Our expert says:
The first instance the likelihood of a second ectopic is certainly increased by approximately 40%. Further more the chance of conception due to one tube being absent is reduced to every alternate ovulation and enhance the overall fertility prospects will be halved. In addition the added problem of ovulatory dysfunction due to the PCOS will further make conception difficult. Therefore the approach to this problem requires very careful evaluation in terms of ovulation induction and it’s monitoring, which I would advise by ultrasound scanning. In addition a recent sperm analysis is required to establish the likelihood of success with either natural intercourse or intrauterine insemination. To obviate the possible problems such as ectopic pregnancy obviously failure to achieve a conception my recommendation would be to perhaps pursue the soft stimulation in-vitro fertilization route if this is at all affordable. This option will not only enhance your pregnancy prospects but may well avoid the likelihood of a repeat ectopic pregnancy as well.
Answered by: Dr M.I. Cassim
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