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Ectopic pregnancy and future conception
. Age: 26 years; married on 13 December 2025.
2. PCOS and Menstrual History:She has a history of PCOS with irregular/absent menstrual cycles. She previously required medication to induce periods.
3. Thyroid:Her TSH was 4.51, and she was prescribed Thyronorm (Levothyroxine) 12.5 mcg.
4. Previous Fertility Treatment: She underwent three cycles of Novelon previously. Subsequently, she received ovulation induction treatment with Clofert 50 mg, along with Normoz Met, Folmet-NM and CoQ Bloom. Follicular monitoring showed a mature follicle measuring approximately 20.5 × 17.2 mm, with an endometrial thickness of 9.3 mm. She also received Lupi hCG 5000 IU injections on 30 August and 1 September 2026.
5.Ectopic Pregnancy: Fortunately, she conceived following the treatment. However, unfortunately, she developed a ruptured ectopic pregnancy and left salpingectomy done. now another dr told to underwent Diagnostic laparoscopy along with hysteroscopy and chromopertubation and biopsy endometrial
Answers (1)
Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Losing one tube to the ectopic doesn't close the door on another pregnancy. Your remaining tube can still work, and fertility treatment already got you pregnant once before. The laparoscopy your doctor has suggested, along with hysteroscopy, chromopertubation and an endometrial biopsy, is the standard way to check whether that tube is open and the uterine cavity is healthy before trying again.
Next Steps
Go ahead with the surgery as planned. Whether the remaining tube is open will decide if trying naturally or with IUI makes sense, or if IVF is the better route this time.
Health Tips
Given your PCOS and earlier irregular cycles, keep following up on your thyroid and ovulation treatment alongside this. Please discuss this with your fertility specialist once the surgery results are in, since timing your next attempt depends on what it shows.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.