used to decide when to scan a new pregnancy; information that is invaluable in ensuring you are not suffering from another ectopic pregnancy.
The first proper period you have after an ectopic pregnancy may be heavier than usual and the second more like your usual period. A normal period would suggest you are hormonally ready to be able to try to conceive. Having two periods can also give an idea of menstrual cycle length, which may be different for a few months after your ectopic before settling back into its usual rhythm.
This wait allows the internal inflammation and bruising from the ectopic and any associated treatment to heal.
In addition to the physical aspects of ectopic pregnancy, many people also feel an intense emotional impact. Taking time before trying to conceive again enables the necessary process of grief to surface and be worked through.
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 Preparing for your Next Pregnancy board you can look at too whenever feel ready
Best wishes,
Karen x
The Ectopic Pregnancy Trust
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