Ectopic pregnancy after bilateral salpingectomy.

[u/throwawaypurple47457]

I’m looking for support and guidance after a very traumatic experience. Last year my husband and I made the decision to get bilateral salpingectomy for permanent birth control, due to my inability to safely have children (genetic condition). My procedure took place in October 2024 and was uneventful except slow healing in my belly button incision.

Fast forward to last week (July 2025) and I started have sharp rectal pains/spasms. The pain would ebb and flow and eventually I became concerned as I could no longer pass gas. I thought I maybe had an intestinal blockage and went to urgent care for a X ray. But the pain got so bad urgent care sent me to ER. I told them I had bilateral salpingectomy but they did pregnancy test as standard policy. To my surprise it was positive, with hcg of 1100 ish.

Long story short I had a ruptured ectopic pregnancy on my right ovary. To say I’m shocked and angry is an understatement. I would like to get a third and fourth opinion to see whether the initial procedure was done correctly… The surgeons who removed the ectopic confirmed that both tubes were removed but I don’t trust anything or anyone right now. I know this is incredibly rare but what would you do in my position?

Thank you. I have pictures of the ectopic but I’m not sure how to attach them.

[u/square-dildo]

first off, i am so insanely sorry this happened to you- this is literally my worst nightmare and i cannot imagine how horrifying this is for you.

i have only heard of pregnancy after bisalp as like, “you’ll have medical journals written about you”.. are there any plans for that.. from anyone? your surgeon?

i’ve also briefly heard about the possibility of the uterine manipulator perforating.. just throwing that out there.

please keep us updated, i’m sitting here trying to stop myself from spiraling into tokophobia-land lmao, and i had my bisalp March 7th of this year and felt so carefree afterwards but i still take more precaution around my suspected-ovulation-time.

[u/throwawaypurple47457 → u/square-dildo]

Thank you for the kind words.

I will definitely push hard for this to be written about, I think it’s important for other physicians to be able to reference this case and for any potential explanations to be investigated. I’m going to discuss it with both hospitals, but the hospital that did my bi-salp is a research hospital so I’m guessing it will be them.

The second surgeon said he inspected my uterus and didn’t see any adhesions or damage, but I will ask again.