Does a history of ectopic pregnancy affect future fertility?

Patient's question:

I am 24 years old this year. Recently, I suddenly felt stomach pain and nausea with vomiting, and the skin in my lower body broke out again. At first, I thought it was my period, but the amount was not much, and it lasted for more than ten days. So, I went to the hospital for a thorough examination. The doctor said it was an ectopic pregnancy because I haven't had children yet. Have you ever had an ectopic pregnancy? Will it affect future fertility?

Doctor's answer:

According to the situation you described, individuals with a history of ectopic pregnancy who undergo surgical treatment, such as unilateral salpingectomy, may experience a slight reduction in the likelihood of future pregnancy, as delivery can only occur through the unremoved contralateral fallopian tube. If stringent fetal reduction treatment is performed, it may lead to inflammatory changes in the fallopian tube associated with ectopic pregnancy or tubal adhesions, potentially increasing the risk of recurrent ectopic pregnancy. It is recommended to maintain external genital hygiene and reduce the recurrence of vaginal infections.

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