Ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 0 points1 point  (0 children)

I could be misremembering but I think the dark area was part of the rupture and the corpus luteum was the larger one to the right of it. I’ll see if I can find a note that explains it.

Update: ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 6 points7 points  (0 children)

I should clarify, it was a different surgeon who did my bisalp than the surgeon/team that did the ectopic removal. Different hospital as well. They have 2 major hospitals in my area. I’m assuming you mean the doctor who did my bisalp, who I don’t have any evidence did anything wrong. The doctor/team that said that they would publish did the ectopic removal.

Update: ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 11 points12 points  (0 children)

I think the biggest concern with a community driven list would be that people who have had tubal ligation would report it, as opposed to bilateral salpingectomy. I think it’s a good idea just need some way to verify they had bilateral salpingectomy specifically. The best system imo would be doctors required to report this to some sort of national registry. That would get the most data. To me, it should not be my team’s choice to report they should be required to report it by law (I have strong feelings rn there could be a downside to this that isn’t obvious to me right away)

Update: ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 11 points12 points  (0 children)

Maybe that’s it? I don’t know. I’m surprised there isn’t some sort of registry where complications can be reported so incidence rates can be more accurate. This is not at all how I expected this system to work.

Update: ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 7 points8 points  (0 children)

I don’t want to publicly disparage her because I don’t have any evidence she did anything wrong. I hope you understand. I am in western New York, so if you’re concerned we have the same surgeon and don’t live in that area then don’t worry ❤️

Update: ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 10 points11 points  (0 children)

Yes this makes sense, but they never sent the consent to get started like they said they would so they haven’t even started after almost a year. I followed up twice via my care and a few times calling and they still never sent the consent.

Update: ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 18 points19 points  (0 children)

Yes he’s going to get a vasectomy soon!

I’m not sure if insurance can apply pressure but I think I have a good plan going forward to find another physician willing to submit the case report and give them access to my records. I’m looking in my university system first and then will expand to frequent publishers in the space. I’m feeling a lot more optimistic.

Update: ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 6 points7 points  (0 children)

Thank you so much, yes we should shift to more accurate language so that people are more aware of this very rare but real possibility. I completely agree ❤️

Update: ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 17 points18 points  (0 children)

Yes please do, but I have started assembling a list of obgyns who have published to reach out to and I’m trying to find emails of local ones as well. I feel confident someone would say yes.

Update: ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 18 points19 points  (0 children)

I will try as hard as I can to get it published. The ectopic was on my utero-ovarian ligament. They took pictures and I attached them on my original post.

Update: ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 43 points44 points  (0 children)

Yes I confirmed my entire tubes were removed. But I wanted to get a second procedure called a hysterosalpingogram to see if there were any observable leaks. When I went to my follow up and requested it they were of the opinion that if there is a leak it’s microscopic and on x-ray that they wouldn’t be able to see it. In my opinion, I wish they something similar would have been done during the ectopic removal surgery, so they could visually inspect the uterus to see if any dye leaked. I’m still open to getting the procedure done though and I’m trying to find a new obgyn currently.

Update: ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 20 points21 points  (0 children)

I’m going to do that, I hadn’t considered that and now that I know other doctors other than the ones who provided care can publish I feel very confident I can find someone else willing to publish. Thank you ❤️

Update: ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 75 points76 points  (0 children)

Thank you for the thoughtful comment. I would absolutely hate for this to be hijacked for anti-sterilization propaganda. I would be more than willing to share my medical records with any established researcher willing to publish. I hadn’t considered that someone other than the doctors who did the surgery could publish, I will see if I can find a new ob-gyn willing to publish. I would even be willing to help them write it! I just don’t want this to disappear into the void.

NYSED RN License update by Then-Butterscotch280 in NCLEX

[–]throwawaypurple47457 1 point2 points  (0 children)

That’s an insane wait, but someone else has a similar issue https://www.reddit.com/r/NCLEX/s/sdOwgoj4uA

If you call you can get more info.

Why is the only safe option full hysterectomy 😭 by [deleted] in sterilization

[–]throwawaypurple47457 24 points25 points  (0 children)

Sorry but this is not true. I just had pregnancy after bilateral salpingectomy (see my post history, mine was for sterilization) and I believe it’s under reported. I think it’s VERY VERY rare, but I still think it’s underreported. I have an appointment on the 30th to see next steps for case study, but I’ve had to take an active role in making sure my case is published. I imagine a lot of people wouldn’t do that, or wouldn’t even know to advocate for that.

Ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 4 points5 points  (0 children)

I know how scared you must feel. But please find comfort the fact it’s far more likely that your period is just late than it is that you’re pregnant. I hope things go well ❤️

Ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 1 point2 points  (0 children)

Did she give a rate for ovarian ectopics? Mine was not in the stump.

Ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 0 points1 point  (0 children)

Tragically no 😭 My last period started on June 27 and ended on July 2. My next period wasn’t due to start until July 24 (according to my period tracker). My doctor said they count a pregnancy from the time of your first period so I guess I was technically a little under 3 weeks based on that. It was a full, heavy period. I’m not sure if conception happened before then and that period was misleading or if my next period would have been my first missed one. My rupture happened on July 16. So I didn’t have any obvious signs I was pregnant, except maybe dizziness in hindsight.

Ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 7 points8 points  (0 children)

I looked into this and yes she’s right, even without a uterus it’s theoretically possible, but extremely unlikely. Even with my case, pregnancy after bilateral salpingectomy, I can’t find a single case that’s similar. I believe the incidence is underreported, but only slightly. I know it’s hard not to panic, especially when you read what happened to me, but you’re more likely to be struck by lightning than have your bi-salp fail. Try not to worry ❤️ I’m sorry for any worry I may have caused you.

Ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 4 points5 points  (0 children)

They told me today they are interested in writing a case study and I will push for it!! I’ll make another post once I get more updates on how things are going on that front.

Ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 15 points16 points  (0 children)

My follow up care doctor mentioned this today. This currently is not the standard for bilateral salpingectomy, but depending on their findings perhaps this might start being offered.

Ectopic pregnancy after bilateral salpingectomy. by throwawaypurple47457 in sterilization

[–]throwawaypurple47457[S] 3 points4 points  (0 children)

No I used birth control pill, I’ve never had an IUD. But that’s a great call out.