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cervical ectopic
by mooey, Nov 17, 2003 12:00AM
HI,
I was diagnosed with cervical ectopic pregnancy 11/12/03, had us done which showed a sack at bottom of cervix. I was about 6 weeks pregnant. I have been having my blood(hcg) monitored evry day since the 12th which just keept going up. Went in and had a shot of methotrexate on fri 14th, still nothing has happened, not even spotting blood but a little mucus which is light brown, no bad cramps yet. My doctor told me that something should happen by sun or mon but yet nothing, went in mon to get hcg count and has gone up 10,000. I am to go in tues morning for another us. My doctor told me last fri the 14th if the first shot does not work then I would have another thurs. I am just so frustrated at this point because no one has ever dealt with this type of ectopic at my doctors office. I realy don't feel another shot would be the answer and this is my second pregnancy, my first was an abortion I had at 15. I need to know how dangerous it would be to have a dnc with my condition, and that having another shot of methotrexate would help? and with a second dose of the shot, do I have to wait 6 months before I try and concieve? does methotrexate have the same effect with cervical versus tubal ectopic? should I carry out my normal daily activities or just do nothing until I know what's going on? and since the implantation took place in my cervix, does that mean my tubes are not abstructed? sorry, so many questions, but no one seems to be able to answer them.I would also like to know if there is a website with detailed information on cervical ectopic.thanks
susan
I was diagnosed with cervical ectopic pregnancy 11/12/03, had us done which showed a sack at bottom of cervix. I was about 6 weeks pregnant. I have been having my blood(hcg) monitored evry day since the 12th which just keept going up. Went in and had a shot of methotrexate on fri 14th, still nothing has happened, not even spotting blood but a little mucus which is light brown, no bad cramps yet. My doctor told me that something should happen by sun or mon but yet nothing, went in mon to get hcg count and has gone up 10,000. I am to go in tues morning for another us. My doctor told me last fri the 14th if the first shot does not work then I would have another thurs. I am just so frustrated at this point because no one has ever dealt with this type of ectopic at my doctors office. I realy don't feel another shot would be the answer and this is my second pregnancy, my first was an abortion I had at 15. I need to know how dangerous it would be to have a dnc with my condition, and that having another shot of methotrexate would help? and with a second dose of the shot, do I have to wait 6 months before I try and concieve? does methotrexate have the same effect with cervical versus tubal ectopic? should I carry out my normal daily activities or just do nothing until I know what's going on? and since the implantation took place in my cervix, does that mean my tubes are not abstructed? sorry, so many questions, but no one seems to be able to answer them.I would also like to know if there is a website with detailed information on cervical ectopic.thanks
susan
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At Thu, 21 Feb 2002, A Rare Case wrote: >
>I would like to know what the chances are of having a repeat cervical
>ecotopic pregnancy, but the literature on the topic is very limited.
>Does anyone have a good reference for any useful numbers? What about
>potential causes other than IVF? A recent pregnancy (my first) was a
>cervical ectopic and was treated with systemic methotrexate (uterine
>artery embolization was also required).
You are indeed a rare case. I have seen one cervical ectopic pregnancy in 35 years of practice. (all in teaching centers where the rare cases get referred.) In addition to this being a rare thing, up until the recent past it was also almost 100% fatal, so very few survived to have a chance at having a second one. These are the reasons we don't have nay good numbers. Since I haven't seen any case reports of a second cervical ectopic(it probably would get reported), I don't think the recurrence rate is above 50%. My suspicion would be that it is higher than in someone who has never had one, but still quite low. Read teh "My suspicion" I have no real data and I don't know. I am only giving an educated guess.
--
http://www.sma.org.sg/smj/4211/4211cr3.pdf
It specifically discusses the medical management of 2 cases of cervical pregnancy and methotrexate. I did not read the articles closely--just skimmed to see if it may be something you could get some insight from.
It is quite rare, and you need very careful and very skillful care.
Please let us know what happens.