Ectopic Pregnancy Surgery Questions

Hello,
Ectopic pregnancy occurs due to improper peristalsis of fallopian tube due to which fertilized embryo implants in the tube and ruptures it later which results in surgical removal for safety, as you have discussed. It is probable that you will face the same thing with the next tube as well in the next pregnancy if not treated properly. Pregnancy can still be possible with one intact tube and the tendency of ectopic pregnancy can also be corrected by the help of medications.

HSG has to be done to know the patency of left fallopian tube. If tube is patent iui or natural way does not make difference. Success rate is same. If both tube blocked ivf is the solution not iui.

Their are good chance of you to getting pregnant because age is on your side. Live healthy and stress free lifestyle and you can start folic acid if you are planning, even after one year of efforts you fail to conceive then you might need medication but till then just relax and keep on trying.

Everything is compared by advantages v/s disadvantages of one v/s another so methotraxate is better than surgery. If after treatment all is confirmed as normal then routine supplements like any person

If beta hcg decreases by more than 15% per week, you should not worry. The usg takes time to resolve.

If the sac is 4 cm size, haemodynamic stable, beta hcg less than 4000 medical treatment can help. If it's already ruptured laparotomy with resuscitation should be done.

You should do a urine pregnancy test. If its positive then consult with your near by gynaecologist asap.

If it was upper abdominal surgery, you can plan pregnancy as early as 1-2 months after surgery.
For lower abdomen wait for at least 2-3 months.

Dear Lybrateuser, Pl get ectopic surgery done urgently as it is an emergency. Future planning can be done later.

Women who have had an ectopic pregnancy in the past may have fault with the other tube as well hence the sub-fertility. Also potentially the chance of pregnancy may be reduced because the tube affected by ectopic pregnancy may have been removed.
The increased flow in periods may be related to pelvic congestion secondary to infection or some other associated pathology.