“There are many anxious moments that a woman experiences during pregnancy. Hearing the first heartbeat, waiting for that first kick and wondering what delivery will be like are among some of the concerns that a woman will feel when she is pregnant. However, there are complications that can arise during pregnancy. One of the earliest complications is tubal pregnancy.
Tubal pregnancy occurs when an embryo implants itself in the wrong location. While a normal fertilized egg will makes its way down the fallopian tube and into the uterus before attaching, a tubal pregnancy will involve a fertilized egg that erroneously attaches itself to the tubal wall or even the cervix. These kinds of pregnancies cannot be successful and can cause rupturing of the tube (provided implantation took place in the fallopian tubes) if not caught in time.
When a woman becomes pregnant, it is important that she visits her doctor early on to be monitored for the possibility of this complication. However, the risk is even higher in women who have had a tubal reversal procedure or any kind of tubal surgery done.
Tubal reversal is a procedure where a woman has had her tubes tied and then reattached later by way of surgery. Because there can be scar tissue and other factors involved, tubal pregnancy risks are higher in these women. In fact, these risks remain whether the woman is having her first or fifth child after a tubal reversal. However, the risk of tubal pregnancy in a woman after tubal reversal is only 10 to 15%.
This is why it is necessary to follow your tubal reversal surgeon’s instructions once you think you might be pregnant. If the doctor you are considering for your reversal surgery does not have any pregnancy instructions to follow, it is highly recommended you continue your search for another tubal ligation reversal doctor.
Following the instructions from the Chapel Hill Tubal Reversal Center, we know it is important for a doctor to regularly check HCG levels in a woman after becoming pregnant when she has had a tubal reversal. Once the doctor has been able to do a vaginal ultrasound and see a sac in the uterus, she will likely be out of the woods when it comes to worrying about tubal pregnancy.
However, if the HCG levels are rising but the doctor cannot see a sac then there is a strong concern that a tubal pregnancy is happening. In these cases, the doctor will recommend using a medication to end the pregnancy before it can progress. Because the embryo will have implanted in the wrong area, there is nowhere for a healthy baby to grow. Plus, it is dangerous to the mother and will most likely result in the loss of a tube.
If the medication is used to terminate the erroneous tubal pregnancy, then you have saved your fallopian tube. This means you have as much chance to get pregnant as you had before the ectopic pregnancy rather than lessening your chances as you would should you lose the fallopian tube through a near rupture or the even more dangerous rupture.
This just shows how important it is to follow a well-defined pregnancy protocol if you think you are pregnant after tubal reversal. Do all you can to catch a tubal pregnancy as soon as possible.”