Dear Kittenpurple,
I am so sorry to hear of your ectopic pregnancy and loss.
When we experience ectopic pregnancy we are suddenly faced with a life threatening emergency and it’s treatment, reduction in fertility, concerns about the future and the loss of our babies. Experiencing any one of these is an ordeal, putting them together is immense and your feelings are completely normal.
You are still in the early stages of recovery and it is normal to feel pain and discomfort and I would suggest taking the pain relief that has been prescribed for you as directed by your doctors.
You should take it very easily for about six weeks after surgery. Your body will be using its energies to heal internally. It is normal to feel physically and emotionally exhausted during this time and please do be kind to yourself. Recovery can take time and some days will be better than others, one day you maybe ok and the next you maybe in discomfort or more emotional. This is perfectly usual and the healing process will go back and forth in this way for however long you need. It is important to listen to your body’s signals and pain and feeling tired are your body’s signs to tell you to rest. We suggest keeping a healthy balanced diet, drinking lots of water and resting. Once your wounds have healed, very gentle exercise such as a short walk can help, but please do take this slowly.
Whilst I do not wish to alarm you, if you find that you have an increased body temperature of more than 37°C or offensive smelling discharge or the wound site starts oozing or feels hot to touch, please do get medical attention as soon as possible as these can be signs of infection.
With regards to trying to conceive, I can only suggest having open and honest discussions with your partner about how you are feeling.
If you do decide to try 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.
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.
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.
As a gentle reminder, we and many medical professionals advise waiting at least two menstrual cycles before trying to conceive again. Please note that the first bleed after an ectopic pregnancy, is not classed as a period - it is the body’s response to falling hormone levels as you are sadly no longer pregnant and shedding of the uterine lining that had build up which involves bleeding. This “wait” is to allow your cycles to resume and have a last menstrual period date from which to date a new pregnancy - important information for checking for ectopic pregnancy in the future. It also allows time for your emotions to surface and be worked through after your ordeal. 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.
Unfortunately I am not medically trained so cannot give you specific advice regarding your mini pill, but I do have further information here and would advise speaking to your GP or family planning nurse if you have any concerns or queries.
http://www.fpa.org.uk/contraception-hel … y-pill-pop
Above all, be kind to yourself, there is no timeframe for how long it takes to heal both physically and emotionally.
Sending much love,
Karen x
If we have been able to help you, are you able to help us with a small donation or by volunteering?
Further information is available at www.ectopic.org.uk
Email us at ept@ectopic.org.uk.
Our helpline is 020 7733 2653 (available Monday to Friday 10am - 4pm).
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.