have been trying to conceive

[sheela100]

Have been trying to conceive since four months. Had ectopic pregnancy three years back. Doctor advised to try for six months. If I dont get pregnant in six months what is the next option? I also have hypothyroidism.

[Momma2be2013]

Women with one fallopian tube are still able to conceive. It can be a little more challenging, but not impossible. If your doctor performed an HSG-Hysterosalpignogram, that will show that your fallopian tube is clear and no barriers stand in the way of the egg traveling through and becoming fertilized. It can take up to a year to conceive for many couples and that is normal. Each cycle brings about a 20% change of getting pregnant if there are no fertility issues such as endometriosis or PCOS. You have a working ovary and fallopian tube and as you reported, your fertility tests have all been normal, so your chances of conceiving should still be good. You did not mention if your husband's sperm count has been tested. That can play a factor too if his counts or motility are low.
If you are still having diifficulty conceiving, a good option to talk to your doctor about would be IUI. It cleans the sperm and injects them directly into your uterus (via the cervix) when you are ovulating. It saves distance for the sperm to travel, and also bypasses the vaginal tract which is acidic and harsh on sperm. They have a jump start to travel to the egg and more have the chance of getting there.
It may be worth seeing a Fertility Specialist for a second opinion on your options too. It doesn't hurt to at least ask. Your specialist may offer more options fo treatment since you have been trying for 6+ months now. Fertility specialists have more treatment options available to them than a regular OB-GYN, so it's worth a consultation to see what your further options are.
Good Luck!

[sheela100]

Hello, we have been trying to conceive but no positive results. The cycle of my periods are 28/ 30 days which my doc says normal. We have been tracking ovulation and trying but its not helping. Due to ectopic I only have one fallopian tube so is this the reason why I m not conceiving? Pls advise what should I do know? I am 34 and my husband is 38. I had all my tests done and the doc says everything is ok.

[sheela100]

Thank you for making things clear.

[Arti Sharma, M.D.]

Hello,
The chances of having a successful pregnancy after an ectopic pregnancy depends on several factors like why you had a previous ectopic and your medical history. If your fallopian tubes have been intact, you have a good chance of having a successful pregnancy in the future .After an ectopic pregnancy the chances of having another ectopic are highly increased. If you had untreated infections or other risk factors which might have played a role in your ectopic pregnancy, addressing those risk factors might reduce your risk of a repeat ectopic pregnancy. You need to take extra precautions when you get pregnant again. Take thyroid medications daily and maintain a healthy lifestyle. If you do not get pregnant in next few months you may need additional tests like basic scan, hormonal assay and ovulation study etc. If you miss a period and think that you are pregnant, see your doctor ASAP.
Take care and regards!