Recently had an ectopic in October and was told to wait 2 full cycles & 3 months before I can try again . Just looking for a bit of information to this -
If I have a period in November then December can i fall pregnant after my period in December ? As that would be 3 months since my injection or do I have to wait for a 3rd period in January before I can try ?
Thanks
Dear Summer1,
I am so sorry to hear of your ectopic pregnancy and loss,
After ectopic pregnancy we and many medical professionals advise waiting for two menstrual cycles before trying to conceive however the first bleed soon after treatment for ectopic pregnancy is not classed as a period as it is the body’s response to falling hormone levels.
You mention injection, so I presume you have had methotrexate injection. It is therefore also very important that you take folic acid supplementation before trying to conceive.
With Methotrexate, you should wait until your hCG levels have fallen to below 5mIU/mL (your doctor will advise you when this is through blood tests) and then take a folic acid supplement for 12 weeks before you try to conceive. This is because the Methotrexate may have reduced the level of folate in your body which is needed to ensure a baby develops healthily. The Methotrexate is metabolised quickly but it can affect the quality of your cells, including those of your eggs and the quality of your blood for up to three months after it has been given. The medicine can also affect the way your liver works and so you need to give your body time to recover properly before a new pregnancy is considered. A shortage of folate could result in a greater chance of a baby having a neural tube defect such as hare lip, cleft palate, or even spina bifida or other NT defects. This is why the “wait” and then taking folic acid for 12 weeks before trying to conceive is so important.
I hope this helps,
Sending much love,
Karen x
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