<s>[INST] My wife Have Ectopic Pregnancy Twice. First time it was Operated & Second time it was washed out through Tab & Ing, Which subsequently sevre Bonemaro depression. This all around Oct-2009. We Have no Issue Yet and last one year we have not taken any treatment. Please advise what to do? [/INST] Hi, Since your wife has had two ectopic pregnancies, and an operation for the same. We need to know condition of her tubes and if even one of them is patent or not. For this we require an HSG. This will indicate if she needs a laparoscopy either to repair or remove the remaining tubes as the does have a risk of repeat ectopic, and she may, will require surgery if she has an ectopic as medical management had caused her to have BMD. Once the status of tubes is analyzed, you will have to consider IVF. Hope this helps. Regards. </s>