Pcos after ctopic pregnancy

Pregnant After Ectopic Pregnancy
1

Hi,

I had my left fallopian tube removed due to an ectopic back in end of January. It was assumed the reason for the ectopic was since I had an IUD (was also removed) which had become displaced to low, leading me to get pregnant.

I have had 3 menstrual cycles since then which have been fairly regular despite intense PMS mood swings.

Now on my 4th cycle my period is a no show, I haven’t had sex since before my surgery so there is no way I could be pregnant. Only thing I can think of is that my polycystic ovaries (which I was previously diagnosed with) has got worse or because I’m not on contraception my periods have become irregular.

I know one of the treatments for Pcos is contraception with progesterone, and from the research I have done there is an increase association of progesterone with ectopic pregnancy. Unfortunately the ectopic pregnancy was my first pregnancy, and I really want to have children in the future.

Im not sure what to do or if to tell the doctors. Im trying to be strong but im struggling also since I can’t speak to anyone about it.

2

Dear ry_ry,

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

Unfortunately I am not medically trained so cannot give you specific advice on your query.

Your periods can take a while to get back to a rhythm that is more usual for you. Mine certainly took up to 3-4 months to settle into a rhythm. As you have PCOS, this may affect your periods also and I would advise speaking to your GP if you are concerned.

Regarding progesterone only methods of contraception, I am under the impression that thess do not increase risk of ectopic pregnancy but in the rare event that you were to become pregnant, it can be more likely to be ectopic. There are other medications for treatment for PCOS, I have included some options here from an NHS site and I would advise talking through your options with your GP.

https://www.nhs.uk/conditions/polycysti … treatment/

Many women experience feelings of isolation after an ectopic pregnancy - I did, too. It is a frightening experience. Like you, I reached out to the Trust for support and we will be here for you to lean on for as long as you need.

We at the Trust believe that talking through what happened and your emotions as and when you can helps the healing process. We operate a helpline service and there’s no pressure whatsoever but if you would ever like the opportunity to speak over the phone to someone who has been through a similar experience, do feel free to call, details are below. We can take things at your pace entirely and you are free to ask any questions that are on your mind. You can talk about the ordeal you have been through and express your feelings to vent and let off some steam. We can exchange emails too, if you prefer that route. We’ll simply be here for you, however you wish and for as long as you wish.

In addition, you can ask to see a GP at your practice and ask them to explore ways in which you can get help and this can include referrals for “talking therapies” or counselling. We have information on our website about finding counselling services.

The charity Mind may also be of assistance. They have local centres and support groups and can offer services on a means-tested basis or sometimes free. You can find your local centre following this link if that may be useful too: http://www.mind.org.uk/information-support/local-minds/

We will be here for you for as long as you need,

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

During the coronavirus outbreak, The EPT team is still working hard to provide crucial information and support to women and families experiencing ectopic pregnancy as quickly and efficiently as we can.

If we have been able to help you, are you able to help us with a small donation or by volunteering or fundraising?

Further information is available at ectopic.org.uk

Email us: ept@ectopic.org.uk

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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