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Ectopic with IUD
Ectopic with IUD
Re: Ectopic with IUD
Dana
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- Posts: 3168
- Joined: Thu May 31, 2012 10:58 pm
Re: Ectopic with IUD
I am sorry to hear of your ectopic pregnancy and the difficult time you are going through.
Following methotrexate injection, the hCG level often rises on the day four blood test because the action of Methotrexate is not instantaneous, so the cells will have continued to divide for two or three days after the injection was given, and some cells release more hCG when they start to disappear. Your doctors are looking to see a drop in your hCG value of at least 15% between days four and seven. If there has not been a 15% drop, this is when the doctors will consider a second dose of Methotrexate or surgery.
A few days after the injection, it is usual to begin to bleed and this bleeding can last between a few days and up to 6 weeks.
Every 3-7 days, beta hCG levels will continue to be monitored to ensure that they are falling appropriately. Most women only need one injection but in up to a quarter of cases a further injection may be required if serum hCG levels are not decreasing.
I am afraid it is difficult to predict how long it will take for your hormone levels reach non-pregnant levels. As we are all individual, our bodies respond differently to the drug and it depends on factors like how high levels reached and our unique physiology. What I can say is that it can take a number of weeks and, while it can take some time, it is not as invasive a procedure as surgery.
Having said this, as you have mentioned you feel dizzy and have vomited, I would advise seeking medical attention. This can be done by calling your EPU, or if any symptoms are worsening by visiting your A&E.
We will be here for you for as long as you need,
Sending much love,
Karen x
The Ectopic Pregnancy Trust
Registered Charity Number: 1071811
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