Possibility of pregnancy after ectopic pregnancy

After an ectopic pregnancy, a woman is still more likely to get pregnant again in the future. The ability to get pregnant depends on many factors including the size of the pregnancy mass, the extent of invasion of the fallopian tubes, the complexity of the surgery, and the woman's degree of recovery.

A woman can still get pregnant in the following cases:
Tubal-conserving ectopic surgery increases the chances of a successful pregnancy because both fallopian tubes are functional
During During the surgery, the person performing the surgery combines the removal of the pregnancy mass with exploration, assessing the condition of the fallopian tubes and ovaries, and dealing with problems related to the production and movement of the fertilized egg. about the uterus. In case the fallopian tube is blocked by fluid or pus, the surgeon will drain the patient. Ovaries have cysts, the surgeon will remove them.
Good recovery process, no gynecological inflammatory diseases, affecting the fallopian tubes, especially metritis, salpingitis ... will leave scars and affect physiological function of these agencies.
However, a woman's ability to get pregnant is also reduced in many cases such as:
The patient came in with a ruptured fallopian tube, indicating that the patient's fallopian tube was completely removed. A procedure to help circulate the fallopian tubes and ovaries. However, after surgery, the return of fluid, pus or adhesions in the fallopian tubes increases the risk of an ectopic pregnancy again. Acquired diseases such as ovarian cysts and inflammation increase the likelihood of scarring and decrease the function of the reproductive organs. In general, patients should be optimistic because the possibility of having a baby after an ectopic pregnancy is still high, 85% have a chance of getting pregnant again, only 10-20% of having an ectopic pregnancy again and one Others fail to get pregnant or spontaneously miscarry during the first 3 months.

Depending on the condition of the patient, the type of surgery, the success of the surgery and the health of the patient, the recovery time is different. According to the advice of doctors, the patient should only get pregnant again after 6 months to 1 year after surgery, when the incision and physiological function of the genital organs have completely recovered.

Currently, there is no proven method that is highly effective in increasing the chances of a woman having a baby after an ectopic pregnancy. However, prevention, health promotion and fertility measures are still available to help a woman increase her chances of having a baby in the next pregnancy including:
Genital hygiene, especially especially after sex Use safe contraception during the recovery period, avoid pregnancy again when the body has not yet adapted, affecting the development of the fetus Periodic health examination to check gynecological diseases. If there is a disease, it must be treated quickly, avoiding damage, scar tissue, especially in the uterus and fallopian tubes, affecting the ability to conceive and implant. If the woman becomes pregnant again, it is necessary to have regular medical check-ups to determine the implantation site and any abnormalities in the development of the fetus, if any.

After an ectopic pregnancy, women should pay attention to the signs of disease in the next pregnancy so that they can go to the doctor and treat them promptly to avoid dangerous complications. Some signs to watch out for include:
Delayed menstruation : Having an early period before the expected time, with a little bit of blood, dark, persistent. Abdominal pain: Pain occurs because the fallopian tube is cracked with the growth of the fetus. Prenatal screening helps pregnant women detect early pregnancy complications for timely intervention. Faculty of Fetal Medicine - Vinmec International General Hospital is the first unit in the North to deploy a one-stop prenatal clinic (OSCAR) providing a comprehensive screening package for pregnant women at 12 weeks. The clinic gives quick results on the same day of examination and screening.
Faculty of Fetal Medicine has successfully implemented advanced prenatal screening methods, helping to screen for complications for pregnant women; Timely detection and intervention of some abnormalities in the fetus such as ectopic pregnancy from very early weeks of pregnancy.