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Resolving ectopic
Resolving ectopic
My question is this- why did she see on my scan a small ectopic in my tube that afternoon if the levels were already so low? And, surely they will want to re scan me to make sure this blockage is gone to avoid this happening again? Also, I am 5 days later and still showing a positive test. Very quickly as well! So after 5 days of my levels being in there 50’s why is this happening? It’s all very stressful and confusing. I’ve not miscarried or had an ectopic pregnancy before and this was to be my first child. I am now concerned going forward that there will still be a blockage in my tube and that no one really is bothering to check things over properly. I would like to try again as quickly as possible and want my body to recover ASAP but it’s very difficult when I don’t really know what’s going on with it, up until 5 days ago they said it was a misscarriage (that went on for 4 weeks)! And now they are saying it’s ectopic but they don’t need to intervene. When am I likely to ovulate again and what should I do?
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Re: Resolving ectopic
I am so sorry to hear of your ectopic pregnancy and loss and the confusing time you are going through and I will try my best to help.
I'm sorry if this is a little difficult to read, but it may help explain things a little more. With treatment for ectopic pregnancy through expectant management, when the pregnancy is ended, the whole pregnancy sac including any cells that might have grown into a baby is usually reabsorbed by the body. This is normal and happens in many cases of miscarriage. This process can take weeks and sometimes months. In some cases, the Fallopian tube may remain blocked and take time to shrink, which is why they may be able to see it on scan still.
It is not common practice to rescan in the UK and we at the Trust advise waiting for two menstrual cycles before TTC again which will allow additional time for any blockages to shrink. It is also 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.
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.
Home pregnancy tests are quite sensitive and if your hCG is still at 50, it will still show positive.
Regarding ovulation, your periods can take a while to re-establish and they can re-start once hCG levels have fallen below about 100mIU/mL and most women find that their period arrives some time in the four weeks after their hCG levels have fallen to 0. Before having a period you have to ovulate and it is possible to become pregnant without having a proper period first, if you are not using contraception. As previously mentioned, we and many doctors advise waiting at least two menstrual cycles before trying to conceive to allow time for your body to heal and emotions to surface.
We have more information on treatment of ectopic pregnancy with expectant management here
https://ectopic.org.uk/patients/treatment/
Above all, be kind to yourself and allow time to grieve, to heal both physically and emotionally.
We will be here for you for as long as you need.
Sending much love,
Karen x
The Ectopic Pregnancy Trust
Registered Charity Number: 1071811
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