HCG went up to 199.2 the nurse says they still want me in for methotrexate because it is not doubling. I had my last blood on Monday and it was 75 and today is Wednesday. and it is 199.2. To me that is doubling. I really don't want the methotrexate unless it is for sure that it is in the wrong place. At least when I go in for my apt I have an idea of what I want. My progesterone is still low as well. I am hoping that I can possibly go on progesterone. Just feeling down.
I'm by no means a medical proffesional, not even close, but due to more or less (un)fortunate circumstances, I had a lot of time to learn all kinds of things. And I actually did learn them.
Methotrexate is used, other than for cancer treatments, to terminate ECTOPIC pregnancies. In ectopic pregnancies, beta usually does rise, but it can be all over the place. However, in order to label a pregnancy as ectopic, one needs to SEE the embryo implanted someplace else. It is quite often a fallopian tube, but it can technically be anywhere.
So please, please, please do not take the drug for several reasons. One of them being a good chance for a viable pregnancy, as a slow/awkward bHCG riser. It happens. It's rare, or less common than the regular doubling, but it happens. Second reason is the ectopic reason. Many times, an ectopic pregnancy requires surgery, not (just) the drug. Once they locate the implantation site, they are usually able to decide the course of action. Sometimes they go with the drug and let the woman's body (and the drug) take care of the issue, but sometimes they won't prescribe it because some surgical procedure would be a lot better way to go. Methotrexate is not a vitamin pill, it's a serious drug and should not be used because someone is prescription-happy.
Besides the two reasons, the most important one, however, is the fact that your pregnancy is viable. The drug would bring it to an end immediately.
If the pregnancy is neither ectopic nor otherwise viable, your body has a huge chance to get everything taken care of naturally. Chemical pregnancies resolve on their own (yours should not be a chemical, though, because your HCG does rise, by following a different pattern, that's for sure), while a missed abortion sometimes does, and sometimes doesn't require a curettage. But, unless it's some serious medical issue/emergency, all of these scenarios give you PLENTY of time to wait and see what the nature has planned for you.
Please just don't take the drug. Unless they have a real medical reason to terminate your pregnancy (a proven ectopic, for instance), you have all the time in the world to just wait it out.
I'll keep my fingers crossed.
plus she said my uterus is measing about 16 weeks!
