cervical ectopic

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 (conceive)? 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

[Casey1]

I'm so sorry for what you are going through!  I didn't find much about cervical ectopic pregnancy, but I'll paste what I did find.  And yes, if the egg traveled into the uterus you have at least one tube open.  It's so rare that I really doubt it would happen to you again.

______________________________________________________________

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.


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[nurse12hr]

Here is a link:

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.

[missy2627]

Hi Mooey.. i understand what you are going though at the moment iam to am going though the same thing right now.. i was 6 w5d when i had a US and found that it was a cervical pregnancy and that i would have to terminate the pregancy.. i cried and cried and cried some more.. this just happend to me on aug 31st 2009... no body at my RE has ever dealt with something like this so they were going to give me the shot and i was suppose to go in the next day for them.. but i started bleeding pretty good that night and ended up going to er and they had told me that i was losing it on my own.. (thinking to myself i was happy) my body was doing it for me because to have to make that choice to terminate the pg was killing me but i would have done it ,so i understand what you are going though and if i would have had to take the shots and like they told me if the first shot didnt work i would have to take another one.. i would have done it.. only to help myself .. bc to not do what doc wants could mean you are hurting yourself more. i have no one to talk to about this because know one understand so... i would love to talk with you bc atleast we aint alone and wondering why this happend to Us...

Take care
Missy

[dondon1975]

Hello, I too had a cervical ectopic in June 2007 and I couldn't find any information on it anywhere. I  was almost 7 weeks pregnant and it was by pure chance that it diagnosed in time, luckily the day of my scan a different consultant was on duty and he specialises in ectopic pregnancy. He was great and explained that it would be treated with methotrexate, my fertility would not be affected and my chances of it happening again were 1 in 40,000 (as this was the same chance of it happening the first time, this was not good news as far as I was concerned) I had to have 2 shots of methotrexate as the 1st didn't work , even the 2nd shot was only borderline successfull but they kept a close eye and after 4months my bloods went back to normal (Oct 07). I was told not to ttc until 6 months after my 2nd injection. After all the heartache I wasn't sure I wanted to try again and put myself through it all again but I was very lucky and Feb 08 I found out I was pregnant again although with all the same early symptoms as previously, but a 6 week scan showed all was where it should be and 25th Oct 08 I gave birth to the most perfect baby girl (exactly 1 year and 1 week after I got the all clear from my ectopic)  My ectopic was the worst thing that has ever happened to me emotionally and physically, but I am proof  that there is light at the end of the tunnel, at the time I just wanted to know what I had done wrong for it to happen, what was wrong with me that had made it happen, but I know now I did nothing and nothing is wrong with me, as I have been told a million times "it's just one of those things" not helpful but true.

Take care

[peekawho]

I'm glad everything worked out so wonderfully!  Its great to hear your story.

[lostineurope]

Hi, I am so glad that you posted your story because its good to know there is some hope. I was diagnosed too with a cervical ectopic pregnancy at 11 weeks, when they did the methrotexate shot and a second one directly on the embryo of potassium or something like it to stop the beating.  Its been a very horrible ordeal, my hcg is now at 5 and I still have some bleeding.  I hope this is over soon.  Being my first pregnancy it has left me full of fear and hopeless, I cannot envision a future one but like you said "its just one of those things" that happen and after all is done maybe i will find my own light.
cheers