I am sorry that you have experieneced 2 ectopic pregnancies. I am in a very similar position. I had a pregnancy of unknown location in May 09 (ectopic but who knows where) followed by a tubal pregnancy a few months later that claimed my fertility It is very difficult especially when you have more then 1 as it does effect your fertility and some of us unfortunately don't achieve another pregnancy without IVF.

I am now just waiting to get my period and starting my first IVF cycle in August. I don't have any experience with RPA as I am going to another clinic but do with EPs and the infertility that can come from it.

For me the worst is people think of EP as m/c and really they are nothing like that. Normal m/c don't usualy effect your fertility. Its a great loss loosing your tube/s and not having the opportunity to conceive again without ac. The grief also doesn't go away as your constantly remindered of what you don't have. Even simple things like getting on the net and seeing pregnancy annoucements, baby bumps, going shopping and seeing the nappy isle etc is heart wrenching. For me its effected every aspect of my life and although we plan on doing IVF and hopefully eventually it will work I can still see I will grieve for the family we planned on and probably wont have (we planned on a large family but having IVF means we have to scale that plan back due to the cost)