hydrosalpinx formation

Hi all, I posted earlier feeling quite hopeless, I’ve had one ep several years ago when I was 23 or 24 before that a miscarriage. I am more worried about the ep I had the tube saved because I guess it didn’t rupture, anyway I’ve been reading up a lot of hydrosalpinx formation…I’m worried my left tube where I had the surgery is blocked and consequently my right tube, because I heard the damage can spread to the other good tube. Even though the doctors told me I will be fine and be able to have kids in the future I think they were just saying that because they messed up. At first they gave me the shot and it didn’t work and I had to be rushed to the ER for surgery. Anyway so what are my possibilties I’m thinking worst case scenario I may need IV and if I need IV I need to start saving up my pennies and get some good insurance. How much does it typically cost? I am 28. Have normal and regular period I am guessing my eggs are good but not my tubes. Also had a lot of stomach pains, particularly in my bottom right pelvix area, but the surgery was performed on my left side, then oddly a raised red scar also popped up on my right side. Sorry anyway I can’t seem to figure out the difference is hydrosalpinx formation in tubes from an STD? What about scar tissue? Also what is worse to have hydrosalpinx formation or scar tissue in the tubes? Or can you have both? Which one is correctable? What if the hydrosalpinx is in my uterus or I think cervix…sorry not the best with anatomy…does that mean I cannot have IV? It’s been a long time since my ep and have not gone to the doctor to check my fertility health, only recently been concerned. Any information on the differences and options I may have are much appreciated. Thank you. xoxoxo

Dear wantbabies88,

I am sorry to hear of your ectopic pregnancy and losses.

I am not medically trained so cannot give specific information on your questions but I would advise talking to your health care provider about your concerns.

We often read about things and convince ourselves this is happening to us, this is completely normal, but if you remain concerned I would chat to your healthcare provider rather than reading on the internet.

You appear to be concerned about the treatment you were given for your ectopic pregnancy but studies suggest the chances of pregnancy are about same irrespective of type of treatment - Expectant management or medical management or surgery.

The chances of a further ectopic after a first in UK is 10%. So thats 90% chance of the embryo being in right place next time.

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.

Regarding the pain you are experiencing, this can be quite common after ectopic pregnancy. The pain could be due to adhesions or scar tissue which formed as part of your healing. It could also be due to heightened awareness because of your sad loss. You may also be feeling ovulation pain (many women including myself never felt ovulation pain before the ectopic pregnancy and experience these sensations after). I think it may be worth keeping a pain diary to record when you feel the pain (including when in your cycle), its intensity on a scale of 1-10 and if anything helps such as rest, a hot water bottle, paracetamol etc. I would suggest keeping these notes for about 4/6 weeks and then seeing your doctors with this information as it would help them determine how best to manage your symptoms.

It is absolutely normal to feel anxious about the future. There is a true mix of emotions from wanting to try again to being petrified of what may lie ahead. I believe your health care provider will be the best route for you to discuss your symptoms, concerns and any future tests that maybe required.

Sending much love,

Karen x


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