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TTC after cesarean section scar ectopic pregnancy

klsltsp

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Hey ladies

Well I know this is very rare... since two obs at the hospital each with 30 years of experience said they had never seen this.... I'm hoping that there is someone in the bnb world who's been through this and has been able to ttc and or have a successful pregnancy after.

They aren't sure if it's molar, ectopic or placental tissue, and we won't know since they won't biopsy it since they are afraid I'll start bleeding and that they would then need to do a hysterectomy to stop the bleeding. But essentially the baby attached to where my c-section scar is in my uterus.

So here's my story I had a mmc, saw the heartbeat at 7.5 weeks, it was beating very slow, at 8.5 (Oct 2) weeks there was no heartbeat. I took misoprostol on oct 4, had some cramping, which I slept through, and passed 5 - 6 large clots. I checked each clot and don't think I passed the baby or the placenta. The u/s had said the sac was 2 cm (1 inch)x 2 cm, so I think that I should have been able to see it. Well I stopped bleeding within hours. I wasn't convinced that I was done, so on Oct 6 I did a second dose of misprostol. Nothing happened except I started bleeding. Oct 16, I had an ultrasound to confirm and they said I was clear, the tech did comment to me that my lining was still pretty thick but there should be no more clots. Fast forward Oct 26 I was still bleeding and did a pregnancy that was very positive. I called my family doc Oct 28 she wanted to see me, so saw her Oct 29, she sent me for bloodwork and another ultrasound. My family doc called me at home on the 30th in the morning telling me that I had to go right to the ER. I thought that I was going in for a d&c, since my hcg levels were still at 1200.

So I get to the ER and after another u/s I'm told that there is a mass in my uterus that is 4cm x 4cm, which may be cancer... anyways they ruled out molar due to my levels being so low and as such ruled out cancer.. for now... and started treating it like an ectopic. I got methotrexate at 4 am on Oct 31st. I was admitted to hospital because the mass had gone completely through the uterine wall, with only a thin cellophane thick layer holding my uterus together. They were so afraid of me rupturing that I wasn't allowed to leave the hospital. I finally was allowed to leave on Sunday, Nov 3rd. THere is no change in the mass yet, but since my levels are dropping, they have said the risk of rupture is less.

So they said we can try again 3 - 6 months after my levels are 0 and the mass is gone, this could take months.

Has anyone else ever experienced this??

Thanks

Kim
 
Hi I m from romania but I live in italy , doing so much research online lately due to my scar pregnacy I came across your post and all I can say is I passed and and still do :( the same nightmare you have gone through .been diagnosed 4 weeks ago with ectopic scar pregnancy at 7 weeks fetus has a hearth beat also they recovered me straight away because they were afraid my uterus will break as very thin in that place 3 mm , day after they did a d&c and after 2 day they send me home . I was bleeding for 2 day like a normal period and after just spotting still spotting til yesterday.after 1w day I repeat the beta hcg that was 1724 and did an ecograph check up and they found same mass like you said after another week did the beta againg it was 1340 and the mass still there ...they said they cant do anothet d &c as I to risky and we batter let it stay like this and do every week a check up and repeat the beta .I d like to know how your situation went and did that mass dissappear ed? How do you feel or if you had any complications. Thank you very much and I hope you will replay to me as you know how difficult is to find information about this type of actopic pregnancy. Did your beta dropped quicly? Thank you again dear and I really hope you got off this problem and you ttc or maybe preagnant allready.have a great day . Ana
 
Hello!

Sorry I missed your post.

I'm so sorry that you too are going through this, did they give you the methotrexate shot?.

Yes the mass did completely disappear, my beta hcg levels slowly returned to 0, it took until mid January, so about 2.5 months after the methotrexat shot. In mid February they checked my uterus with a special ultrasound and found that my uterus wall was still too thin and that I could not get pregnant yet. It measured 3.6 mm at the scar. My doc told me to wait 4 - 6 months and then we would re-do the ultrasound and see if my uterus wall is getting any thicker. THat ultrasound is in June. I have been trying to do a lot of research, with not much luck!

I hope that your levels return to less than 0 soon and that you are able to have another baby!

Take care.

Kim
 

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