How soon is it safe to start trying to conceive after having a salpingectomy? The left tube was removed and at the 10 day post op appointment the surgeon said everything was healing up perfectly.
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TTC after ruptured ectopic
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Reconstructive surgeries on the tubes include salpingostomy (effective for 3-6 months only and has 20-30% success rate), selective tubal cannulation (60% success rate), ligation removal or reanastomosis (75% success rate). Post-surgical risks include: regrowth of scar tissue and adhesion, pelvic infection, and ectopic pregnancy.
The precise answer about the tube's functionality depends whether there is a proximal (isthmic), midsegment (ampullar), or distal (infundibulum) obstruction. Usually, waiting 3 months after the surgery is the must. Your surgeon may have recommended you a hysterosalpingography after the TTC, when a special contrast medium is injected into the uterus which then passes through the remaining fallopian tube and spills around the ovaries and into the pelvis. The sonohysterography (without medium) can also be informative if the doctor has your onset scans to compare. This is observed on real-time ultrasound.
Before any diagnostic tests would be performed, you must rule out three infection that are specifically known for the number-one reasons of the tubal obstruction: gonorrhoea, chlamydia, and tubal tuberculosis. In the absence of such infections, and during the 3-month waiting period, I would recommend fertility cleansing with herbs (Dong Quai root, Ginger root), systemic enzyme therapy, and clear passage therapy (electrophoresis with zinc sulfate - ZnSO4) to prevent another ectopic pregnancy.
The precise answer about the tube's functionality depends whether there is a proximal (isthmic), midsegment (ampullar), or distal (infundibulum) obstruction. Usually, waiting 3 months after the surgery is the must. Your surgeon may have recommended you a hysterosalpingography after the TTC, when a special contrast medium is injected into the uterus which then passes through the remaining fallopian tube and spills around the ovaries and into the pelvis. The sonohysterography (without medium) can also be informative if the doctor has your onset scans to compare. This is observed on real-time ultrasound.
Before any diagnostic tests would be performed, you must rule out three infection that are specifically known for the number-one reasons of the tubal obstruction: gonorrhoea, chlamydia, and tubal tuberculosis. In the absence of such infections, and during the 3-month waiting period, I would recommend fertility cleansing with herbs (Dong Quai root, Ginger root), systemic enzyme therapy, and clear passage therapy (electrophoresis with zinc sulfate - ZnSO4) to prevent another ectopic pregnancy.
It would be better to wait for a couple of cycles to allow your body to regroup and the inflammation to go down.
You are probably 50% healed 2 weeks after gyn surgery. There is still swelling, inflammation and tissue repair for 6 months. You need to be aware of a higher future risk of ectopic and be evaluated for conditions that could be effectively treated. I would advise against getting pregnant for 3 cycles and have further testing in the waiting period.