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Fallopian Tube & Adhesions Removed

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Alex_Julie
Posts: 2
Joined: Mon Aug 15, 2022 9:53 am

Fallopian Tube & Adhesions Removed

Post by Alex_Julie »

2 weeks ago I had emergency surgery for an ectopic pregnancy, which had ruptured my Fallopian tube, 3 days previously. I had the tube removed and they also found lots of adhesions, which have been removed.

I also had a miscarriage a few months back, although both times I conceived immediately. I am now 36, so that is obviously a concern as well.

I’m concerned about the risk of another ectopic pregnancy naturally, but I’m also concerned about the increased risk of an ectopic pregnancy with IVF.

Is it reasonable to request an immediate specialist referral now to check the state of my remaining Fallopian tube and discuss options going forward? I’m concerned about scarring in the remaining tube.

Also wondering if natural conception is the most common route going forward for probers who have been in my position?

Many thanks

EPT Host 20
Posts: 3142
Joined: Thu May 31, 2012 10:58 pm

Re: Fallopian Tube & Adhesions Removed

Post by EPT Host 20 »

Dear Alex_Julie,
I am so sorry to hear of your ectopic pregnancy and losses. To experience one loss is difficult, to deal with multiple losses is heartbreaking and my heart truly goes out to you.
I am only able to give you general advice on the forums as we are not medically trained, so if you have specific questions about the adhesions that were found and chances of pregnancy, I would advise speaking to your medical team.
You can request referral to a fertility specialist, however it would depend upon the referral criteria in your specific area as to whether It would be accepted. I think most areas would accept referral after 2 ectopic pregnancies or 3 miscarriages. It also depends upon your age and length of time trying to conceive. We advise that women under 35 should seek medical advice following 12 months trying to conceive and those over 35 should seek advice after 6 months.

The chances of a further ectopic after a first in UK is 10%. So that's 90% chance of the embryo being in right place next time.
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. It may be comforting to know that 65% of women are successfully pregnant within 18 months of experiencing an ectopic pregnancy and some studies suggest this rises to around 85% after two years.

It is normal to feel anxious about the future. We experience a mix of emotions from wanting to try again to being petrified of what may lie ahead. We never forget but we can learn to accept what happened. It is a slow process that might be weeks or months ahead. In time, we can get to a place where we feel comfortable trying again. When this is, is individual for each person. There is no timeframe for recovery, take each day as it comes. 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.

Making the decision to begin trying to conceive is an emotional rollercoaster compounded by our sad loss. Again, you are not alone. We here emotional support whenever you need us. There is a specific Preparing for your Next Pregnancy board you can look at too whenever feel ready.

Above all, be kind to yourself and allow time to grieve, to heal both physically and emotionally.

Sending much love,
Karen x

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Alex_Julie
Posts: 2
Joined: Mon Aug 15, 2022 9:53 am

Re: Fallopian Tube & Adhesions Removed

Post by Alex_Julie »

Thank you so much for the detailed, informative and supportive reply Karen.

It is really appreciated and has been really helpful and also reassuring. I will speak to my GP about the next steps and whether a referral will be considered. I will also check out the other topics you have suggested.

Thanks again.

Kind regards
Alex

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