Conversation: The conversation between human and AI assistant.
[|Human|] On Saturday the 4th of march I woke up with tender breasts and the following week I had brownish discharge. I didn t take this very seriously until it continued. I then decided to take a pregnancy test where I discovered I was 3-4 weeks pregnant. The next evening I was in bed asleep and woke up with excoriating pains almost biting through my arm unsure of the situation my partner rushed me to hospital. I was in so much pain I thought I was about to die. It was at that moment I was told it may be an ectopic pregnancy and that I would have to be rushed into surgery. 1am surely this could not happen ? Well it didn t I was given all the pain medication and taken to a room where I would sleep and in the morning I would go get checked. By the time morning came I felt almost better I could walk again I was feeling fine - I had the scan and the doctor picked up that I had a 5cm cyst on my right ovary but thought that I wasn t in as much pain to have an ectopic. My pregnancy was still very early and so my readings were very low and unable to show any signs of a baby how ever there was a concern. The next day I went in for what I thought would be a DNC and came out completely shocked that I had double trouble a cyst on my right ovary and a ruptured ectopic pregnancy on my left Fallopian tube. Both removed. it was also very much of a shock that I was 8 weeks pregnant and not 2-3 weeks like everyone had thought. My question is what are my chances of ever having another ectopic pregnancy because I am so nervous to ever try again one day in the fear that I will go through this again. I am so scared that I am not worthy of myself if I cannot have children and I will feel as if I m letting my partner down too.
[|AI|]  Hello, I have gone through your query and understood the concern. It is very unfortunate that your pregnancy terminated with an ectopic. The risk of another ectopic pregnancy increases 20 times with a history of one ectopic. In other words, 1 out of 10 women can have a recurrence. If there are two or more ectopic pregnancies in the past, this risk becomes 50 %. However, normal pregnancies can happen in about 60 percent. Thus, I would suggest going for another pregnancy after sufficient gap and monitoring the pregnancy very carefully right from the early days. Serial serum beta-ChatDoctor titles are recommended and if there is an abnormal increase, an ectopic can be suspected. This, combined with serial sonograms can help in the diagnosis in addition to the detection of the early symptoms as you are already experienced. Hope this helps.