Ectopic pregnancy is the implantation of a fertilized egg usually in the fallopian tubes, but occasionally in the peritoneum, ovary or other sites. Ectopic pregnancy occurs in one in 150 pregnancies and symptoms usually appear between the 6th and 12th week of pregnancy.
Treatment: Depending on the severity, the doctor may remove all or part of the fallopian tube. The partial resection allows the preservation and subsequent restoration of the affected fallopian tube. The total resection of the fallopian tube is performed in cases in which the lesion is so extensive that it is not possible to perform anastomosis. The operation is performed laparoscopically or openly. In some cases, special medication with methotrexate is used. In rare cases of ectopic pregnancy, automatic healing is observed.
Pregnancy after ectopic pregnancy: Research has shown that women with an ectopic pregnancy are more likely to have a second ectopic pregnancy. For this reason, an ultrasound is required early in the next pregnancy (at around 6 weeks), so that at least the location of the pregnancy (inside or outside the uterus) can be identified.
Pregnancy after an ectopic pregnancy can be difficult to achieve because women in this category have an infected or blocked fallopian tube. Also, many women who have a history of ectopic pregnancies are worried about their future pregnancies. But according to research, 60% of women who have experienced such a problem become pregnant again within the next two years. But do not forget the risk of recurrence, which ranges between 10% -30%. So if recourse to assisted reproduction sometimes proves necessary, pregnancy is absolutely possible.
Many women after an ectopic pregnancy have normal pregnancies and future births, even if one of their fallopian tubes has been removed. As long as there is a healthy fallopian tube, pregnancy is possible. Most doctors advise waiting 3 to 6 months in order for the affected area to heal.
Conclusion: 1. Wait a few months for the area to heal and then try it yourself (taking into account the possibility of ectopic recurrence) or 2. Start assisted reproduction, which greatly reduces the risk of ectopic pregnancy. Always consult your doctor! Remember that ectopic pregnancy, whether accompanied by removal of the fallopian tube or not, is not synonymous with infertility.
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