TTC after expectant management

Hello,

Could you advise when I should take folic acid again. My ectopic was managed using expectant management. Should I do a pregnancy test, make sure it’s negative then start taking then? We will be using contraception until with start TTC again. Thanks

Dear Reb22,

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

As long as you didn’t have a methotrexate injection, you can start taking folic acid suppliments straight away.

As a gentle reminder regarding conceiving again, 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.

Sending much love,

Karen x

The Ectopic Pregnancy Trust

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