Periods after ectopic

Hi, I had emergency ectopic surgery on 24/05/2020 and had a period 32 days later. I am now on my 3rd cycle but my periods are so different than before.

Before I had 5 days full flow (reasonably heavy) and 2 days light, finishing on day 7.

Ever since the surgery, my periods have been really light and only really lasting 3/4 days.

Is this normal? I’ve read that the first period may be different but then that they should go back to normal? Has anyone else had this?

I know its very soon, but we are now starting to try for another baby. Do you think the change in my periods is anything to worry about?

Thank you

Dear Katrina24,

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

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. I would suggest keeping a diary and seeing how they settle out.

Regarding trying to conceive, we and many medical professionals advise waiting for two menstrual cycles. It is important to allow time for your body to recover and emotions to surface and be worked through. This is so that you have some comfort that your body is returning to its natural rhythm and you have a last menstrual period date from which to date a new pregnancy - key information in checking you are not suffering from an ectopic pregnancy in the future. The first bleed soon after surgery for ectopic pregnancy is not classed as a period as it is the body’s response to falling hormone levels. It sounds as though you have done this so you can start trying again.

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. 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. 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.

Sending much love,

Karen x

The Ectopic Pregnancy Trust

Registered Charity Number: 1071811

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