Ectopic Pregnancy after Embryo Transfer

While an ectopic pregnancy after an embryo transfer is uncommon, it’s important to be aware of the signs. By understanding this condition, you can ensure a safe and successful surrogacy journey.

An ectopic pregnancy after the embryo transfer occurs when a fertilized egg implants outside the uterus, usually in a fallopian tube, ovary or abdominal cavity. 

Understanding this condition can help you be prepared to recognize the symptoms and seek timely medical care, which can significantly impact your health and the success of your surrogacy journey.

In this article, we’ll cover essential information about ectopic pregnancy including what you need to watch for and how to protect yourself throughout your surrogacy experience.

You can contact us online today if you have questions about what the next steps in your surrogacy journey will be if an ectopic pregnancy occurs.

The information provided in this article is for educational purposes only and is not intended as a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health provider.

What Is an Ectopic Pregnancy after an Embryo Transfer?

An ectopic pregnancy occurs when an embryo implants and begins to grow outside the uterus, typically in a fallopian tube. Because embryos cannot develop properly outside the uterine cavity, an ectopic pregnancy is not viable and will not result in a successful pregnancy.

Seek medical attention if you suspect you are at risk.

An ectopic pregnancy after an embryo transfer can occur if an embryo travels into the fallopian tube during the implantation stage. The more embryos used in a transfer, the higher the risk there is for an ectopic pregnancy. Ectopic pregnancies are more common with fertility treatments, including IVF, compared to natural pregnancies.

Symptoms of Ectopic Pregnancy after an Embryo Transfer

Most often, ectopic pregnancies take place within the fallopian tube, but it’s also possible for them to happen in the ovaries, abdominal cavity or cervix.

Usually, you’ll be able to spot signs of an ectopic pregnancy after an embryo transfer if you experience:

  • Abdominal pain

  • Upset stomach and vomiting

  • Vaginal bleeding

See a doctor immediately if you experience:

  • Sharp, intense abdominal pain, with or without heavy bleeding

  • Fainting

  • Shoulder pain

  • Rectal pressure

A 2022 study found that ectopic pregnancies after IVF are around 2-8% higher than those that occur from natural conception. So, they are usually more prevalent in pregnancies that result from IVF. Fortunately, however, there are treatment methods in case you have one.

What are the chances of ectopic pregnancy with embryo transfer?

Statistics regarding the risk of ectopic pregnancy following IVF and embryo transfer can differ among fertility clinics. Research indicates that the likelihood of an ectopic pregnancy ranges from 1.4% to 5.4% in IVF cycles.

Treatment Methods for an Ectopic Pregnancy after the Embryo Transfer

There are several different treatment methods you can use in case you have an ectopic pregnancy. Below, we’ll break down a few types and outline the advantages and disadvantages of each.

1. Expectant Management

Expectant management for an ectopic pregnancy involves closely monitoring the condition without immediate intervention, allowing the body to resolve the issue naturally.

  • Pro: It eliminates the need for invasive procedures, which can be beneficial if the condition is not causing severe symptoms.
  • Con: There is a risk of the ectopic pregnancy progressing to a more severe condition, such as tubal rupture, which can lead to internal bleeding and a medical emergency.

2. Methotrexate

This is a medical treatment, through injection, that stops cell growth and dissolves preexisting cells, preventing the ectopic pregnancy from fully developing.

  • Pro: Methotrexate offers a non-invasive treatment option, avoiding the need for surgery and its associated risks. It is particularly effective for treating early ectopic pregnancies before significant complications arise.
  • Con: Methotrexate is only suitable for specific cases, particularly early ectopic pregnancies and may not be effective if the ectopic pregnancy has progressed significantly. Not every ectopic pregnancy can be treated this way, so be sure to speak with your primary physician about this option.

3. Surgical Options

Laparoscopic surgery can allow a surgeon to remove the ectopic tissue to prevent any life-threatening complications.

  • Pro:  By promptly addressing the ectopic pregnancy, surgery minimizes the risk of serious issues like internal bleeding and potential damage to surrounding organs.
  • Con: Surgery involves an invasive procedure with associated risks, including infection, bleeding and adverse reactions to anesthesia. Post-surgical recovery can take time, during which patients may experience pain and restricted physical activity.

Coping with an Ectopic Pregnancy after the Embryo Transfer

Coping with an ectopic pregnancy as a surrogate can be particularly challenging due to the emotional and physical aspects involved. Here are some steps to help manage the situation:

Communicate with intended parents
 

Maintain open and honest communication with the intended parents. They are likely to be concerned and supportive, and keeping them informed helps manage expectations and emotions on both sides.

Emotional support
 

Consider talking to your surrogacy specialist or a therapist who specializes in reproductive health to help you process your feelings and cope with any emotional distress.

Support network
 

Lean on friends, family or support groups who can provide emotional and practical support during this time.

Self-care
 

Prioritize self-care by getting enough rest, eating well and engaging in activities that help you relax.

Understand your options
 

Educate yourself about the next steps, including potential treatments or procedures required to address the ectopic pregnancy.

Going through an ectopic pregnancy after an embryo transfer may take an emotional toll on you. That’s why it’s so important to seek support from counselors and health care providers whenever you need to. Here at our agency, we are also here for you to help you process any complex emotions you may be feeling.

To get in touch with us today, fill out our online contact form and begin receiving our free, 24/7 counseling services.