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Navigating Pregnancy Loss & Fertility: Hope & Next Steps


Question
Hey Sarah,
Please tell me there is hope. I'm 22 years old, and have had the worst year of my life. This year I have had two miscarriages and one ectopic pregnancy. The first miscarriage was at 12 weeks, the second was at 5 weeks 4 days, and the ectopic was at 6 weeks 4 days. It ruptured and I lost my left tube. The doc said I had some endemetriosis and a tilted uterus. Do you think there is still hope for me to have a baby? What do you think I should do? Thank You so much and have a wonderful Christmas.

Answer
Hello Elizabeth
              I'm so sorry to hear of your losses, and so many in such a short space of time.

First of all, there is always hope! You have lots going for you, you obviously fall pregnant easily, you're young and you still have one ovary.
The second thing I would advise is to put trying again on the back burner for now. You've been through so much, you need time to physically and emotionally recover.

Now to the medical issues. A tilted uterus shouldn't affect your ability to concieve and carry. Endometriosis however, can cause problems. It can leave scarring which thickens tubes and it can also release some sort of chemical or hormone which can cause miscarriage. Apparently it stimulates your uterus which causes cramps, so if you're experiencing a tummy ache in between periods that could be what it is. It may be worth going to your doctor and asking if they could do something about it.
I've had Endo before (its very common in women) and I am going into hospital again after New Year to have it removed by a simple day surgery operation.
Losing a tube is certainly a blow and will of course reduce your chances of conception, but then you only need one egg to make a baby. I know a couple of people who have had ectopic pregnancies and gone on to have healthy babies....and very quickly too!

I can imagine why you're feeling so disheartened, but you have so much on your side. Doctors do say to leave 3 months after your miscarriage before you start trying again, this is very wise advice as getting pregnant so quiclky after miscarriage can raise the chances of experiencing another.
3 months allows your body to prepare properly for the next baby.

So, the re-cap is.....
All the important things are there such as concieving fast, age etc.
Enjoy Christmas and New Year. Give yourself at least 3 months (if it hasn't been already) before you try for another baby. Allow yourself to grieve for your losses.
Consider seeing the doctor to ask about what can be done about your endometriosis if nothing was done when it was discovered. You could ask for advice about your miscarraiges and future pregnancy whilst you're there.

Start the new year with a positive outlook and look at preparing your body for a new pregnancy. Give up smoking and alcohol if you can. Cut out caffiene and eat healthily. Try and get a little exercise, maybe take up yoga which you can continue through your pregnancy. I've heard it's excellent!

I wish you all the best for Christmas and New Year, I'll be thinking of you. If you need anything else, please don't hesitate to give me a shout.

Kindest Regards
Sarah