Unraveling the “double whammy” dilemma: do concomitant tubal infertility and previous ectopic pregnancy shrink the possibility of live birth?

Unraveling the “double whammy” dilemma: do concomitant tubal infertility and previous ectopic pregnancy shrink the possibility of live birth?
A tubal ectopic pregnancy (TEP) occurs when the implantation of the embryo happens in a fallopian tube rather than the uterine cavity. Despite the fact that several advances have been made in its early diagnosis, it is a catastrophic event for couples eager for children and remains one of the primary causes of maternal morbidity and mortality during the first trimester of pregnancy (1). A deeper understanding of the factors that provide early implantation abnormalities and increase the risk of single or recurrent TEP is essential to provide a fundamental improvement of pregnancy outcomes as well as preserving future fertility (1, 2).
Source: fertstert.org