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When should I have a period?

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Rbev12
Posts: 1
Joined: Wed Mar 20, 2024 6:58 am

When should I have a period?

Post by Rbev12 »

Hi

So I had methotrexate dose on 10/1/24 and I had key hole surgery on 17/1/24 to remove my fallopian tube.

I had bleeding after the first time my partner and I had sex which i thought was my period starting (1/3/24) but it stopped after the one day.

I don't know whats normal anymore! Was that my period and i should expect the next one in a few weeks? Was it not?

Was also told we can start trying again after 90 days? But my sister (also a doctor) said 6 months.. what's right here? Any advice would be awesome!

EPT Host 20
Posts: 3193
Joined: Thu May 31, 2012 10:58 pm

Re: When should I have a period?

Post by EPT Host 20 »

Dear Rbev,
I am so sorry to hear of your ectopic pregnancy loss,
Your menstrual periods after an ectopic pregnancy can take a while to re-establish. Periods can restart any time between four and ten weeks after treatment. Most find that their first period arrives sometime around week six or seven after surgery. So I would expect in the next few weeks. If you are still having bleeding after sex, please seek medical advice as this could be down to other issues.
Regarding trying to concieve, as you have had methotrexate injection, you need to take folic acid supplements for 12 weeks before trying 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.
This also gives chance for your body to recover from the ordeal of an ectopic pregnancy, it gives your periods to return to a more normal cycle. This can be key when dating possible future scan dates.

I hope this helps,
Sending much love,
Karen x

The Ectopic Pregnancy Trust
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