Hello
I wanted some advice of tests available after an ectopic to check the tubes.
I have recently been treated for a right tube ectopic pregnancy at 5 weeks with two doses of methotrexate and I am too scared to try again without doing some investigation into why I had an ectopic.
I have read about the HSG, hycosy and selective salpingography, I havnt been able to find anything to reccomended one over the other, does anyone have advice / experience ?
Dear Louise1,
I am so sorry to hear of your ectopic pregnancy and loss.
I completely understand how you feel, I too searched for answers as to why I experienced an ectopic pregnancy, especially as I had non of the risk factors. Sadly, often an answer is never found as to why we suffered an ectopic pregnancy and I know how frustrating this is.
Sadly, there are no tests or investigations that can be done to assure you that you will not experience an ectopic pregnancy again. Ectopic pregnancy occurs because of some underlying damage to a fallopian tube and the cause of this damage may never be established. Doctors would usually want you to wait to try again for three months, after which, your doctor will probably encourage you to try again for 12 months if you are less than 35 or 6 months if you are over 35. Only if you do not conceive within those times would they then consider further tests and investigations. The exception to this might be if the surgeon saw something during the surgical procedure to resolve your ectopic pregnancy that they felt warranted further investigation more quickly.
Reassuringly, 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.
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.
Sending much love,
Karen x
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