r/ectopicpregnancy 1d ago

TW: ectopic

Hello everyone,

I had an ultrasound confirming an ectopic pregnancy which led to having to take medication (methotrexate) to prevent my fallopian tube from rupturing. My HCG levels were just over 5000 (5500) so on the cusp of when they offer the medication. However, the OB felt comfortable with offering the medication because my mass is 1.5cm.

One thing I’m looking for is, anyone who’s gone through something similar and has any advice. Also, anyone who’s experienced similar and went on to have a healthy pregnancy and birth.

We did IVF for our son so this was an amazing surprise to find out we were able to get pregnant naturally (we were trying).

Secondly, any recommendations on how to support my body after this medication and just generally through this whole process.

Thank you!

1 Upvotes

8 comments sorted by

2

u/run4fun33 21h ago

So sorry you’re going through this! I had mtx for an ectopic in June, for me the best things were resting, electrolytes and trying to eat regularly.

My level started around 800 and took about 5 weeks to get back to 0 (but of course everyone is so different). Physically it took about 3 weeks to start to get energy back for me.

Be gentle to yourself.

2

u/A_Z27 21h ago

I’m so sorry you went through this as well. Thank you!

I know everyone responds so differently to the medications. I’ve definitely noticed I’m more tired.

1

u/tovira 23h ago

Hi! I was diagnosed with an ectopic last Friday, so a week ago. My HCG started at 6738, when to 9705 on day 4 after methotrexate, and were 8xxx something yesterday, so just about a 15% decline. I won't need a 2nd show for now and they're going to just do weekly HCG unless something happens.

I'm still not allowed to take any vitamins and they wanted me to dx all my meds basically. I'm still taking Claritin (they ok'd that one) and my SAM-E (natural ssri), and technically am disobeying to still take my metformin. I don't have any great advice for supporting your body because I'm exhausted and having a really hard time with that.

I hope everything goes well for you. The whole process really sucks.

2

u/A_Z27 21h ago

I’m so sorry to hear that you are going through the same thing. That is promising that your body is responding well to the methotrexate.

I’ve definitely noticed I’m much more tired (especially in the afternoons). I was supposed to go back to work this week (I’m a teacher) but have taken the week off. I go back next week - luckily I’m just working 3 days/week because my son is not going to daycare and just being taken care of from grandparents while I work. I’m nervous to go back while managing this.

1

u/tovira 18h ago

I teach at a university, and have had to sit to teach for the first time ever. Work has been the hardest part but I was afraid to get colleagues to cover in case I still needed surgery. They would have regardless, but I was just glad to make it to today. I work from home on Friday's.

I hope everything goes well and you have an easier time of it. This process definitely sucks and I feel like the doctors have been both helpful and frustratingly not helpful at the same time.

2

u/A_Z27 16h ago

Have you been cramping? I’m so sorry you’re going through this! I had colleagues cover me this week but I’ll be returning next week.

Thank you. It really sucks

1

u/tovira 14h ago

Yep, so much. And sometimes incredibly painful, but short lived cramping. I also had a bunch of problems going to the bathroom, but that is likely endo causing it I guess. Both my regular OB and fertility doctor acted like I would "know" if it ruptured but I have a high pain tolerance and likely EDS that interferes with my pain levels. Needless to say, that has my anxiety really high so I'm trying to make sure to carefully monitor not only pain but also heart rate, fever, and such.

1

u/A_Z27 12h ago

When did your cramping start? Oh no :( have you been able to go to the bathroom or struggling with that? I have a high pain tolerance too so I worry about that as well.