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What is allowed after fallopian tube removal?

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Lisa314
Posts: 3
Joined: Wed May 05, 2021 5:44 pm

What is allowed after fallopian tube removal?

Post by Lisa314 »

Hey,
Two weeks ago I had a laparoscopy because of an ectopic pregnancy, my left tube was already ruptured so they had to remove it. Fortunately the other tube looks fine and so it should be no problem to conceive with just one healthy tube.

In the hospital the dociturs said that I should not have sex, do any sports or heavy lifting during the next six weeks. So I was wondering it if is allowed to masturbate or have some non penetrative intercourse with my partner or could it harm in some way or is it bad for the healing ?
Does anyone has some experience? And how long should it take to get my period (I also had 2 shots of Mtx before).
Wait for your answers,
Lisa

EPT Host 20
Posts: 3155
Joined: Thu May 31, 2012 10:58 pm

Re: What is allowed after fallopian tube removal?

Post by EPT Host 20 »

Dear Lisa,
I am so sorry to hear of your ectopic pregnancy and loss,
The advice we provide is general advice so I would always say to follow the advice of your surgeon.
Following treatment with methotrexate sadly, there is still the chance of rupture with low or declining hCG levels. Regarding intercourse, we advise avoiding anything that increases intra-abdominal pressure until your hCG levels are back to pre pregnancy levels.
As you have had your tube removed, this would not count however allowing the body to recover, ovulation to occur and the first period to arrive is often suggested by doctors as the ideal waiting period before women begin to have full penetrative intercourse (sex) again, which means waiting until around six weeks.
As you have mentioned however, there are many ways to be intimate without full penetrative intercourse and you can start this whenever you feel comfortable.

As a gentle reminder prior to trying to conceive following methotrexate, you should wait until your hCG levels have fallen to below 5mIU/mL (your doctor will advise you when this is through blood tests) and then take a folic acid supplement for 12 weeks before you try 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.

Sending much love,
Karen x

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