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Period after ectopic and methotrexate

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Posts: 2
Joined: Fri Feb 14, 2020 10:46 pm

Period after ectopic and methotrexate

Post by AK89 »

Hi all

I was 6 weeks pregnant when I began bleeding and unfortunately following ultrasound and internal examination- having an ectopic on my left side.
I was treated with methotrexate and discharged from EPU after 4 weeks.
4 weeks following treatment I experienced light bleeding in which I hoped was a sign of my first period. This lasted a day or 2- nothing like my previous periods.
I am now post 8 weeks and anxious in regards to period and ovulation. I am extremely keen to restart trying after 12 weeks like they recommend but also conscious about my cycles.

Has anyone had any other experiences with their periods post ectopic and methotrexate?

Thanks in advance x

EPT Host 22
Posts: 328
Joined: Fri Nov 20, 2015 10:26 am

Re: Period after ectopic and methotrexate

Post by EPT Host 22 »

Hi AK89,

I'm so sorry to hear that you've suffered an ectopic pregnancy and loss. Your surgery is still quite recent, and it is incredibly important to look after yourself and allow time for yourself to heal both physically and emotionally.

It is very normal to bleed after treatment for ectopic pregnancy. The bleed that occurs in the first week or so of treatment for an ectopic pregnancy is not your first period. It is the bleed that occurs in response to falling hormones associated with the lost pregnancy. Some women find that bleeding and spotting after treatment for ectopic pregnancy can last up to six weeks.

Many women experience changes to their menstrual cycles after an ectopic pregnancy and it can take some time to settle back into a rhythm that is more usual for you. Periods can be heavier or lighter or more painful than before - as we are so individual there isn't necessarily a set pattern. Doctors consider menstrual cycles of between 23-42 days to be within normal parameters and, if you find that you are not within these sorts of timeframes, it would be a good idea to speak to your doctors just to be on the safe side.

As I'm not medically qualified, I would recommend making a list of questions to take to your follow up appointment. As well, if you have immediate concerns you can always speak with your doctor sooner for peace of mind.

With good wishes,


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