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  1. Patrick
  2. Ask A Physician
  3. Monday, 14 November 2016
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We completed a fresh cycle about 5 months ago and it ended as an ectopic pregnancy. Now we are just finishing our 2nd cycle which is frozen and we were just advised it may be another ectopic pregnancy. To say we are frustrated is an understatement. How common is this? Can the treatment/process be changed to reduce the chance of the ectopic pregnancy happening? Is an ectopic pregnancy more common after you have one? Any other advice is welcome. Thanks,
Responses (1)
DrNorian Accepted Answer Pending Moderation
Firstly, I’m very sorry to hear that you had an ectopic pregnancy. Overall, ectopic pregnancies following an IVF cycle are now rare; somewhere between 0.5 and 1.0% is what is reported. It used to be much higher 15+ years ago, but since decreasing the amount of fluid used during an embryo transfer this rate of ectopic pregnancy has decreased.

In terms of what your future risk of ectopic is depends in part upon how this tubal pregnancy was treated. If you had a salipingectomy (surgical removal of the fallopian tube along with removal of the ectopic), this risk is basically the same as the overall risk of ectopic following IVF or a FET cycle. Now, if the surgeon tried to preserve or save the fallopian tube (ie., salpingostomy), this risk is significantly increased, probably 10+% if you’re pregnant. If it was treated with Methotrexate, the risk is likely slightly higher than the 0.5 to 1% risk, but not as high as 10+%.

Hope this helps and good luck!

Best regards,
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