I had an ectopic when TTC#2 (before my twins) I assume you had the MTX treatment to deal w/ your ectopic, I had a surgical termination and removal of a tube at 10 weeks. That is when I ran into problems w/ O. I ended up on clomid to get pg (which I did and that's how I became pg w/ 2 at once

) b/c things just shut down GWIM. Really awful charts unpredictable cy's, hot flashes, AF's that lasted forever or flat out skipping AF's and just had brown spotting... Never saw much if any EWCM, even grew some facial hair
I've been looking into getting my tubes tied but read that one of the complications of having this done is early menopause. Something about having your tubes tied possibly cutting off blood supply to the ovary... Ovaries are your female hormone production capitol (progesterone is also produced by the ovary). So anyway.. It made me think back to my ectopic and made me wonder if having my tube removed and the end clamped, if that had anything to do w/ my hormones shutting down leading to 2 years of TTC & infertiltiy treatments. I wonder if it contributed to my body giving up on ovulating, causing my hormones to go completely out of whack. But.. It's all just theory and it's a moot point now b/c I am after all pg w/ #4 completely unassisted and don't plan on having another baby. But.. I thought I'd share my conspirtacy theory w/ you anyway
I wish I could help you out w/ the vitex but that's something I have no clue about. what is it?