Miscarriage then ectopic :(

[luciana234]

I am a healthy 29 yo, never had any trouble with periods. Recently got married and started to try, within 2 mid got pregnant and miscarried at 6wks Bc of low hcg stopped rising ad eventually came down naturally and miscarried. I was so upset but we kept trying, a couple of months later pregnant again, and ectopic. Lost my right tube during lap surgery, but dye test indicated left tube looks good. They now tell me I have remaining placental tissue and have to have a NYC shot anyway! Had shot yesterday and hoping this will be over ASAP!!! I am so scared about my fertility now and don't understand how this could have happened
Do you think dr was negligent in removing all tissue? Do you think I should see someone re my fertility? It this was just a fluke? Please share if you have had similar experiences, thank u!

[luciana234]

I meant methotrexate shot, silly auto correct!

[TTCyears]

I had a "stubborn" tube (was open, was closed, was open --- oops, ep, MTX failed, emergency lap - gone). The lab reported a single blockage so I don't think it was caused by a general infection (which typical shows in both tubes). The blockage was right at the uterus (interstitial); was it related to a previous loss or treatment? I don't know; my drs don't know or won't say. Was your 1st loss confirmed in utero? I had other losses that were cps (hCG <250 decreasing, no u/s) and I wonder if any might have been eps also.

My other tube was always clear. Although it took a while (e.g. twice the norm), I did have subsequent pgs. Unfortunately we had other factors, so our challenges continued. If all else is well with you and DH, I would expect you to have a successful pg in 5-9 months. If it takes longer or there is another complication, it could be a statistical variance, but I would look in to it at that time.

Sorry for the hardship thus far; hope it is behind you and your successful pg is soon!

[luciana234]

Thanx for your reply! Yes my first miscarriage was confirmed in utero and hcg got up to 733 no heart beat then declined to natural m/c. I just can't believe my luck to have a m/c and then ectopic and then not only the ectopic surgery to have placental tissue left behind and get the shot too!? I hope my bad luck ends here...

[TTCyears]

You mentioned you had a "lap" - from what I read online, if that was laparoscopic, tissue is retained 8% of the time which seems common enough (almost 1 in 10); if it was a laparotomy, tissue is retained 4% of the time - in either case you had a tricky location (e.g. close to vulnerable parts) and/or your surgeon wasn't particularly thorough (or had the tools - e.g. forceps vs suction). So sorry for the additional (hopefully minor) complication.

Harumph that you fell into unfavorable low odds three times (including 1st mc). I've been there. Yuck.

Yes, I hope more typical and good luck is ahead for you...

[luciana234]

Yes laporoscopy thank god, not as invasive as the other lap procedure...