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Methotrexate for Ectopic at 5 weeks HCG Levels 2960 anyone have success...
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Methotrexate for Ectopic at 5 weeks HCG Levels 2960 anyone have success with similar?

I am 5 weeks pregnant with an ectopic pregnancy. This is my 2nd ectopic in the left tube. My HCG levels were almost 3000, my doc treated me with Methotrexate. Has anyone had a similar experience? Was it successful with the first shot? Can I take Ibuprofin for a headache? My doc just said no tylenol. I'm not sure what is considered a high hormone count to measure whether or not one should be treated with Methotrexate, anyone have an idea??
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13167_tn?1327197724
I'm not sure what you're asking,  what is considered a high hormone count to be treated with Methotrexate.  You are being treated with Methotrexate to end the ectopic pregnancy,  not to treat the high hormone levels,  as I understand it.

Is your doctor removing the tube that is causing these problems?  Two ectopic pregnancies in one tube seems like more than enough to either remove the tube,  or treat the scarring so this doesn't happen to you again.

Best wishes.  This must be very hard.

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Avatar_n_tn
I had a molar pregnancy last summer and my ob/gyn said that if AFTER my miscarriage my hcg levels didn't return to 0 or if they went down and back up then he would treat me with methotrexate.  This drug is technically considered a chemotherapy drug (according to my ob/gyn) and is used to treat growths and tumors. Molar pregnancies can sometimes grow into a tumor if some tissue remains after either a natural miscarriage or a D&C.  Luckily, my hcg returned to 0 within a normal time frame and stayed there for the year.  I would honestly ask your ob/gyn a ton of questions in regards to prescribing this in your situation.  I have never heard of it being given during an ectopic.  Another site to check out that was extremely helpful to me last year was misdiagnosedmiscarriage.com  it's a forum site somewhat like this....but it also as more topics and you can join a topic more closely related to what you are going through.  Good luck
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Avatar_n_tn
yes they are trying to treat the eptopic. I was curious about the success rate with the HCG hormone levels at almost 3000. I've done a lot of reading tonight and it seems to be 85-90% successful in a case such as mine. We decided to do this since if my doc went in to remove the left tube she would not be able to tie the right one since I hadn't signed a consent form to have a tubal litigation 72 hrs prior. So we are hoping this works and then I can go in after my tube has healed to do the tie the tubes. I'm not sure if at that time she would then remove the left tube and tie the right or what. But I wanted the right one tied because the last time she performed surgery on my left tube she said the right one was not as healthy looking as the left tube. So I dont' want to take a chance of having another ectopic in the right if just the left tube is removed. I hope this works and it doesn't rupture.
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93654_tn?1247502934
My hcg was over 5000 when I received methotrexate, and actually rose to 7700 before it started dropping. Although the EP caused some problems for me later (I had to have adhesions removed during laparoscopy), the shot worked as far as terminating the pregnancy.
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93654_tn?1247502934
Oh, and methotrexate is often used to treat EP's- it's actually very common.
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Avatar_n_tn
I recently found out that once again im pregnant and it may be my second ectopic pregnancy.  Ive been doing blood tests for the last three days.  Yesterday my hcg level wass 1000, today only 1450, tommorow the doc will determine by ultrasound if anything is in my uterus.  The ultrasound done 3 days ago showed nothing and im hoping that its just too soon to being that i just had an ectopic in march.  My left tube was removed, so ive got one left and have no children.  Has anyone ever had more than one ectopic pregnancy?  Im really nervous about this shot i may have to take if it is determined to be another ectopic.
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Avatar_n_tn
Well, it's been one week since the metho shot. My doc said my HCG levels have not dropped yet but at least they only went up from 2960 to 5000. I took another blood test today so I need to wait to find out tomorrow morning if the levels have finally started to drop. If they haven't the next step is to get another shot or to have surgery. I'm hoping they will have dropped because I dont' think I want another shot.

Has anyone here had to get more than one shot for their HCG levels to start dropping? I think this is normal so far.
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Avatar_n_tn
I'm sorry to hear about your possible EP. My count was only at 1600 when I started having pain and they couldn't really see anything yet either so they kept me overnight at the hospital (because I had the pain) and did another blood test in the morning. My hcg's had gone to almost 3000 and they could see something in the tube, that's when they gave me the shot. The side effects of the shot so far have not been bad there was some stomach pain for a few days but my doc kept me home just in case of a rupture. It's been one week and I'm still at home waiting for tomorrows blood test results.

Did you have your tube checked after your first ectopic? I didn't. My doc said she told me to have that checked to be sure it wasn't blocked before trying to concieve (conceive) again but I don't recall her telling me that at all. Maybe that would have prevented another one. Oh well, too late for that now. Is yours in the same tube as the last time also?
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Avatar_n_tn
Ectopic preg is very very scary thing for women. I got 1st ectopic in last july and second in this year both times even I was 5, 6 weeks I had to do surgery the first time tube removed and second time It repaired and now waiting for the harmone level drop down to zero. Now I feel It very hard to adjust with this emotions can't do anything without crying in corner of the house. Now I think I would never have baby I know It very devasted but the more good things is that I am still living for someone my parter he loves me so much.      Best of luck all those women who are trying to conceve after ectopi pre, let leave all these things to god hope they finally judge well for us.
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Avatar_f_tn
i just found out i am pregnant and i have had a etopic pregnancy in the past on my left side resorting in me having my left tube taken out at the age of 20. I have just found out i am pregnant and have to have a ultra sound scan to see where the baby is and i have pain in my right side atm but have had pain in my right side since i hade the OP on my left side. Im really scared because i really want this baby and dont really know what to do or how to handle it if it is a etopic again. :(
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