Dear gurigur,
I am so sorry to hear of your ectopic pregnancy loss.
Cornual ectopic pregnancies are rare and because of this, we don’t have as much knowledge base to advise.
I do wonder however if you were treated outside of the UK? In the UK, usual treatment for cornual ectopic pregnancies is surgery. I therefore cannot answer the question on how long it would take for the sac to be absorbed naturally as I don’t think we have data on this. I will check with the wider medical team and update this post with any further information though. Similarly on your question regarding sex, I do not have the answer to this as we are a UK based charity, so can only discuss methods used here in the UK and we don’t have this sort of evidence. You mention you have a follow up scan in 2 months, if you are concerned, you could find other ways to be intimate with your partner without penetrative intercourse.
When treated if treated with methotrexate, you can expect your period at some time in the four weeks after hCG levels have fallen to below 100 mIU/mL. According to a study for women who had methotrexate treatment for an ectopic pregnancy in a Fallopian tube, periods generally return to normal after an average of 24 days (range of 24–38 days) from the pregnancy ending.
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 the discomfort with over-the-counter (OTC) pain relief medications and should not be soaking a pad in less than an hour. If this is not the case, you should seek medical advice.
I am sorry I have not been able to fully answer your questions, but this is a rare type of ectopic pregnancy and the treatment you have been given is not common practice. I will try to find out more from our wider team, but I would suggest contacting your medical team to discuss your concerns and questions. They will have access to your medical notes and also may have more information on after care advice, if methotrexate is commonly used.
Sending much love,
Karen x
The Ectopic Pregnancy Trust
Registered Charity Number: 1071811
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