Trying to conceive after methotrexate treatment for ectopic pregnancy

[janetteRN]

Hi everyone, i just received my first dose of methotrexate for a pressumed ectopic pregnancy. Now I have to wait until my hcg levels go down to negative. My initial hcg was 81 went to 83 then 93 and today 108. I was told I must not try to conceive within the next 3 months, and it's making very uneasy as far as, will I be able to get pregnant again? This was my first pregnancy, have history of PCOS, never had regular cycles and now ectopic. I definitely want to have reassurance that I can have a successful pregnancy in the future. I am very sad and still grieving what could have been my first baby and dont think i can go through this pain again. Hope there is someone else that has had experienced this type of treatment for an ectopic pregnancy. Thank you!

 

[Sunshine14]

So sorry for ur loss hun xxx it all sounds very raw babe and you need time to deal not only with the loss but the shock and fear of the ectopic. I had an ectopic at New year and after a week of backwards and forwards to the hospital every day for bloods and scans I started to miscarry and then they finally worked out that the hcg was reducing and I was incredibly lucky as the ectopic pregnancy eventually absorbed by itself. It was terrifying though as they said the tube could rupture at any time and my hcg levels were at 900ish. I was really worried about scarring in the right tube where ectopic had been and it causing another ectopic but I got pg again in June (from the right ovary again!) and baby implanted in the womb with no problems & I saw a hb at 7+2 weeks but then I sadly miscarried at 10.5 weeks but that was due to my age and not ectopic. I hope that gives you some hope that its possible to get pg again afterwards from same side.

As u have had methotrexate u cannot ttc for 3 months hun (as the methotrexate can cause birth defects) so if I were u hun I would just take the time to heal both physically and emotionally and don't stress about ttc and what might be. Then once methotrexate is out of ur system u can ttc again in the knowledge that u have given ur body time to heal physically and mentally. Hope this helps hun - take it easy hun u have been through a very scary emotional rollercoaster and u need time to come to terms with ur loss and what has happened xxx sorry again for ur loss

 

[janetteRN]

It was day 4 yesterday, went back to recheck my Hcg and it went up once again to 115. Day 1 when i got the methxt injection I was 108, I think that's expected. I'm feeling very nauseous and tired, with major pressure on my pubic area that makes it painful to walk "too fast". No bleeding which is good. I just want to move on already and have a negative result! This has been very difficult to go through and I could not imagine going through this multiple times like some of you wonderful women. I wish I too have the strength to endure what the future brings.

 

[janetteRN]

Just an update for anyone who might find my journey helpful or for anyone who could've suffered the same course and have a success story for me to have. After day 7 post methx injection my levels were at 28. Was looking like maybe one more week of waiting for a negative result and a few mnths to try again. The doctors did not know where my ectopic was,no one could pin point but nonetheless my levels were decreasing as expected which meant I was going in the right direction. Day 8 I was at work and had this horrible sharp pain in my pubic area that made it difficult to walk or get straight, I'm a nurse so I work in a hospital and was taken to d ER there for evaluation. After 2 ultrasounds no pelvic and 7 hrs later, d dr just said well my levels were at 17 it went dwn this is normal for an end of an ectopic. I was sent home to continue with these horrible pains. I knew as soon as my symptoms became higher abdominal pain,nausea,epigastic pain and shoulder pain that I had to b bleeding somewhere and it was just not right. slept through it with d intention of going to my doctor in the morning for a check up. ended up just going straight to d ER and well a ct scan revealed the internal bleed, my tube had ruptured with an hcg level of 14. caused by a cyst (I have pcos) ended up having emergency surgery on Wednesday and was released yesterday thurs. so glad to b home but yet so much more upset of this outcome. I was treated by d best OB surgeon in my area and he was able to save my tube and ovary that was affected so I'm basically still complete. I'm terrified to try again but I eventually would like my rainbow. it saddens me to have gone from planning for a baby to planning fr a surgery. Thanks for reading.

 

[cazi77]

Have just come across your thread you. So sorry for for your loss you have had a really rough journey

I had a suspected ectopic in May 2011 (had a mmc in December 2010) and it was thankfully successfully treated with methotrexate. Sadly I did go on to have 2 further miscarriages in sept 2011 and dec 2011 but after testing I was found to have a blood clotting problem. This was treated with blood thinners and I now have 2 girls age 3 and 10 months.

Wishing you a speedy recovery and hope you get your rainbow soon x