Hello everyone,
I have a laparoscopy and HSG scheduled for November to check my tubes, look for endometriosis, and potentially remove my left tube. I’ve had 6 losses total: 4 chemicals, a confirmed left-side ectopic in May 2026, and a Pregnancy of Unknown Location (PUL) in August 2026.
My May ectopic was a nightmare. My hCG was nearly 5,000 (nobody told me that almost disqualified me for medical management) and it took two rounds of methotrexate and an awful recovery to clear. Then in August, I had another loss at 6w6d. The doctors labeled it a PUL because they couldn't find a sac, but I had the exact same localized pain as my confirmed ectopic. I’m convinced it was a second ectopic in that same left tube.
During that crisis in August, I was completely adamant and told my OB I wanted that left tube gone. I also pushed for an HSG, an endo check, and got blood work done that led to me starting Metformin and Levothyroxine.
On the bright side, my cycle just shifted to a perfect 28-day cycle for the first time since I was like 18 years old! Lol. I guess the medication is finally doing its job, and I'm really hoping that optimizing my hormones will help fix my struggles with chemical pregnancies.
But now that I’m not in active pain anymore, the urgency has faded and I’m having massive second thoughts. It’s like my brain forgot how bad the physical pain and the fear of a rupture actually were. Because a specialist was too expensive just to talk to, I've decided to stick with my OB. I'm trying to figure all this out on my own and I’m just feeling so overwhelmed.
I’m deep down a research rabbit hole and terrified of a few things:
- What if they find out my right tube is blocked, which means I can't afford to lose the left one?
- What if they remove the left tube and it turns out it was actually completely fine?
I recently read that some clinics use high-pressure fluid during an HSG, which can force fluid past a partial blockage and give a "false clear" that doesn't reflect how an embryo naturally moves. I plan to ask my OB about their fluid pressure methods at pre-op, but I’m terrified of losing control once I’m asleep. What if I'm super specific about my boundaries, they agree, and then they just do whatever they want in the OR anyway? You can't exactly undo a tube removal.
Has anyone else experienced this exact panic or second-guessed a surgery once the crisis passed? How did you advocate for yourself at your pre-op to make sure your surgical boundaries were actually respected? I hate this so much. Any other important questions you think I should ask at pre-op?