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Twinges after being discharged

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Twinges after being discharged

Postby Sophie123 » Mon Aug 19, 2019 11:54 am

Hi there

I have been successfully treated for an ectopic in my right tube - for which I had one injection of methotrexate and was discharged with an HCG level of 3. My peak hcg level was 588 during my treatment.

However it’s now been a couple of weeks and I have started getting twinges/ brief pain in the same location on right hand side. I am also still getting occasional slight bleeding/ coloured discharge.

Is this normal? Just a little concerned as meant to be flying on Friday.

Also, I started taking folic acid as soon as I was discharged from hospital - is that ok?

Many thanks

Sophie
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Re: Twinges after being discharged

Postby EPT Host 20 » Tue Aug 20, 2019 6:35 pm

Dear Sophie,
I am so sorry to hear of your ectopic pregnancy and loss,
It is not unusual for women to bleed after treatment for ectopic pregnancy. This first bleed after treatment is a response to falling hormone levels and involves shedding of the uterine lining and is not classed as a period. The length of the bleeding can vary from woman to woman and some women do report spotting and bleeding for up to around six weeks after an ectopic pregnancy.

Experiencing some pain after an ectopic pregnancy is normal as your body has been through a great deal. The pain may be due to your body preparing to ovulate and many women experience ovulation pain when they did not before their ectopic pregnancy - including myself. You also may have a heightened perception because of the sad loss that you have had to go through.

Whilst these symptoms are normal if you find you experience offensive smelling discharge or an increased temperature of more than 37°C it would be worth asking your doctors to run tests to check for infection, just to be on the safe side.

We advise starting folic acid once your hCG levels are below 5mIU/mL and we then take a folic acid supplement for 12 weeks before you try to conceive. This is because the Methotrexate may have reduced the level of folate in your body which is needed to ensure a baby develops healthily. The Methotrexate is metabolised quickly but it can affect the quality of your cells, including those of your eggs and the quality of your blood for up to three months after it has been given. The medicine can also affect the way your liver works and so you need to give your body time to recover properly before a new pregnancy is considered. A shortage of folate could result in a greater chance of a baby having a neural tube defect such as hare lip, cleft palate, or even spina bifida or other NT defects. This is why the "wait" and then taking folic acid for 12 weeks before trying to conceive is so important.

Sending much love,
Karen x

The Ectopic Pregnancy Trust
Registered Charity Number: 1071811

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