Methotrexate for ectopic pregnancy — my experience

mymethotrexateexperience

I know I’ve been updating you throughout my ectopic pregnancy but I’ve decided to write a summary blog post about my methotrexate experience as a reference for anyone who might be going through a similar experience now or in the future. When I was going through my ectopic I found a few blogs that were very helpful, so I wanted to share my experience too.

I found out on August 28th (12dpiui) that I was pregnant for the second time (my first pregnancy was a chemical pregnancy). Although my HCG was very low I was highly optimistic that I had a late implanter and that everything would be okay. Over the next two weeks I continued to have regular blood draws and my HCG was appropriately doubling every 48 hours, although when looking at Beta charts online my numbers still seemed low compared to most healthy pregnancies. I continued to be hopeful and excited for our baby. Continue reading

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Checking in

IMG_8248Sorry it’s been so long since I have updated, I didn’t mean to neglect my blog or you guys. I’ve still been reading all of your blogs, but just haven’t had it in me to update lately.

Things have been really rough these past few weeks. Continue reading

My heart is literally hurting

I had another check-up today, they took more blood (my poor arms) and did another ultrasound. My HCG is finally dropping like it should (it was 513 today), so it looks like I will be able to avoid another methotraxate shot or any type of surgery…..excellent news. Also, my ultrasound was perfect, but when my RE told me we were just about through this and we were going to take a month off then finally get me pregnant again I burst into tears. I didn’t have the heart to mention anything to him today about us quitting, and there’s really no point at this time anyway because I hope and pray that my husband changes his mind. I just said thank you and left his office crying all the way to my car. It literally makes my heart hurt at the thought of not trying again…..I just feel like we are SO CLOSE!!!!!!!!! I have to go back in for more blood work on Thursday.

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4 days post methotrexate

I had an appointment yesterday for more bloodwork and I briefly met with my RE, since he was on vacation while I was going through my ectopic he just wanted to check in with me. He called me last night with the results from my blood test, and seemed pretty concerned. My HCG had gone up to 2,632. Apparently it’s pretty common for the first blood draw to go up, what’s really important is the drop between day 4 & 7. But he was surprised to have seen it go so much higher, so he scheduled another appointment for me Monday morning. So I have to go back to the hospital on Sunday for more bloodwork, then to another appointment Monday where he’ll do another ultrasound. I guess at that point I may have to have another shot of methotrexate….time will tell.

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Bleak

IMG_7885I had another beta this morning and it barely rose at all from Friday’s test. I don’t know if this means I will miscarry on my own or if it indicates ectopic, but I know it’s not good news. This is definitely not a viable pregnancy at this point. Hoping to have more definitive answers after tomorrow’s ultrasound.

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Still in limbo

27dpiui

This morning I had more bloodwork and another ultrasound. Unfortunately my RE is on vacation Today-Tuesday so I met with another doctor in the practice. My HCG this morning was 1,223….so it’s still going up, but not doubling properly (which isn’t good). Next I had my ultrasound. They didn’t see anything in my uterus or my tubes so they’re still not 100% sure what’s going on. After my ultrasound I met with the doctor. He said at this point we should have seen SOMETHING on the ultrasound, even if it was just a sac, so since we’re not seeing anything it is a huge red flag. He thinks it is a tubal pregnancy or an abnormal pregnancy that needs to be terminated. He said it was completely my decision what to do at this point but I got the impression he wanted me to go ahead and do the shot of methotrexate and get rid of the pregnancy today, but I just couldn’t do it.

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Things are not looking good

25dpiui

I just got a call from my RE’s office, my beta from yesterday was 882….it should have been 1,250 or higher, which is a HUGE RED FLAG. I’m scheduled for another beta tomorrow morning and another ultrasound. My RE said this is looking more and more like an ectopic pregnancy, but we’ll know more tomorrow.

 

23dpiui – 5 weeks, 3 days

I was able to head into the hospital for my bloodwork before work this morning, so I didn’t even have to tell them. Since I have an appointment on Wednesday I didn’t want to have to be out this morning too. I don’t plan on telling work about my pregnancy for a few more weeks.

My results from today
HCG: 553, Progesterone: 13.25
beta#4

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First ultrasound has been scheduled :)

firstultrasoundAfter the call earlier telling me my beta had gone up again for the second time, I think I had a permagrin. I have just been so happy all day! My RE called me back just a bit ago. He said out of caution he’d like to have my HCG & progesterone tested again Monday morning (my HCG should be 515 or higher by then), and scheduled my first ultrasound for next Wednesday, I will be 5 weeks, 5 days at that point. 🙂

4 weeks, 4 days

wondfo pregnancy tests
Top to bottom: 13dpiui, 14dpiui, 17dpiui

After my VERY LOW beta on Thursday I decided to take another HPT Friday afternoon (13dpiui), and I saw a line….but just barely! I took another test Saturday morning (14dpiui) and it was a  little darker, you didn’t even have to squint. Then I decided to lay off the tests for the rest of the weekend, I felt like I was giving myself too much anxiety. I took another test this morning and it was also darker, so I figured my beta would be better today which gave me some comfort (darker tests indicate a rising beta). We decided to come back from our mini-vacation last night instead of this morning so we could sleep in our own bed and have the day off today to catch up on stuff around the house. So I woke up early this morning and was at my doctor’s office at 8:00 am for my repeat beta test. I received the call a few hours later that my beta was 39 (progesterone was 14), so it has a doubling time of 32 hours

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