TTC after Methotrexate shot

[loeylo]

Good luck for a nice leftie egg!

I am having a strange pain. It feels like the same sensation as when I had my ectopic - a sort of pulling pain - in my right side. Exactly where the ectopic pain was! I am cd16 of what is usually a 28 day cycle, after unprotected sex on cd8.

I'm not sure if it could be late ovulation or early implantation! Pretty sure it is involving my tube though ... I'm sure it isn't implantation but I usually ovulate much earlier than this and I am sure I ovulated on cd13. What the hell is going on?!?

 

[tcinks]

Can you tell me what methotrexate is? Everything at the hospital happened so fast. I know they gave me a shot in my thigh to help my uterus contract to make sure everything comes out. Is that methotrexate?

 

[loeylo]

Methotrexate doesn't make you contract, it blocks folic acid so basically acts to stop the embryo growing. I would definitely call and ask as methotrexate is a pretty nasty drug and you need to know if you have had it as you can't fall pregnant for a period of time afterwards.

 

[tcinks]

Oh okay, thank you! I will check, but I am pretty sure that's not what I got.

 

[loeylo]

Was it an ectopic pregnancy?

 

[tcinks]

No. I was about 14 weeks along. Most of it happened naturally but some of the placenta didn't come out, so they gave me a shot to get it.

 

[loeylo]

Ah right that won't be methotrexate, methotrexate is only used in an ectopic pregnancy. You will have had a medically managed miscarriage - I can't remember the name if the drug they use, they wanted me to have it when I miscarried the second time but I refuse so don't know much about it.

 

[Savasanna]

Loeylo - when I first read your post I thought it said "what is an ectopic pregnancy" - I ws so confused! haha!

tcinks - I'm so sorry for your loss. I can't imagine a second trimester loss, it's so unfair - you're supposed to be in the clear then! I hope you are able to heal quickly, in whatever way that means to you.

I agree with Loey though, it doesn't sound like you had methotrexate. Mtx is actually a form of a chemo drug in that it stops the growth of rapidly dividing cells and depletes your body of folic acid. It is used when there is an implataion in your tubes because, otherwise, the baby would continue to grow as there's nothing genetically wrong with the embryo. I do not believe it would be used in an experience such as yours.

In any event, I would definitely call to inquire as that could have an effect on when it is safe for you to start trying again.

 

[Hatethewait85]

Loeylo - when I first read your post I thought it said "what is an ectopic pregnancy" - I ws so confused! haha!

I totally thought that too!!! Haha.

Good luck for a nice leftie egg!

I am having a strange pain. It feels like the same sensation as when I had my ectopic - a sort of pulling pain - in my right side. Exactly where the ectopic pain was! I am cd16 of what is usually a 28 day cycle, after unprotected sex on cd8.

I'm not sure if it could be late ovulation or early implantation! Pretty sure it is involving my tube though ... I'm sure it isn't implantation but I usually ovulate much earlier than this and I am sure I ovulated on cd13. What the hell is going on?!?

Hope the pain is gone. I'm not sure what it would explain that though. Fx it's nothing.

tcinks - sorry for your loss. Perhaps what they gave you is misoprostol? I agree with others, definitely check with your doc though so you know for sure.

Savs- how's it going for you? I see you are taking this cycle off. Hope the switch in docs gets you a speedy BFP! Did you ever start taking herbs?

AFM- I'm pretty positive I ovulated wed/thurs. Definitely had some good timed bd so now I just have to hope for a juicy lefty egg. Does anyone here check CP? Just curious how long your cervix stays open before/after O? I had some weird opk's that is making me struggle to exactly pinpoint O so I thught I might be able to figure it out based on my CP. I haven't checked it regularly in other cycles so I can't compare to myself... Anyway, jw. Hope you are all well!

 

[mirandala]

Hatethewait- I wonder that too!!!! Timing an IUI w/ frozen sperm is challenging cus it only lives in your uterus for 12-24 hours (some say 6-12!). I think I may have been a little bit early (I did it on thursday but think I may have ovulated on friday- by saturday morning my cervix was closed again). I had really strong pains from non-ectopic side, though- so I'm pleased that if it does take I know it isn't on that side. Ahhh all so stressful.

Sav- when you had your ectopic did you do an IUI also? I haven't seen any research that IUI leads to a heightened chance of ectopic, but I wonder.

 

[Savasanna]

Mirandala - no, my ectopic was not from an IUI, it was an regular at home insemination. I don't believe there is any indication that IUIs lead to a hightened risk of ectopic.

Hatethewait - I am taking a break, unfortunately. Our donor was being kind of flakey (one day he's in, the next he's not, then he is...) and it became frustrating/stressful to never know what the plans would be. So, we decided to freeze his sperm so we have them to use at our convenience. However, there's a whole intake process that needs to have including a round of bloodwork and std screening on his part before we can start. My intake is 11/6. I'm hoping they'll be able to get him in in time for next month's try, but worst case is that we'll be back at in by December. Hate the waiting (as your name says, haha) but I'm looking forward to no longer having to rely on someone else from month to month.

How are you doing?

Loey - I almost always have pulling sensations during my tww. I asked my doctor about it and she said it was likely from the corpus luteum that forms at your ovary after ovulation. This occurs whether you have a fertalized egg or not so I still think you'll be ok. Keep paying attention though and keep us updated, hun!

 

[mirandala]

Sav- where are you based? I know that in lots of places the medical tests require quarantining for a bit- up to 6 mos, though in some locations you can choose to skip that.


Have you been given protocol advice on the pregnancy post ectopic? My doc says as soon as I know I'm pregnant I have to have 48 hr betas until they are sure it's not ectopic. With my last pregnancy I knew from 15dpo that something wasn't right (though they monitored it for a month more before confirming). I would really prefer not to have regular betas. Is my doc being over cautious or have you all been told similar things?

 

[Hatethewait85]

Savs- sorry you have to take this break, but it sounds like it will be worth it in the long run to be sure you have some when you need em!

Mirandala- my doc said the same things re: 48hr betas. Will also have early ultrasound (I think when I get to week 6) to make sure it's not ectopic again. Seems crazy as my beta's doubled appropriately from the get go, but it is what it is.

I'm nearly half way through my first real tww since my surgery. I'm surprisingly calm. Although I'm not expecting miracles. I fully anticipate I'll be contacting my RE in January for some hyperstim meds to make left ovary ovulation a bit more likely. I'm just hoping to avoid IVF again....

Hope you are all well

 

[mirandala]

Fingers crossed for you htw85!!! I'm also in my first tww since the ectopic. Eeeeek! It's good to know that your doc suggested the same thing, thanks for letting me know. Also- I see you're doing acupuncture. I'm trying it this cycle for the first time too. How are you finding it?

 

[Hatethewait85]

Fx for you too!! How many dpo are you? I'm anywhere from 4-6 dpo. I've been doing acupuncture for about a year and I've noticed some good changes in non fertility things since. I've been ttc for over 3 years now (failed IUI and IVF) and the only cycle I got pregnant on was the one I did herbs + acupuncture and my hubs did herbs + acupuncture. I'm a big believer! How are you liking it?

 

[mirandala]

I'm 4dpo. I did the IUI on the early side- probably about 24 hours before I ovulated. There's debate as to how long frozen sperm lives in the uterus so I may have missed it- we'll see!

I'm so glad to hear that the acupuncture and herbs work for you!! That's so great. I have only been to acupuncture 3 times now. This is only my second month of trying- I'm doing IUI as I'm a single/gay. My first try was the ectopic pregnancy. I've heard acupuncture can help with that sooooo I'm doing it- I've only been going for the past couple of weeks. I've really enjoyed it so far- it is very calming and fortunately where I live there is sliding scale from $15-$40 pay what you can so I'll be able to afford to go regularly, which makes a big difference!

 

[Savasanna]

The place I'm going to doesn't require the 6 month quarentine. They do an initial std/hiv screening and then you sign a consent that they are not responsible for anything that hasn't shown up yet. I'm not too worried about this as my donor has already been screened and is currently in a monogomous relationship. Although I'm happy there will be a full screening done at the beginning. I'm not actually concerned (outside of any potential infidelity on his part, which would be VERY outof character, there's no actual risk present) but it's alwasy nice to hear that "all clear" from the doctor.

So you're both in the tww! How exciting/nerve wracking for you both! I've been a little down these past few days as it's been ovulation time so I would be in the tww had we tried this month. I know it's for the best, but it sucks sometimes. Ah well, just trying to focus on eating well and getting back to the gym some, as I've been neglecting that part of my life for quite some time now.

Mirandala - I can't remember what my doc said. I think she said that we could monitor if I was concerned, but that it wasn't necessary. As with you, I knew something was wrong almost immediately so I was planning to just go with my instincts this time around as well. I don't think your doc is being overly cautious though, I think mine is a little overly laid back (judging from my experience trying to speak with her about clomid dosages, etc.)

 

[mirandala]

Sav it's so great that you don't have to do the 6 mos quarantine! I'm sorry to hear you've been feeling down ***Hugs*** It does sounds like your doc is super laid back, which isn't exactly what you want, really. Have you considered a different doc, or do you have a good relationship with this one? I feel like it's hard to get the perfect balance!

I have to say, I'm a little nervous. I'm feeling pregnant. I feel nauseous and my boobs feel a lil swollen. It's so early for that, though. Maybe it's unrelated. I don't remember having nausea last time at this point, which is a good sign I suppose. I have a gut feeling that I'm pregnant, and a gut feeling that it's not going to be a healthy pregnancy. At only 5 dpo having potential symptoms just seems like a red flag to me. Perhaps it's nothing and I just need to relax. **deep breaths!**

 

[Savasanna]

10dpo Mirandala - how are you feeling??

 

[mirandala]

Aw you're so sweet for asking Sav! No bfp yet (I use surepredict 10mIU and FRER)... still have swollen bbs, had some extreme fatigue, but I've also been traveling so it could be that. Last time my BFP was 12dpo... I'm coming up to that now so a little worried that a late bfp would be ectopic again. So I suppose a negative test would be nice in that it for sure wouldn't be ectopic.

How are you Sav? How's the clinic/donor everything going?


Htw- how goes your tww?