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Could this be the start of another ectopic ?

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I recently had an ectopic pregnancy where my left tube and ovary could not be saved, these were taken out by laproscopy on 14/12/12. The doctor told me I could start trying again as soon as I felt ready as my right tube and ovary were healthy. Even though its only been 4 weeks we have been trying again, I have not had a period yet but am quite sure I have ovulated. I am now experiencing fatigue, heartburn, nausea the same symptoms as my previous pregnancy, I took a test last night and it was negative. Could this be the start of another ectopic or am I overthinking things and imagining I am pregnant when I am not? Any help would be appreciated as I am going out my mind.

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replied January 17th, 2013
Pregnancy Answer A41623
Welcome to ehealthforum,
If your fertility/ovulation has been intact, then pregnancy is possible even with having just one sided patent fallopian tube and functional vary. If you have been sexually active around your ovulation time, the symptoms that you describe (fatigue, heartburn, nausea, feeling pregnant) could indicate pregnancy possibility. Urine pregnancy test kits mostly start showing positive results after about 18-20 days post-conception (roughly corresponding to about 1 week after your missed/altered periods) and you can get false negative results with urine pregnancy tests done very early in pregnancy, as the kits are calibrated ones, so unless the hormone levels in urine reach a certain level, they do not show positive results. The test should always be done on early morning first urine sample to get accurate results (pregnancy hormone HCG is believed to be in highest concentration in this sample, and you should avoid lot of fluid intake and caffeinated beverages in the night before taking the test). Wait and watch for your next periods. Look out for development of any other new symptoms if pregnancy is suspected. If symptoms suggestive of pregnancy are present, or if your usual periods do not start within 10 days of expected period dates, or if you have got abnormal periods, or if you suspect chances of pregnancy, consider visiting your doctor/gynecologist at the earliest for thorough examination (to confirm pregnancy related changes/signs in body) and blood/serum HCG level test (to confirm/rule out pregnancy accurately). Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately. Visit your doctor/gynecologist for further evaluation, clarification and assistance.
Take care.

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