To Leave the Tube or Not to Leave the Tube

So why leave the tube at all if it leads to more ectopics? The first reason is that if another ectopic were to occur and the salpingectomy had to be performed this time around, the only option for pregnancy in the future would be test-tube pregnancy (IVF).

The other reason is that although the ectopic risk is slightly higher, the normal pregnancy rate may be improved if the tube is conserved.

In women who have had no difficulty getting pregnant, the normal pregnancy rate is 70% to 85% whether salpingectomy or salpingostomy was performed.

For women who had difficulty conceiving the first time around, the subsequent normal pregnancy rate is around 10% if the tube was removed and 25% if it is conserved.

Note that these figures are from studies and are averages; your surgeon should be able to give you a much better idea of the risk specific to you.

A young woman who has otherwise a pristine pelvis with a normal second tube will have a much lower chance of another ectopic than one who has severe pelvic scar tissue (adhesion) and a damaged other tube.

Not Just Physical

It is easy for people to forget during all of the investigations and surgery that you have lost, what is for most, a much wanted pregnancy.

Reaction to a pregnancy loss is very variable and in addition to the grief you may feel, your body will be undergoing some profound hormonal adjustments, which may make you feel very emotionally volatile.

Don't be surprised if you find yourself in tears for no apparent reason. It may take some time for you to get on your feet again, that is certainly normal.

Additional information:
UK Ectopic Pregnancy Trust
For information on ectopic pregnancy, as well as other pregnancy complications, visit this Pregnancy site.

 

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