Women in the reproductive period are sometimes faced with diseases of the genital organs, all kinds of infections and viruses, the consequences of which are often the need to remove the fallopian tube or both at once. Such a situation can be triggered by significant damage to the tissues of the tube after an infection or inflammatory processes in the appendages, an ectopic pregnancy, which led to a rupture of the tissues of the fallopian tubes. Can you get pregnant with one tube? Yes, but you will have to plan your pregnancy carefully!

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Fertility Preservation Methods for Tube Removal

The desire of a woman to be the mother of a healthy baby is quite feasible even after the removal of the fallopian tube. Modern medicine has made great strides in the field of preserving the reproductive capacity of the female body. Many hospitals and private clinics are already able to help in solving this difficult problem.

But whatever the reasons for the operation, the possibility of natural pregnancy and childbirth is significantly reduced. Therefore, it is very important to make every effort to preserve the functionality and health of the remaining fallopian tube. To this end, the attending physician prescribes a whole range of rehabilitation procedures that are performed within six to eight months, divided into three stages.

The first stage of rehabilitation lasts from the moment of the operation to two months. It includes:

• Antibacterial therapy, which is designed to exclude or stop inflammatory processes in the tissues of the pipe, next to which the cutting was performed.
• Hydrotubation of the fallopian tube. It consists in the introduction of a special liquid into the cavity of the pipe in order to treat the lining tissues, as well as to monitor the patency of the remaining healthy organ in dynamics. This course of procedures is aimed at preventing adhesive processes and also prevents the onset of inflammatory foci.
• Physiotherapy procedures. They are mainly aimed at accelerating the healing of the scar on the tissues after cutting off the tube. They increase the elasticity of the epithelium and restore the mucous layer of the organ. Such treatment is also prescribed for.
• The use of oral contraceptives. It is prescribed to exclude the possibility of pregnancy, which in this position is very dangerous for the life of the mother.

Two to three months after surgery, the rehabilitation of the female body begins the second stage of treatment, which consists of:

• The use of biogenic stimulants. They have biological activity and stimulate the regenerative functions of the organ and the whole organism.
• Enzyme assignments. It is necessary to establish and restore the normal metabolism of a woman. Also, these substances have a beneficial effect on the acceleration of chemical reactions in the tissue system of the damaged organ.
• Preformed physiotherapeutic effects. They are also aimed at the regeneration of damaged tissues and their restoration.
• Oral contraceptives.

The third stage of treatment has a general health character. During this period, a woman undergoes a sanatorium-resort rehabilitation, which combines physiotherapy exercises and gynecological massage. This rehabilitation time lasts up to two months (6-8 months after surgery).

After such a course of treatment, a woman will almost certainly retain the possibility of childbearing. The main thing is to strictly follow the recommendations of the attending physician and observe a calm rhythm of life, avoiding stress.

The procedure will be similar for those who are looking for an answer on how to get pregnant with one tube after an ectopic pregnancy. After all, the nature of possible infertility is the same when removing the fallopian tubes due to infections, and due to rupture of the tube due to ectopic growth of the fetus.

Pregnancy planning with only one fallopian tube

According to the recommendations of doctors, it is possible to plan a pregnancy after removal of the tube after about six to eight months. That is how long it takes the female body to recover after such a serious surgical intervention. It is important to take all the time of rehabilitation, which will help to avoid pregnancy at a difficult time for a woman, will allow the ovaries to "rest".

Assigned COCs (combined oral contraceptives) have a positive effect on a woman's ability to reproduce, as there are numerous testimonies. This effect is observed due to the hormonal action of contraceptives, which suppresses ovulation, thickens cervical mucus and thus provides powerful protection for the uterus, fallopian tubes and ovaries from external negative influences. Another positive consequence of taking COCs is the balancing of hormonal levels, which is important in case of reproductive dysfunction in women.

If a woman is planning a pregnancy after the time necessary for regeneration has passed, she should take the process really seriously, because the possibility after the operation to remove one of the tubes is very high.

Mandatory measures when planning a pregnancy with one tube

• Comprehensive examination of both women and men to determine if there are any infectious diseases that could complicate pregnancy with one tube.
• Undergo a hysterosalpingography procedure - a test for the patency of the fallopian tube. The mechanism of this examination is to fill the uterus and tubes with a contrast fluid, after which an x-ray is taken, according to which the doctor can see the shape and structure of the internal genital organs. In the picture, you can see if there is an obstruction of the fallopian tubes, if there are any adhesions in the remaining tube or neoplasms. Hydrotubation and kymohydrotubation are considered alternative procedures.
• Eliminate adverse factors influencing a woman's body: stress, hypothermia, serious physical exertion and carrying weights. An essential aspect for a successful pregnancy is a woman's positive emotional state.

If obstruction of the fallopian tube or the formation of adhesions on it is detected, doctors advise laparoscopy, a fairly gentle operation to remove these obstacles. Thus, natural conception is quite possible, and the likelihood of an ectopic pregnancy is greatly reduced.

We recommend reading the article. From it you will learn about the proper functioning of the reproductive system of a woman, what is TPB, what are the causes of its development and adverse reactions during the progression of the disease, as well as what methods of diagnosis, treatment and prevention exist.

If the results of the examinations did not reveal any factors that contradict the favorable course of pregnancy, it is necessary to stop taking oral contraceptives and continue to have a regular sex life. You can also take steps to speed up conception. These include tracking ovulation by measuring. In the best case, conception can take place already on the first or second cycle of menstruation after the abolition of COCs.

What to do if pregnancy does not occur?

The fact that conception after the removal of one or both tubes is possible is already a reliable and verified fact. Another question is how to get pregnant with one tube, because there are quite frequent cases of the absence of conception in women who have not undergone surgery and have all the possibilities for fertilization. Unfortunately, a woman's fertility depends on many aspects of her health, both physical and emotional.

If pregnancy has not occurred within a year of regular sexual activity with a partner without the use of any contraceptives, this means that natural conception is almost impossible. But it does not mean at all that a woman cannot experience the joys of motherhood.

There are methods of conception that will help get around the problem of obstruction or non-functionality of the fallopian tubes.

Many women wonder what to do if it was necessary to remove both fallopian tubes at once, and in general, is it possible to get pregnant without tubes? Leading experts in assisted reproductive technologies, such as IVF and ICSI, have been successfully helping couples to conceive for a long time and effectively.

ECO

In vitro fertilization (IVF) will change with infertility on the part of the female body and involves the fertilization of female eggs previously collected in a test tube with the sex cells of a partner. After that, the embryos are cultured, the most viable of which are subsequently transferred to the woman's uterus. For this procedure, the presence or patency of the fallopian tubes does not matter. That is why this method of fertilization is ideal for women who have undergone surgery to remove one or both tubes at once.

ICSI

ICSI is an artificial insemination method prescribed for a couple in which infertility is diagnosed and with. The mechanism of the procedure is similar to IVF, but the male germ cells are carefully selected during it. The selected active sperm under the most powerful microscope is introduced into the egg taken into the test tube, which greatly increases the possibility of successful and healthy fertilization.

Thanks to modern medicine, motherhood is possible even in such difficult and critical situations as the absence of one or both fallopian tubes. Therefore, we can safely say that pregnancy and successful childbirth with only one tube is quite possible. But it is important to understand that the qualifications and professionalism of the attending physician is a decisive factor in the successful outcome of the operation and subsequent pregnancy.

Sometimes it happens that a fertilized egg does not leave the tube, but begins to develop in its cavity. This is called an ectopic pregnancy. It always ends with either a rupture of the tube, or an operation to remove the fetal egg from the cavity of the tube.

Can conception occur after surgery and what needs to be done for this?

Pregnancy with one functioning ovary and one tube

In such a situation, the main thing is to wait for the right moment. When two ovaries are present, they release eggs alternately. Otherwise, the remaining sex gland takes over the functions of the missing one and ovulates monthly. If menstruation is regular, then you can conceive a child naturally. For this purpose, a basal temperature chart is maintained. It is measured daily at a certain time. During ovulation, the temperature rises. This process is also evidenced by a change in cervical mucus: it becomes more liquid.

With one ovary, the risks of tubal or ectopic pregnancy increase. You have to have an abortion or a miscarriage occurs. This pregnancy cannot be saved.

The difficulty may lie in the fact that there is only one ovary and one opposite fallopian tube. This reduces the possibility of egg access to the uterus, but conception is still possible. If the remaining gland functions poorly, problems arise. In addition, if both fallopian tubes are missing, then the likelihood of conception naturally is negligible.

Single tube pregnancy after laparoscopy procedure

Laparoscopy is a method of microsurgical operations, which involves performing a surgical intervention using a fiber-optic instrument (laparoscope). The procedure can be performed for diagnostic and therapeutic purposes.

Laparoscopy is prescribed to assess the condition of the ovaries, uterus, fallopian tubes, and other organs. This method of treatment is the most gentle and at the same time highly accurate. Damage to tissues is minimal.

To check the patency of the tube, a coloring agent is injected through the cervical canal. If the latter stains it completely, then they are passable for the egg. During the diagnostic procedure, many diseases are also detected, for example, fibroids, adhesions, endometriosis.

Laparoscopy is also used for recovery. The doctor tries to renew their structure, remove adhesions. The recovery period after such a surgical intervention is 4-5 months. In the postoperative period, physiotherapy procedures are prescribed: magnetotherapy, laser therapy, electrophoresis. If you had to remove one of the pipes, most often they resort to the IVF procedure.

Laparoscopy is also used for ectopic pregnancy. If the pathology is detected at an early stage, the probability of saving the fallopian tube is high. It is worth noting that in the future, the presence of only one tube reduces the likelihood of a successful conception by half. The removal of two tubes suggests the possibility of pregnancy only through IVF.

Planning for pregnancy after laparoscopy:

1. This process largely depends on the pathologies that have been operated on;
2. After removal and separation of adhesions, it is possible to become pregnant in 4-5 months;
3. After an adhesive process in a small pelvis - not earlier than a month after menstruation;
4. When removing a cyst or fibroids - not earlier than after 6-8 months;
5. After removal of tissues affected by endometriosis, additional therapy is required;
6. If it is not possible to conceive a child within a year after the operation, IVF is recommended.

Pregnancy with one functioning tube: the danger of removal

The removal operation is carried out in case of violation of the shape or integrity of the organ, with the formation of adhesions, dysfunction of the cilia. This will avoid the development of complications and ectopic pregnancy.

It is worth noting that most often the tube is removed due to a pathological pregnancy. Sometimes the organ can be saved, but doctors are divided in opinion whether it is needed if it already once had a pathology. After the operation, it is better to start conception after 6-12 months. In addition, you need to find out what caused the ectopic pregnancy, since there is a possibility of its recurrence.

Usually, in the presence of such a diagnosis, a woman is immediately offered an operation to eliminate possible risks. If necessary, anti-anemia and anti-shock drugs are used. In the postoperative period, restorative treatment is required, which at the same time is a means of preventing the recurrence of pathology. Rh sensitization may also occur. If a woman has a negative Rh factor, she is given immunoglobulin.

How to get pregnant after an ectopic pregnancy with one functioning tube?

Without fail, a woman must be tested for gonorrhea, chlamydia, and other infections. You also need to check for chronic inflammation and adhesions. If adhesions are found, they are eliminated through physiotherapy and the use of a laser. If the process is too running, they resort to surgical intervention.

It is also necessary to do an ultrasound of the pelvic organs to assess their condition. The doctor must determine whether there are such pathologies in the body as tumors, cysts, fibromyomas. A consultation with an endocrinologist is mandatory.

An ectopic pregnancy and removal of the fallopian tube is a great stress for the body.

It is necessary to restore it in order to be able to conceive and successfully bear it in the future.

The attending physician must explain in detail to his patient what risks and dangers exist, prescribe studies and tests to exclude the development of complications. After there is confidence that the woman's body is completely restored and healthy, you can start planning a child.

Women with one ovary and one tube are advised to try to conceive a child naturally for 15 months. If nothing happens, you need to more carefully examine the woman's body, as well as her partner. Perhaps there is scarring in the functioning gland or problems with the fallopian tube, which is an obstacle to the passage of the egg to the uterus. In such a situation, resort to surgical intervention: remove scars.

In some cases, they may resort to in vitro fertilization, when an already fertilized egg is injected directly into the uterine cavity. Perhaps supportive hormone therapy will be prescribed: gonadotropin, hCG, follicle-stimulating.

Pregnancy after an ectopic pregnancy with one tube: menstruation and sex life

Menstruation appears after the operation at different times: for some, immediately after it, for others, uncharacteristic vaginal discharge begins, for some it is not observed in the next cycle. But sooner or later, those begin if there is a possibility of ovulation. Otherwise, there are complications.

It should be noted that the recovery period in each case is individual, depending on many factors. To say when you can get pregnant, only the attending physician can.

It is also necessary to mention such an option as repeated ectopic pregnancies. After repeated negative impact on the walls of the fallopian tube, the probability of conception is reduced by at least two times.

To give a detailed answer to this question, it is necessary to understand some aspects of female physiology.

The fallopian tube is an organ that is shaped like a tube. It connects the uterine cavity with the ovary. After exiting the follicle, the female germ cell enters the abdominal cavity. From here, picked up by the villi, it moves into the fallopian tube, where conception occurs. Then the embryo moves into the uterine cavity, where it literally plunges into the mucous membrane, overgrown with blood vessels and continues its development as an embryo.

That is, the uterine appendage serves as a place for the fertilization of the egg, a kind of its conductor into the uterine cavity. The appendage does not affect the further development of the fetus. However, the onset of conception in the absence of both fallopian tubes is impossible.

But will just one pipe be enough? Of course yes. If both partners are healthy, there should be no problems with conception. However, if ovulation occurs on the side where the appendage is missing, you will not be able to get pregnant. But we are talking only about the current cycle. The next month, ovulation will occur in the opposite ovary, on the side where the tube is present, and it is quite possible that pregnancy will occur.

That is, pregnancy with one ovary and one fallopian tube is quite possible, but you have to wait about twice as long.

Obstacles to conception

As a rule, the presence of only one tube indicates the presence of an atopic pregnancy in the past. An ectopic pregnancy is a pathological condition that is characterized by the fixation of a fertilized egg outside the uterine cavity. Most often this occurs in the uterine appendage, but possibly in the ovaries, abdominal cavity, cervical canal. The only treatment for tubal pregnancy is laparoscopic removal of the fallopian tube along with the attached fetal egg.

It will take twice as long to conceive a baby with one appendage than for healthy couples. In addition to patience, such partners should monitor ovulation. If an ectopic pregnancy was surgically treated, then in the postoperative period, you should undergo a full-fledged treatment, the purpose of which is to restore fertility and prevent adhesive processes. For this, both medical and physiotherapy are used. It is necessary to plan the next pregnancy only with a doctor, carefully following his recommendations.

When is IVF required?

Sometimes, after surgical treatment of an ectopic pregnancy, or removal of the ovaries in the treatment of infertility, in vitro fertilization or other assisted reproductive technologies are used.

The main indications for IVF include:

• obstruction of both fallopian tubes;
• absence of uterine appendages;
• Stein-Leventhal syndrome;
• endometriosis;
• other pathological conditions, the treatment of which by conservative methods during the year did not bring the desired result.

Pre-pregnancy tests will help determine whether a natural conception is possible in each individual case, or if assistance with assisted reproductive technologies is needed. In the absence of one tube, hysterosalpingography is mandatory - an x-ray examination, the purpose of which is to determine the patency and shape of the appendage present. By studying the structural features of the tube, the doctor suggests how great the chances of a natural conception are, assesses the risk of a second ectopic pregnancy. In addition to assessing the condition of the fallopian tubes, it is necessary to clarify the ovarian reserve by determining the level of anti-Müllerian hormone, follicle-stimulating hormone, the number of antral follicles at the beginning of the menstrual cycle. In the absence of one ovary, it can be reduced.

With a low ovarian reserve, the chance of a natural pregnancy is extremely low. Given that over time, the ovarian reserve will only decrease, it is necessary to decide on IVF as early as possible.

In vitro fertilization for women with one ovary can be carried out at the AltraVita private medical center. The procedure is successfully performed on women with obstructed or missing tubes. If you want to know more, with one appendage or ovary, make an appointment for a preliminary consultation. Our doctor will answer all your questions, give directions to the necessary tests and suggest the best treatment tactics.

The fallopian tubes are the central link in the reproductive system of a woman's body. The ovaries perform the two most important functions of this process: the storage of germ cells and their monthly maturation. The ovaries also have an endocrine function. These are suppliers of female sex hormones - estrogen and progesterone, as well as a small amount of androgen - the male sex hormone.

The importance of the fallopian tubes in pregnancy

A mature and ready for fertilization female germ cell from the ovary moves into the fallopian tube. There it meets with the sperm and fertilization occurs, so the fallopian tubes have a high level of significance in the onset of pregnancy.

In cases of surgical intervention under certain circumstances, for example, ectopic pregnancy, tubal obstruction, caesarean section, one ovary is removed together with the fallopian tube. But, despite the absence of one of the fallopian tubes, the likelihood of conception still remains.

Objective possibility of pregnancy with one fallopian tube

The absence of one ovary and fallopian tube is by no means a sentence that in the future a woman will not be able to have children. The percentage of the probability of conception exists and its indicators are not so small.

The maturation of the egg is cyclical. This month, the egg matures in the right ovary, and the next month in the left. Therefore, it is possible to get pregnant with one tube. Chances, of course, decrease, but the possibility remains.

Factors affecting childbearing

The female reproductive system is very complex and yet perfect. It is based on the irresistible function of procreation. But many factors influence reproductive function.

1. The first place in terms of the negative impact on the body of a woman and humanity as a whole is occupied by the ecological situation.
2. The next important factor in the negative impact on the reproductive function is society. Psychological pressure, nervous breakdowns, hysterical moods of society, physical inactivity are the main reasons that can prevent conception.
3. The third main factor leading to the imaginary is hormonal disorders against the background of the two above-mentioned effects on the nervous system and the woman's body as a whole, as well as infectious diseases. These reasons can lead not only to the impossibility of conception, but also to the rejection of the implant by the woman's body, if we are talking about artificial insemination.

It is possible to avoid the influence of negative factors affecting the female body with a set of appropriate measures, which are based on the principle of caring for one's health. Regular medical examinations, taking mineral and vitamin complexes and, of course, providing rest to your body.

• Prevent conception for the next 6 months after the operation to remove the fallopian tube

After the operation to remove the fallopian tube, doctors strongly recommend not to conceive a child for six months. Physicians advise to be protected by means of oral contraceptives. According to doctors, this is the most reliable method of protection that does not cause addiction to the body. At the same time, a six-month rest for the ovaries will allow them to start working smoothly.

• Pass a complete medical examination

Approaching with all seriousness to after the operation, the urgent advice of doctors boils down to the fact that both spouses should be examined. Basically, these are studies to identify hidden forms of sexually transmitted infections in order not to provoke an inflammatory process that leads to the formation of adhesions. Adhesions prevent the passage of a fertilized egg through the fallopian tube and are the main cause of ectopic pregnancy, which will entail surgery. Removal of the second fallopian tube will lead to the cessation of childbearing function.

• Mandatory examination for patency of the remaining fallopian tube

When planning a pregnancy, it is necessary to undergo a course of treatment for the dissection of adhesions in order to avoid obstacles to the onset of a full pregnancy. Modern medical technologies allow this type of operation to be carried out using a cavityless method.

A brief conclusion can be drawn from the foregoing. Removal of one of the fallopian tubes is not a sentence. Compliance with all the rules and regulations regarding the medical examination, as well as unconditional adherence to the recommendations of specialists, will allow a woman to experience the joy of motherhood.

During the gestational period, a woman may face various complications that threaten her condition or the normal bearing of the fetus.

An ectopic pregnancy deprives the mother of the child, involves surgery to remove the tube. The operation, done at the wrong time, often ends tragically. Many women, after experiencing shock, removing the tube, experience fear of a new pregnancy. This has a bad effect on conception, and sometimes causes infertility.

According to obstetricians and gynecologists, the situation is not hopeless. With a strong desire to become pregnant after an ectopic pregnancy, it is permissible with one tube. The main thing is to know how to prepare.

The main desire is to become a mother

According to medical statistics, the primary ectopic development of the fetus occurs in 2% of girls. Repeated cases of those who became pregnant with an ectopic pregnancy are recorded in every fifth woman, regardless of health status. The etiology of the process is not fully understood. The reasons contributing to the development of pathology are revealed.

Risk factors for recurrent ectopic pregnancy:

• congenital anomalies of the tubes;
• infectious diseases in the pelvic organs;
• scars, adhesions formed in the tubes after surgery;
• abortions, especially multiple ones;
• undergoing infertility-related therapies (eg, ovulation induction, tubal obstruction);
• the risk of ectopic pregnancy increases by 1.5-2 times with the installation of the IUD (intrauterine device);
• smoking, poor diet, stress;
• sexual relations with different partners, which often end in sexually transmitted diseases, complications after them;
• in women older than 35-40 years, the risk increases several times.

Despite the dangers, it is possible to get pregnant after removing the tube from a previous ectopic conception. In most cases, childbearing, childbirth after surgery ends safely.

When to Consider Your Next Pregnancy

It takes time to fully restore the body, reproductive functions, and heal the suture. After how much you can get pregnant again, if there was an ectopic pregnancy, for each woman is determined individually.

How much time is needed for rehabilitation depends on the state of health, the presence of pipes, the patient's psyche. Doctors indicate the average interval is 6 months after an ectopic pregnancy. Next, the expectant mother is sent for examination. When recovering, doctors recommend taking precautions, that is, continuing to take contraceptives even with one tube.

According to the results of studies after an ectopic pregnancy, the gynecologist either prescribes treatment or allows the planning of a new one. When taking contraceptives, conception can occur very quickly, pregnancy is possible during the first 2-3 menstrual cycles, even with one tube.

Withdrawal acts as a good ovarian stimulant. Doctors call this the term "rebound effect". If you don't get pregnant right away, it's okay. It just takes more time to prepare.

Millimeter accuracy

Timing for IVF

In vitro fertilization is the only way to give birth without tubes or ovaries when there is no ovulation or there have been cases of ectopic or miscarriage. IVF is carried out when a woman has no chance to conceive a child naturally.

It is possible to become pregnant after an ectopic pregnancy, but it is not known whether the fallopian tubes will be passable. Much depends on the complexity of the operation.

For example, if the ovaries or tubes are removed, then IVF can be carried out no earlier than three menstrual cycles. And with laparoscopy of an ectopic pregnancy and the well-being of the patient, stimulation is often done after one cycle.

Physicians with a vocation

May have difficulty conceiving

According to statistics, ectopic pregnancy is often the cause of secondary infertility. Especially after a pipe rupture, when the probability of conception is halved.

Even with a successful operation for an ectopic pregnancy with preservation of the organ, the chances of re-conception are up to 70%. This is due to the formation of scars, adhesions of the tubes, dysfunction of peristalsis or the work of the appendages.

There are complex operations when both the removal of the tube and the ovary had to be carried out on one side, left or right. At the same time, it is difficult to get pregnant and give birth on your own, and sometimes it does not work out. However, if all medical recommendations are followed, the chances of a successful conception with one tube after an ectopic pregnancy are high.

Problematic pregnancy

Diagnostics and examinations

After an ectopic pregnancy and removal of the tube, a course of physio- and drug therapy is prescribed. Immediately before conception, the doctor directs for testing and re-examination.

According to its results, the doctor decides how the female body is restored and prepared for a new pregnancy after an ectopic when the tubes are removed or while they are preserved.

Gift from God

Hydrosonography

Ultrasound of the uterine body is a highly informative examination to detect tubal adhesions, benign neoplasms, fibroids or cysts. The procedure does not cause an irritation reaction to the contrast agent.

How hydrosonography works:

1. Through a catheter, NaCl 0.9% or another saline solution is injected into the uterine cavity.
2. A special sensor monitors all movements in the pelvic organs.
3. Anesthesia is not required, but many investigators use general anesthesia to prevent tubal spasm.
4. The procedure is carried out on the 8-11th day of the menstrual cycle.
5. In the presence of infection or inflammation of the tubes, they are not allowed to study.

Metrosalpingography

After a difficult path to a dream

MSH is an X-ray or hysterography of the tubes and uterus, designed to diagnose the formation of adhesions after an ectopic pregnancy, obstruction or agglutination of organs.

How is it carried out:

1. Urine, blood, HIV, hepatitis and other infections are pre-tested. A fluoroscopy is required.
2. Immediately before the procedure, an enema is made to empty the intestines and bladder.
3. The patient is taking an antispasmodic drug.
4. The study is carried out in the morning on an empty stomach, it is allowed to take a glass of liquid without gas.
5. If necessary, perform local anesthesia.
6. The patient lies on her back, a support is placed under the feet, her knees are bent.
7. Through a catheter, a contrast agent is injected into the cervix.
8. Within 5 minutes, observe how the organs are filled.
9. Take a picture, after a while repeat the image.
10. The procedure takes about an hour, the same amount is required for rest.
11. Pain may persist for up to two days. If after 3 days there is a fever or vomiting, you should immediately consult a doctor.

Laparoscopic examination

Mentally strong people

The operation is performed when it is difficult to diagnose diseases of the abdominal and pelvic organs. And also when other methods do not give a complete picture of the patient's condition.

How is laparoscopy performed?

1. Beforehand, you bring to the doctor the results of urine and blood tests, its coagulability indicators, a fluorography image and a cardiogram.
2. You can't drink or eat for a day.
3. Preparation for surgery includes a night and morning enema immediately before the start.
4. The procedure begins with anesthesia.
5. The surgeon then makes several small incisions in the examination area through which a special instrument is inserted.
6. Gas inflate the abdominal region.
7. A larger incision is made to insert a video camera.
8. The screen displays all the actions of the surgeon.
9. Manipulations last from 15 minutes to several hours. It depends on the purpose of the laparoscopy.

Clear planning of conception

It is possible to start active actions only when all risks are minimized. To correct the body, you must first take a course of hormonal and vitamin therapy.

It is important that by the time of conception after an ectopic pregnancy, the menstrual cycle is normalized and ovulation is restored.

Acceptable types of contraception

During the rehabilitation period after an ectopic pregnancy, in addition to condoms, doctors recommend taking hormonal contraceptives.

Each drug has an individual regimen in which omissions are excluded. Oral contraception is necessary not only to prevent pregnancy during an unwanted period.

General joy

Hormone therapy reduces the risk of recurrent ectopic conception and the development of inflammatory processes in the genital organs by 90%. When prescribing contraception, it is taken into account which category the patient belongs to according to the anatomical structure and physiological characteristics.

There are three phenotypes of women - estrogenic, progesterone and mixed. The former are distinguished by a long menstrual cycle of 28 days or more. In this case, progestin drugs are prescribed, for example, Rigevidon or Minisiston.

The testerone phenotype is characterized by a short cycle, the duration of menstruation is 3-4 days. Such women are recommended contraceptives with andandrogenic action. These include Jess, Yarina, Janine.

The mixed phenotype has an average menstrual cycle. The child is usually carried easily with both one and two tubes. In this case, Regulon or Novinet are usually prescribed.

It is strictly forbidden to choose contraceptives after an ectopic pregnancy on your own. These questions should be addressed by your doctor.

Planning pregnancy after an ectopic with one tube

One pipe

It is possible to conceive soon and successfully only if the actions are coordinated with the recommendations of the gynecologist.

1. One month of abstinence from intimate life after an ectopic pregnancy.
2. The sexual partner must undergo an examination, pass the sperm for quality control. Much depends on her during fertilization. Often the cause of ectopic pregnancy is low sperm motility.
3. To prevent the development of an ectopic conception again, constant monitoring of progesterone and hCG is necessary.
4. A woman must complete all prescribed courses of therapy - anti-adhesion, hormonal, etc.
5. To prevent ectopic pregnancy and conception, it is necessary to avoid stress, live and behave calmly, not reacting to acute situations.
6. Regularly visit a gynecologist, take tests to detect infection.
7. You need to keep a basal chart, conduct ovulation tests, observe all the changes in your body.

Remember, if a pipe is removed, it is not a disaster. In most cases, your chances of conceiving are almost the same as those of healthy women.

Those who become pregnant after surgery even with one tube, then they themselves say, “before giving birth, you need to learn how to plan correctly.”

Folliculometry

Check pathology

This is an ultrasound examination that monitors changes in the functioning of the ovaries. Such a procedure is the best way to identify pathology and determine the exact date of ovulation for a successful pregnancy or conception with one or two tubes.

Examination shows dysfunctions affecting fertilization.

1. Atresia - the dominant follicle develops to a mature state, but suddenly enters a regression phase.
2. Persistence - maturation is normal, but there is no release of the hormone. That is, the rupture of the follicle and the release of the egg does not occur.
3. Cyst - the dominant does not stop in development, it grows simultaneously with the accumulation of fluid.
4. Luteinization - the follicle does not mature, but a corpus luteum forms in the ovary.
5. There is no dominant, that is, it does not develop or begins to regress at the very beginning.

Without ovulation, pregnancy is impossible. Folliculometry has a huge impact on successful conception even with one tube. The study allows you to determine the exact date or take timely measures to restore the ovulatory cycle.

Tablet tests for ovulation

Inexpensive test is a good option

The moment when the finished zygote leaves the follicle, heading towards the livelihood, a woman can feel on her own. Especially if you are used to observing your feelings. However, it is not always possible to rely on them.

With clear planning, doctors recommend confirming their suspicions with a home ovulation test. The result indicates the period of the menstrual cycle when the probability of conception is highest. That is, intimacy with a partner should occur within the next 3 days after ovulation. There are different types of tests on sale, but the most accurate are digital devices.

Plotting basal temperature charts

This is the easiest and free way to determine the high concentration of hormones during the cycle, even with one tube. By identifying the exact date of ovulation, a couple can not only conceive on the right day, but even try to influence the sex of the child.

Basal temperature is the lowest value of the thermal state of the internal organs. Therefore, it is determined in the morning without getting out of bed in order to avoid an error. The thermometer is inserted into the vagina, rectum, or placed in the mouth.

Daily measurements for 3 to 4 months allow you to build a graph that will accurately indicate the days of ovulation. Conception directly at the time of the release of the egg - a boy will be born. If you have sex 2 to 3 days before ovulation, then women are more likely to give birth to girls.

Learn to schedule

Cyclic transformations in the reproductive system

The menstrual cycle is a clear program embedded in a woman's body by nature. Its functioning depends on changes occurring in the internal organs, which are called hormone-dependent (ovaries, uterus, mammary glands, vagina, etc.).

Reproductivity is the main task of cyclic transformations. A strong attraction to a sexual partner, pain in the lower abdomen, an increase in the amount of discharge are changes that can be observed by observing the onset of ovulation. Despite the subjective conclusions, the method has the right to be.

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How not to be afraid to get pregnant?

Psychosomatic disorders due to ectopic pregnancy can be divided into two categories.

1. Internal experiences - emptiness, pain from loss, "I'm afraid to have sex, get pregnant, give birth, and suddenly everything will happen again."
2. Social - a sense of inferiority as a woman, failure as a mother, spouse, member of society.

In case of severe stress, qualified psychological assistance is required, without which it is almost impossible to cope with your fears and wait for pregnancy.

What the experts say.

1. Life is failures + victories. Guilt does not affect the past, but it spoils the present.
2. It is important to redirect your energy from worries and fears to active actions.
3. Listen to the recommendations of doctors.
4. Go through rehabilitation after surgery.
5. Take care of your health.
6. Together with your partner competently, under the supervision of a doctor, prepare for a new pregnancy.
7. Drop the stereotypes. Only a great desire to have children is the goal of motherhood.

There are cases of conception even after two ectopic pregnancies. Moreover, medicine often encounters miracles. For example, a patient diagnosed with infertility suddenly became pregnant, which was basically out of the question.

What to do if pregnancy does not occur

“I tried everything, but I can’t, why I can’t conceive,” so many lament after the first unsuccessful attempts.

Listen to the experts.

1. Let go of the situation. The more a woman gets hung up on the problem of pregnancy, the higher the barrier is built on the way to solving it.
2. Try new intercourse positions that are most conducive to conception.
3. For a successful pregnancy, do not shower immediately after intercourse. Rest for 20 minutes, raising your legs and placing a pillow under your pelvis.

Attention!

The information published on the site is for informational purposes only and is intended for informational purposes only. Site visitors should not use them as medical advice! The editors of the site do not recommend self-medication. Determining the diagnosis and choosing a treatment method remains the exclusive prerogative of your doctor! Remember that only a complete diagnosis and therapy under the supervision of a doctor will help to completely get rid of the disease!