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PUL and then ectopic

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PUL and then ectopic

Post by Kerrie990 »

Hello. This is my first time posting. I was just wondering if anyone has gone through anything similar and had any hopeful stories. I have a 12 year old son who I had when I was 19. Completely healthy pregnancy and no problems. In October I had a pregnancy of unknown location. I was told I ovulated from my left tube, but they couldn't find the baby. I should have been 8 weeks pregnant. My hcg was monitored for just over a week, but then I started bleeding and after 2 weeks my levels started to drop. They were happy that I was passing the baby naturally. As soon as my levels hit 0 we tried again and I fell pregnant again quickly. This pregnancy ruptured in my right tube in January. They took my tube away. They told me when I had the surgery that they checked my left tube and it "looks healthy". My question is, I am really confused. Was my PUL in October an ectopic? I was never told it was, so didn't even research this until I had the ectopic in January. I was quite traumatised by it so never really asked any questions as my brain turned to mush. I have just had my second period and really want to start trying again, but knowing that the PUL came from my left side where my remaining tube is terrifies me. Am I even more at risk of having another ectopic from this side now? Sorry for the rambling post but I'm so confused. Thank you in advance

EPT Host 22
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Joined: Fri Nov 20, 2015 10:26 am

Re: PUL and then ectopic

Post by EPT Host 22 »

Hi Kerrie990,

I’m so sorry that you’ve suffered these two early pregnancy losses. It can be such an emotional time, leaving us with so many questions. The losses are both emotionally and physically traumatic, and it can be months or years, sometimes, before we start processing and asking questions. I will do my best to help.

As I'm not medically qualified, I can not comment as to whether your previous PUL was also ectopic. I would believe that with ectopic pregnancy the doctors would tell you, as treatment would need to take place. It can resolve itself, but that would take place under doctors guidance, called expectant management, and I would imagine they would have communicated that to you.

On your fertility, the egg from the tubeless side can be picked up by the other Fallopian tube, and that means that fertility is not halved with having a Fallopian tube removed. Conservative estimates suggest that an egg produced on the tubeless side manages to descend the remaining tube around 15 to 20% of the time. This means that rather than your fertility being halved it has been affected by around 30% or, looking at it another way, it means we have around a 70% opportunity of conception with each menstrual (period) cycle.

In the UK, the repeat occurrence of an EP is about 10 percent chance, but looking at it another way, there is a 90 percent chance of embryo being in the right place.With future pregnancies, it is possible to have early scans to ensure you have the right help in the beginning. It may provide some comfort to know that it is usually possible to conceive successfully after having an ectopic pregnancy, though the time it generally takes varies considerably from couple to couple. Approximately 65 percent of women are healthily pregnant within 18 months of ectopic pregnancy and some studies show this rises to around 85 percent after two years.

It’s very normal to have worries about trying to conceive. Many feel that way; I did and still struggle with it. In regards to trying to conceive, the Trust advises couples to wait at least two full menstrual cycles or three months before trying to conceive again. This is to allow time for your body to heal and emotions to surface and be worked through. However, you can start taking folic acid now. It is recommended to take folic acid for at least 12 weeks prior to conception.

We understand how nerve-wracking this all can be. These Boards are a safe space, and we here for as long as you need.

With good wishes,


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