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Methotrexate, ectopic pregnancy and bleeding

I have had two doses of Methotrexate administered by a needle. Between doses, the embryo grew from 2.8 cm to 5.8 cm in a span of a week. My Bhcg went from 2600 down to a little over 900. Was at the hospital under observation but have been released. This is my first night home, and I am concerned about what can happen. Experienced a fainting spell while under observation, low blood pressure after, but since then went up. Still ight headed, bleeding light to moderate, bright red, no tissue or clots. Slight cramping in my left side (where ectopic was discovered). Does anyone have any similar experiences or experienced this? What was the outcome? Am I just paranoid, or am I in grave danger at this point? ALL honesty is respected, will not get offended. Thank you
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Avatar universal
This is just a very late update on this. About 6 weeks and 3 rounds of methotrexate after initially being diagnosed with an ectopic in the scar of my c-section, I had a massive hemmorage. I had no spotting leading up to it - just a little cramping the day before. Within 40 minutes of starting to bleed, I had lost so much blood that I needed transfusions because I was crashing. My blood pressure dropped to 50/30 and I passed out. Luckily I wasn't far from the ER. My doc made arrangements for me to be transferred to a hospital that had the technology to do an uterine artery embolization - they put little particles into the main arteries of your uterus to stop blood flow and control bleeding. This saved my uterus, but was extremely painful. I spent a week in the hospital and ended up having 8 units of blood over the course of the week to bring my hemoglobin back to a safe level for me to go home. It took about 2 months to get my iron levels back up and about 4 months for my energy levels to return. I was advised to wait a year before trying to conceive again to give my body time to heal. I needed this time because it was a very traumatic event. The doctors did not know if we would be able to conceive again because there is little research on subsequent pregnancy following uterine artery embolization for the purpose of controlling hemmorhaging. I'm happy to report that I got a pregnant about 18 months later and had a very uneventful pregnancy. I gave birth to a healthy baby girl who was delivered by planned c-section. They did not give me an option to have a vaginal delivery because they were concerned about the integrity of the uterine muscle. I had no problems whatsoever throughout the pregnancy, aside from morning sickness. I was followed closely for the first 6 months and then discharged back to my regular OB. After that, we decided to try for one more. I had one chemical pregnancy and then a missed miscarriage - I should have been 10 weeks along, but embryo stopped growing at 5-6 weeks. Again, no spotting or cramping and then about 3 weeks after being diagnosed with missed miscarriage, I actually miscarried at home. It was very physically painful. We waited two cycles and tried again. I got pregnant shortly after and am now 8 months pregnant with our 3rd and final baby. No problems at all in this pregnancy, either. If you are one of the unfortunate ones who have to go through a c-section ectopic, please know that there is hope!
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Avatar universal
I underwent an IVF procedure and then had what appeared to be a 'miscarriage' - heavier than normal bleeding, on 5/14/14. At the time my HCG was 12. A week later I retested my HCG and it was 200. After that it has been almost doubling every 2 days. When my hCG was 2500 my OB diagnosed me of ectopic, and I was given the MTX shot the next day on 5/30. I retested my hCG on Day #4 (which was yesterday) and it rose to 4500. I'm so scared. I dread of getting another shot because i heard for 2 shots you have to wait 6 months to get pregnant, and I wanted to try another round of IVF before I'm too old. I'm doing another hCG test in 2 days and I'm hoping I'll see a 15% drop.

I haven't had any symptoms like bleeding or cramping. Is that a sign it's not working? Anyone has the experience of not bleeding at first and later it still worked?
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Avatar universal
I just wanted to add a few comments. I know this thread started many years ago, but as it is still active, I thought I'd chime in.

The reason that I wanted to post is b/c many of the posters have had more advanced ectopic pregnancies than my wife had.

We have been undergoing fertility treatments (current IUI) to try to conceive a second child. When the blood tests came through from the first round of treatment, we were "boarderline" pregnant. Based on how the hcg numbers were not increasing, the doctors knew something was off.

After a series of ultrasounds and blood test over a week, it became apparent that the pregnancy was in all likelyhood ectopic.

b/c we had been going through fertility treatments and since my wife was frequently tested, everything was spotted when her hcg was only 60 and mass ~1cm

After everything was tested and confirmed, we went to emergency and she received two (simeultaneous) shows of Methotrexate.

Her levels are now going down.

She says she has not experienced any side effects and her mood is good. She did have a small discharge but it was not as severe as some of the posters in this thread have experienced.

This is just week two, so we cannot say how everything will resovle.

I am just posting this for women who are undergoing the treatment after an earlier than usual ectopic pregnacy.

I don't know if our experience is normal for an early ectopic, but I'd thought I'd share out thoughts.

Of course we will update this board.
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Avatar universal
Hi everyone,

My name is Jess, I'm 29, and this is my 2nd pregnancy (I had a son 7 years ago with no complications)

Here is my story and I am hoping someone can help.

11/20 - BFP! So excited, my hubby and I just got married in October, went off the pill in Sept and got pregnant our first month trying.

11/23 - HCG levels 32

11/29 - started bleeding bright red and cramping. Went to the ER, thought for sure I was misscarying (5 weeks)
They did a pelvic and said my cervix was closed. No baby or sac seen on internal u/s. HCG 327. Ordered to see my OBGYN 12/1 and do HCG then.

12/1 - u/s no baby or sac again. HCG 377. still bleeding lightly. Told I was miscarrying. Appt to come back on 12/5.

12/2 - Terrible left side cramping and low back cramping. Heating pad and hot baths did nothing. Tylenol did not even touch the pain.

12/5. u/s shows 2.2cm ectopic in my left tube. HCG 360.  Given choice of methotrexate or surgery. Opted for shot. Went for kidney and liver panels. All were good.

12/6 - Methotrexate 90mg, one shot in each butt cheek. Cramping and more bleeding.

12/7 - Today - more cramping, heavier bleeding. Just passed tissue that is reddish pinkish and has some grey in it. Is this the sac already? Doctor told me my body would absorb it. Saved tissue to take to next appt.

Scheduled for another HCG on 12/10 and 12/13.

I still do not know what caused this.  How is it possible that I passed this tissue less than 24 hours after the Metho shot?

If anyone can help I'd greatly appreciate it.
Thanks,
Jessica
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Avatar universal
I will keep you all in my prayers! Finding this forum has been comforting to me, as I am going through the same thing now. My periods were like clock work, so after four days missed, my husband and I knew something. After a home pregnancy test confirmed on Oct. 20, I called my doctor the next day because I had been experiencing alot of sharp pains. She ordered  blood work, and an ultrasound which did show that I was having a ectopic preganancy. My first shot of mexthotrexate made my HCG rise from 12,000 to 25,000. No bleeding, and no pain. A week after I had two more shots, no bleeding and no pain, just fatigue and nausea. At the end of the week it had dropped to 22,000. Now, I have my blood drawn every week until it is zero. As of last week it has dropped to 8,000, and I finally started a very painful period. My husband as been great throughout this whole ordeal. I know he is tired of hearing my moans and cries due to the pain, but he doesn't let on..lol.
God has a plan. Trust it.
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Avatar universal
On Aug. 2011 I went to the dr to figure out how to get pregnant with my second husband.  Whom doesn't have children and I have three we have tried for a year no luck. He stated that all was good n remember took my folic acid by sept. 2011 I had a feeling I was pregnant not relizen that I already was when I went in, in aug. three days after I found out I started to bleed I called went in dr stated that i had a possible ectopic pregnancy after my 1st shot of metho shot levels reached nearly 730 than I received my second shot two weeks after the first it drop 50 percent I was so excited n so confused the following wed lab test again it went down to 300 now upset again after 7 weeks at this point I was at my wits end now at 99.6 3 metho shots later n 9 1/2 weeks later my right ovary had a large cyst ruptured and 10 percent chance for this to happen again I feel as though I don't want to try again but with god on my side I feel like tryen again in the near future I would love to have that feel of another human life grow within me and the 1st time your baby kicks and it is a little secret between you and your bundle of joy is a wonderful experience.  I hope all of you my experience this keep your heads up I am and won't give up on that blessing we would all love to have.   Chrissy 11/17/2011
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Avatar universal
I to experience everything about the smoking, i am on my second miscarry.
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Avatar universal
I had one shot of the metho on 8/2011 and my levels dropped to zero by 10/2011 but now I'm scared because I'm only spotting and not bleeding regular.
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Avatar universal
I had one shot of the metho on 8/2011 and my levels dropped to zero by 10/2011 but now I'm scared because I'm only spotting and not bleeding regular.
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Avatar universal
I found out 5 days ago I was preg AFTER having a tubal 4 years ago-they actually cut and curned the ends--but, a positve preg test had surely came up last week- called the doc- they were concerned and had me come in the next day for an ultrasound--no sac found anywhere--sched me for blood over the next 2 days to see if my HCG went up--went back 2 days later to another ultrasound to show she thought there was a sac in my right tube--but still nothing in the uterus--and my HCG went from 3500 to 4200--I guess not enough to support an actual uteran preg--so, in fear of my tube rupturing they presented me with surg or methotrexate injections at the cancer center--we went with the injections in hope of avoiding surgery--I had this procedure yesterday ---started cramping right away and spotting--I am assuming this will be similar to a miscar which i have had several of---not looking forward to it at all and glad i found this forum---today i haven't taken any meds to avoid sleeping all day and i still am light headed and dizzy---a really odd feeling---but, i suppose not as bad as recovering from a surgery---i will update you all with any new info--good or bad--bless you all
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Avatar universal
I was so happy to find this forum and read everyone's stories in words I can understand.  Here is my experience, I had a light spotty period at my regular time accompanied by cramps only severe at times. Thankfully my best friend and boyfried convinced me to go to emerg.  I sat in the waiting room for 6 hours with severe cramps and had to get a couple of maxi pads from the nurse as I was bleeding threw one about every hour. When I finally got a bed (in the hall) I started throwing up into a garbage can and was finally administered a shot of Gravol.  I was finally seen by a Dr. (9hrs later) and she informed me I was pregnant but it wasn't viable.  I am 37 and have had 3 prior misscarriages all for different reasons. I have an rh- blood type and had to recieve a rogam (sp) shot and was told everything from bad luck to quit smoking. They sent me home but told me to return in the morning for an ultrasound. The next day the bleeding was still light and spotty but not as severe the cramps had also subsided quite a bit and was only tender to touch.
My ultrasound revealed and eptomic pregnancy and I was whisked back in to emerg. promptly given a bed and prepped for surgery. My levels were over 4000 the night before and had dropped to under 4000 the following day. I only waited 4 hours to see an OBGYN and he told me vitals were all normal and gave me an internal examine. He also told me there was fluid in my abdomin (????) As  the cramping and bleeding was not as severe as the night before he said I had the choice of having the shot or the surgery.  I opted for the shot I was immediately concerned at the nurse putting on a mask, gown and double gloves.  She was wonderful and very informative and answered all my questions.  I was very concerned about the side effect including, nausea,cramping, bleeding, and fainting and them telling me to come back to emeg if I had nausea, cramping and bleeding.
I have to go back on Monday to have my levels checked. I am happy to be home but  feel weak and have a few pangs on my right side.  I think the weakness is from spending 9 hrs in emerg the night before and not being allowed to have food or drink all day today.  When I finally got home I had a banana and a yoghurt had a nap and had and apple and some cheese and crackers. I immediately felt nausea.  That's why I went on-line and found this forum and am inspired and feel a bit more informed on what to expect.  My second experience at the hopital was way more positive than the first and am instructed and plan to take it easy for the next couple days.  I was told to take Advil for pain and have been using a heating pad for the mild cramps.  It has only been about 8 hrs since I have had the shot and am going to take each day as it comes.  I have great friends and an incredabally supportive boyfriend to get me threw this.
Thank you
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Avatar universal
I've been wondering. the same thing I had an eptopic pregnancy last week I had surgery that Saturday I had and hcg test done yesterday AND its still too high I've got and appt to go back next week for the same things but I still feel sick I still eat a lot and I still pee a lot and still spotting I haven't had sex so what could be the problem
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Avatar universal
I am 8 weeks, and now on my 2nd metho shot. It is now 3 days after 2nd shot. I am really not feeling much of a difference. I go into the dr tomorrow for more blood work. If the numbers have not dropped again I will be having the DNC later this week. This is sooo hard. We have been trying to get pregnant for 3 years. This is our 1st pregnancy. After the first scan they told us in was in my left tube. I am so scared, angery etc.
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Avatar universal
My husband and I were so excited to find out that we were expecting our first child after only one month of trying. At about week 5 I had mild spotting (some mucous with a pink tinge) and my doctor wasn't too concerned bc I had no cramping or pain. A week later I woke up and felt off. My uterus felt achey and heavy. When I went to the bathroom at work I felt blood dripping and I passed what looked like sac to me. It was whitish-pink in color.

I was devestated and convinced that I had just miscarried. I went to the doctor's office and they tested my hcg. They tested again 48 hours later. It was a holiday weekend so I didn't get the results right away but I was SO sure that I had miscarried that I wasn't too concerned. That Tuesday I found out that hcg had doubled. I was surprised because I had been bleeding for 5 days already.

After a few more rounds of hcg testing, everything seemed OK. The numbers were doubling and then they just plateaued. In 72 hours it went from 900 to 1400. We did an ultrasound, no sign of anything in my uterus and no sign of anything wrong. My doctor suspected ectopic and had me go in for an injection of methotrexate on Thursday October 20, 2011.

I honestly felt great the first few days, besides being tired. On Monday night (4 days after injection) I got really bad pain in my lower abdomen. I REALLY didn't want to go to the ER so I waited for it to pass. After 15 minutes of being very uncomfortable, my husband decided to take me to the hospital. They did an ultrasound and said that I had a blood clot on or near my right ovary and that I had some fluid behind my uterus. Besides that, everything looked OK and my hcg had dropped from 1500 to 1110 in 24 hours.

My pain got a lot better while I was at the hospital so I was sent home. This whole thing has been such a roller coaster ride. My heart goes out to all of you ladies-- I know how awful it is to go through this after you get the best news ever.

I just can't wait to get passed this and start TTC when the doctor says it's ok.

Best of luck to everyone!
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Avatar universal
i was off of metho for aprox 2 months secondary to losing my job and no insurance. i believe in that time i became pregnant but im unsure. i now have the meds through the e.r and im in alot of pain and need to take it but i dont no what to do! if i am pregnant will it kill the baby or make it deformed? should i suffer and wait until i find out?
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Avatar universal
Thanks to everyone that's posted - what a relief to here common stories. So here's mine.... I had my 1st ectopic 5 yrs ago. Like many here, I thought I was having an abnormal period b/c the bleeding continued longer than a week. Eventually was surprised to learn I was pregnant, followed by HCG levels that rose just slightly, then an u/s confirmed it was in my tube and I had a belly full of blood. Sent to emergency surgery and had tube removed. Remaining tube looked normal/healthy, so I positive for future pregnancies.
Two years later, hubby and I were ready for kids. Got pregnant, and HCG levels doubled - BIG relief. Unfortunately, miscarried. Then about 8 months later, pregnant again - ended with delivery of my son (now 2yrs old).
So in August, ready for baby #2. Get pregnant 1st month! But right away, I could feel something wasn't right. HCG numbers were bad - did a series of tests 48 hrs apart: 240, 267, 118, 288. They did an u/s, but really just to confirm no bleeding - was told nothing can be seen until HCG is 2,500. So was given methotrexate in order to save remaining tube. Had day 4 & 7 blood work, and numbers were 158 and then back UP to 208. Doctor and her associates perplexed - in their experience, 100% of people with HCG so low respond to 1st dose. They do a bioposy of uterine lining which does confirm no pregnancy material in uterus. So I got a 2nd round of methotrexate. Still anxiously waiting to get through this week, and for my days 4 & 7 blood work.
So I ask "what if" HCG levels again stagnate - I'll be sent to a specialist (an oncologist) to rule out a rare form of tumor that produces HCG.
The worst thing is the waiting and not knowing. I'm blessed to already be a mom and just want to be "normal" again.
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Avatar universal
Dear Reema,
I am praying for you.  Hang in there.
Please let us know how you are doing.
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Avatar universal
I have a story similar to many women here and I am so sorry for what you are going through.  I had a positive pregnancy test in early August 2011, found an OB doctor and was just going to wait till 8 weeks before seeing her.  Then I started bleeding and when I called the doctor told me to come in and see her.  She did the HCG levels and they were low for how far along I was.  

So a couple of days after my office visit I stated feeling a lot of pain and went to the ER where they confirmed my fear that the pregnancy was indeed ectopic.  I wanted to just do the surgery and be done.  My doctor recommended the Methotrexate and assured both me and my husband that this was the best option. Well, after more than a week of chemo my HCG levels wend down then started going up again and now my OB wanted to give me another shot or do surgery.  I opted for surgery because I was in a lot of pain every time I moved or ate anything and the pain was going into the shoulder.  She did the laparoscopy first and found out that there was too much bleeding to stop it with the small instruments.  So she cut me open to stop the bleeding and remove part of the R tube.  

Having gone through both options I can tell you that the surgery was a better way to go for me.  Chemo is so toxic and if you read the list of side effects (possible cancers later in life-because chemo can hide in the fat cells) it is scary.  In retrospect, I with I went with my gut reaction and fist choice of just doing the surgery the first time I went to ER.  I am now almost 4 weeks post surgery and my HCG levels are back to zero.  I am upset that I will have to wait at least 3 month before we can safely try to get pregnant again.  I wish the doctor was more forthcoming about the possible danger and reactions to the drug.  

I feel for every women that has gone through this situation.  We just have extra angels in heaven watching over us because our children never really leave us.  I now have 2 children-one here with me (3 year old daughter) and one in heaven.

Praying for peace for all,
Love
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Avatar universal
I am sorry to hear about everyones experiences but it is also nice t know that there are some people like me out there. On 9/1, I started what I thought was my period. Everything seemed normal...breast tenderness, cramps, menstrual bleeding. After a week, the bleeding seemed to be stopping, and then came back more heavily. I wasn't alarmed because I have PCOS and adenomyosis and the adenomyosis sometimes causes me to have long periods. After bleeding for 3 weeks, light to heavy flows with huge clots I started getting really fatigued, which never happens. I thought maybe I was having a misscarriage because of all the clots and called my doc. They did a urine pregnancy test and I was shocked that I was pregnant since I was on birth control and Metformin (for my PCOS). They did a pelvic ultrasound and saw nothing, and I was in pain from the ultrasonographer pushing down on me and moving the tube around. They also test my blood and I was at 1000, which she said was good. That night I went home and cried for hours. I didn't expect that it would effect me, but I lost it. It's a lot of physical and emotional pain. The next day, I got a shot of Methotrexate ( 1 in each cheek) and have to come back next week for a blood test. I had pretty bad cramps the night after, but the doctor told me that was normal. I just pray that the Methotrexate works and my levels will drop. In about 6 months, we're going to try for a successful pregnancy.

Thank you all for sharing your stories, I have learned something from everyone and am glad that I am not alone.
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1807749 tn?1316471459
Hi Im new also, I also am/was in the same boat. I do have a 21 yr old son. And I am 39 yrs old now. I did to have an ectopic back in Feb. 98 was removed at 6 wks cause of hemmorraging didnt know it was ectopic at that time.
In 8/08 I decided to have an ablasion done, didnt plan on having anymore children. Well its 2011 and I have moved to a different state cause got divorced, and with a new man, he has 2 beautiful children 5 & 7.
Well to make long story short, went to a routine obgyn appt cause I was spotting and having discomfort, thought it was just a cyst. Doc took urine and said, as I was getting dressed take ur clothes back off ur pregnant....I almost passed out and said dont joke about things like that, well I was pregnant so we did an ultra sound it was twins in my left tube and I was 4 to 6 wks. She sent me to the hospital, had my hcg level taken, then the methotrexate shot. Had my blood ran a week later and it was at 4300. I had 1 bad nite of horrible pain used a heating pad and took tylenol that next morning I did pass them they were attached and looked like 2 small cloudy lima beans. I am still having pain on my left side but its not horrible. I was told that is because your tube does get irritated and sore cause of the swelling due to pregnancy thats not suppose to be there. If I have a bowel movement or bladder gets full it does cause pain for my tube.

I have read everyones comments and I am sorry for ur loses. I am glad there is a place that you dont feel alone and someone else has experienced similar problems. Thanks again.
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Avatar universal
I know all too well about this nightmare. Last Sept I ended up with my first pregnancy ending up being ectopic. I had pain on and off for two days, I knew I was pregnant, about 6 weeks, as my husband and I had been trying. I waiting way to long to gonto the ER, and by the time I got there it had ruptured, and they rushed me into surgery where they removed my right tube. I lost so much blood from bleeding internally that I needed a blood transfusion.
Exactly a year later to the day, I found out that we were finally pregnant again. We had been seeing a fertility specialist, had 2 unsuccessful IUI's, and got pregnant naturally the month before out first IVF. I was over the moon, and so grateful God had blessed me with this miracle the month before IVF. I was being monitored very closely because of my history, end everything was going perfect, for about a week and a half. Then at about the same time in my last pregnancy I got that familiar pain in my tube that I will never forget. The pain was so bad, that I vomitted from it! I went straight to the ER in fear of losing my only tube if it ruptured. The first ER misdiagnosed me after I told them it was ectopic and sent me home claiming my tube was clear, and there was an empty gestational sack in the uterus, and it was probably just too early to see a yolk sack or fetal pole. At that time my HCG levels had leveled off, so I knew something was wrong. That same night, the pain came on again, and I drove myself to the ER closest to my house, the one that had did my surgery last year. After the US the OB on call came in and said there was a 2 mm mass in my right tube and he wanted to remove my other tube and leave me without any tubes at 33 years old without any children. I have wanted to be a mommybsinve I was a little girl.
I begged the DR to try and save the tube, but he warned me that it doesn't function properly if this was my second ectopic and it would only put me risk for another ectopic. But we went to surgery and he attempted to save it anyway for my peace of mind. BIG MISTAKE! Turns out he left too much tissue in the tube and a week after surgery my HCG had leveled off again and wasn't decreasing. I was starting to feel pressure in the tube again. Apparently it an grow back if he doesn't get it all, lovely! So the wanted to give me methotrexate and I was completely against it. I begged 2 dr's to just get me back in the OR and take the tube. Neither of them would, and they gave me no choice. So yesterday I had my first shot, and I begged the nurse for pain meds, as I have read how painful it is from the girls that have been through it. The told me no, that it would mask the pain, and I needed to come in if I was in pain. Last night and this morning was the worst cramps I have EVER had, and I knew that I could not continue without meds, passing the grosses clots that looked like my uterus fell out. I went back to dr for blood work, and unltrasound, and he told me this was normal and I wasn't bleeding internally, which I knew, and finally gave me some pain meds. Having 2 ectopics, I knew the pain was different, but I should not have to suffer like this when I am already in pain and trying to heal from my surgery last week.
I keep wondering when this nightmare will ever end. I am so angry that now I have to wait another 3 months before I can do our first IVF because of this stupid shot they forced me to have. Having been through surgery, I would prefer that pain anyway, rather than the pain from that awful shot. Listen to your body, that's my advise. I knew something was wrong, even though the hospital told me my tube was clear. It is terrible how you have to be your own dr these days!!! Just terrible. I have joined an amazing on line support group called Daily Strength, I highly recommend it to anyone suffering with infertility and miscarriages. Be well, be blessed, Carla
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Avatar universal
So sorry you're having to go through this... hang in there! I know it's a tough time but it WILL get better!  My testing lasted a couple weeks then I had methotrexate, more tests, and ended up needing surgery after all.  I remember those points of anxiety and frustration.  It's a day-by-day thing, but know that others have been there.  Don't be afraid to share your feelings with a close friend or spouse; I found this to help.  The surgery and recovery was quick proved to be the best choice for my body.  If it helps to know... I'm feeling MUCH better now and will be praying for you!!  Let me know if you have questions.
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Avatar universal
I am a week out from one dose of methotrexate following diagnosis of an ectopic pregnancy.  I am 32 years old, had never had an IV in my arm and the thought of surgery was overwhelming.   I am now wishing more than anything that I'd had the surgery.  This process and the hormonal roller coaster through hell that it has been is just too much.  I would do anything to have it all over with and just be recovering, which is where I'd be if I'd had the surgery.  Instead, my bhcg doubled in 4 days, didn't come down the 15% my doc wanted so am now getting it monitored every other day, my breasts are still tender and sore, and i have absolutely no signs of bleeding, meaning that my body is still very much in pregnancy mode.  I would not wish this upon anyone.  all I want is for it to be over with and behind me, and it looks more and more like i'm still weeks away from that.  I know it is a process, but I had no idea just how long and emotionally exhausting it would be.
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Avatar universal
Hello everyone,
Really sorry to hear about the losses of everyone and hoping that everything gets better for everyone here,
Just wanted to share me story and experience.
I got a positive pregnancy test on 21st June and started spotting on 25th June. Went to the doc, they did ultrasound but couldn't see anything in the uterus, they thought it might be too early. The next day I get severe gastrointestinal problems and I am doubling over with pain. Went to the hospital, they did ultrasound and found fluid in my abdomen. On 29th June, I had laparoscopic surgery to remove the blood from my abdomen but the doc said that the pregnancy was not in the tubes, it was in the abdomen probably which is a very rare case. Doc still couldn't identify exactly where the pregnancy was, but since he removed all the blood and clots from abdomen, he said that hopefully all pregnancy tissue has been removed.
Anyway, I get some blood work done a week later and my HCG had increased to 4500 (it was 1100 when I had the surgery). Doc said that there was probably some tissue left, so he started me with oral methotrexate for a week. Thankfully, after a week, my levels had dropped to 4000; not very fast but still it was dropping. The doc has continued my oral methotrexate for another week and I have to get more blood work done today and then on Friday.
However, I have had severe side effects with methotrexate. Severe Abdominal cramps, constipation, trapped gas, and bloating. I have a bit of spotting and bleeding but I won't probably pass a clot or sac since my pregnancy was in the abdomen and not in the uterus or tubes. I rushed to the ER twice because of pain in the fear that I had started to bleed internally like before but the ultrasounds showed everything to be normal, so I know it's just the side effects of metho.
Just hoping and praying that my levels drop drastically in the blood works now. Do pray for me as well girls :)
You will all be in my prayers!
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