Positive stories?

Hi,

I recently had my first pregnancy that was ectopic and resulted in surgical removal of a tube. I’m looking for some reassurance about having a subsequent successful pregnancy. I’m very anxious that the same thing will happen again, and as there seems to be no reason (or known reason) why it would happen in the first place, I can’t help but think then there is no reason why it wouldn’t happen again either. I know the stats that lots go on to have a healthy pregnancy, but I wonder if that is people who have had a successful pregnancy prior to their ectopic, which I haven’t.

I know no-one can promise anything, but it all just seems so up in the air and I’m not sure I can bear the wait of 3 months + time trying to conceive all the while not knowing if I will ever be a mother. The thought of having another ectopic and then going on to deal with complete infertility is more than I can handle. On the other hand, I can’t not try as I really want to have a child more than anything. I feel a bit stuck between these realities.

Dear Bamkhead11,

I am so sorry to hear of your ectopic pregnancy and loss. My 1st pregnancy was also ectopic and I went on to have a successful pregnancy.

Trying to conceive again can be a challenging time for couples especially after experiencing loss. I will do my best to help.

The chances of a further ectopic after a first in UK is 10%. So that’s 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. 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.

Generally, when a person has only one fallopian tube and both ovaries, they are still able to get pregnant from an egg at the opposite ovary as an egg from one ovary can travel down the tube on the other side. The fallopian tubes are not attached to the ovaries and, at the point of ovulation, some very delicate structures called the fimbriae begin to move gently creating a slight vacuum to suck the egg toward the end of the tube it is nearest to (like lots of little fingers waving and drawing the egg towards it). So, if you have only one tube then there is only one set of receptors working and one set of fimbriae creating a vacuum and so the egg is much more likely to find its way to that tube, whichever ovary it is produced from. Conservative estimates suggest that an egg produced on the tubeless side manages to descend the remaining tube around 15 to 20% of the time.

It is normal to feel anxious about the future. We experience a mix of emotions from wanting to try again to being petrified of what may lie ahead. We never forget but we can learn to accept what happened. It is a slow process that might be weeks or months ahead. In time, we can get to a place where we feel comfortable trying again. When this is, is individual for each person. There is no timeframe for recovery, take each day as it comes.

Importantly early scans avail. As soon as you know you are pregnant, contact your local EPU to inform them and book in for an early scan at around six weeks. Remind them of your previous ectopic pregnancy. This self refer route is the best route in our view. Hopefully you will have some comfort to know you are under the radar of medical professionals right away.

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.

Sending much love,

Karen x

The Ectopic Pregnancy Trust

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Thank you Karen. Your post is reassuring and I will try and remain positive. x