Dear Rhianeijac77,
I am so sorry to hear of your ectopic pregnancy and loss,
Experiencing an ectopic pregnancy is a huge ordeal and you are in the early stages of recovery. Your body needs time to heal from your surgery which is in itself a gruelling task. You have also had to process the loss of your baby and been through an immense rollercoaster of emotions - all of this will take time to come to terms with.
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.
In general, after six weeks you should be able to return to most jobs from a physical point of view, but many women need to take more time off to help them deal with the psychological (emotional) impact of the loss of their baby and the frightening experience they felt being diagnosed with and treated for an ectopic pregnancy.
To answer your question, the first bleed that occurs after treatment for ectopic pregnancy is not classed as a period. It is the body’s response to falling hormone levels because you are sadly no longer pregnant. The body expels the lining of the uterus that had built up in preparation for the pregnancy because it is no longer needed. This process involves vaginal bleeding - it can be clotty or like one of your usual periods and some women have bleeding/spotting for up to six weeks.
If this is your first bleed, we would recommend using sanitary pads and this is because you would still be healing internally. It is important to avoid tampons until you have healed internally because they could introduce bacteria and the possibility of infection. Also, it is a good idea to keep a close eye on your bleeding and using sanitary pads helps judge this. If you are soaking more than a pad in an hour, you should get medical attention. You can of course use tampons for your next normal menstrual period if you choose to do so.
Sending much love,
Karen x
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