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Expert Q&A

 

By Traci Kurtzer
Obstetrician and Gynecologist

After an ectopic pregnancy in 1990 (fallopian tube removed), a Cesarean-section at 36 weeks in 1998 and another ectopic in 2002 (tube saved), what are my chances of having another ectopic? There are no obvious reasons for the ectopics, and the doctors say my mother's use of DES is not a factor."

The risk for a recurrent ectopic is higher, even though you were able to have non-surgical treatment with methotrexate. The quoted recurrence would be in the order of a 12 to 20 percent chance of an ectopic with the next pregnancy. So once again, you and your doctor will need to be monitoring your early HCG levels and getting an early ultrasound."

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