TTC after Tube removal

Hey everyone.

I had my surgery on 6th June and right tube removed and had my first period on 6th July my recovery has been amazing physically can’t complain at all, mentally doing better.

I was obviously so happy to see my period 4 weeks to the day of surgery to know things are working as normal but also have been tracking my ovulation this cycle, and it doesn’t seem to be coming. I only have a 23-24 day cycle which is very normal for me so I have a day or two before I go into my ovulation window when my period ends which was last Wednesday so expected to start seeing the rise on OPKs from Saturday but my tests are all negative..has anyone else experienced this? We have been sexually active without protection since maybe just over a week post surgery as a baby is something we really want. I feel like I’ve had all the signs of ovulation coming on Friday I had really bad cramps and my boobs are sore but nothing.

I’m 40 and age isn’t on my side so loosing my right tube and now this is really making me anxious did anyone else not ovulate at first

Thank you

Hi Forgetmenot25,

I am so sorry to hear of your ectopic pregnancy and loss. I very much understand that strong desire to conceive. I appreciate how frustrating it can be if it isn’t happening as quickly as we would like. Conceiving successfully can take time and can take some couples more than a year or so.

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. In addition. having regular sex means having sex every 2/3 days throughout the month. Guidance from the UK’s National Institute of Health and Clinical Excellence advises that having sex around the time when the woman ovulates causes stress and is not recommended. We here at the EPT suggest having intercourse 2/3 times between days 10-20 of their cycle when trying to conceive. We also have information on our website on trying to conceive here: https://ectopic.org.uk/patients/trying-to-conceive/

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.

Regarding having one tube, 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.

We remain here for you for as long as you need.

With good wishes,

Michele


The Ectopic Pregnancy Trust

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