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Tubal patency after expectant management

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Sallyew13
Posts: 7
Joined: Thu Sep 07, 2023 7:46 am

Tubal patency after expectant management

Post by Sallyew13 »

Hi all,
I had an ectopic pregnancy in late august - early September. It was managed expectantly, meaning it went away on its own. So I didn’t have surgery or medication.
I’m wondering what is the likelihood that the tube has been damaged / scarred. Could it possibly be OK given the mass reduced on its own?
Any info on tubes being OK after expectant management would be reassuring.
Thank you

EPT Host 20
Posts: 3176
Joined: Thu May 31, 2012 10:58 pm

Re: Tubal patency after expectant management

Post by EPT Host 20 »

Dear Sally,
I am so sorry to hear of your ectopic pregnancy loss,
There is very little research to inform us on damage to tubes following expectant management of methotrexate treatment for ectopic pregnancy.
What I can say is that studies suggest the chances of pregnancy are about same irrespective of type of treatment - Expectant management or medical management or surgery.
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.

I hope this helps,
Sending much love,
Karen x

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