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6 weeks post MTX, still no period?

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Posts: 8
Joined: Wed Nov 04, 2020 10:49 pm

6 weeks post MTX, still no period?

Post by Withlovesaz »

Hi everyone! I was treated for an ectopic with Methotrexate on 3rd November and was discharged after my levels dropped to 9 on the 17th. It’s been 6 and a half weeks and I still have not had my period, nor do there seem to be any signs of a period coming!

Has anyone else experienced similar?

Posts: 35
Joined: Sat Dec 19, 2020 6:38 am

Re: 6 weeks post MTX, still no period?

Post by Stephy »


I don't have personal experience (surgical management) but from what I've read on here and in other places, 6-7 weeks is the average time for a period to return, but can be a fair bit longer depending upon your own biology and how your body has responded to the MTX, stress etc

EPT Host 20
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Re: 6 weeks post MTX, still no period?

Post by EPT Host 20 »

Dear Withlovesaz,
I am so sorry to hear of your ectopic pregnancy and loss,
Your periods can take a while to re-establish and they can re-start anything between two and ten weeks after treatment. Most women find that their period arrives sometime around week six or seven after surgery, and at some time in the four weeks after their hCG levels have fallen to 0 if treated with Methotrexate. This is however an average and it can take some a little longer.

The body is a very clever thing and before you can have a period you have to ovulate. It is perfectly possible to ovulate within 14 days after surgical treatment and almost as soon with Methotrexate treatment, so it is important to be aware that it is possible to become pregnant without having a proper period first if you are not using some form of contraception. If there is a chance you could be pregnant, I would advise taking an early morning pregnancy test just to be on the safe side.

Sending much love,
Karen x

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Joined: Tue Dec 22, 2020 11:36 pm

Re: 6 weeks post MTX, still no period?

Post by Brighten »

hi!so sorry you are going through this. just had a similar experience. it took exactly 6 weeks to start from time of treatment,.

I was treated November 20th with methotrexate but did not miscarry until 27th. my peak hcg was 12,000 on the November 24th and my final blood work was the December 31th when my hcg finally went down to 1 and i was told we officially were done monitoring. i started spotting the 1st, which is not how my normal periods are...but it is slowly picking up( TMI).

Posts: 8
Joined: Wed Nov 04, 2020 10:49 pm

Re: 6 weeks post MTX, still no period?

Post by Withlovesaz »

Thank you for your responses. Definitely not a nice experience to go through and just anxiously awaiting my period now so I can feel like my body is starting to heal and return somewhat back to normal!

Still no signs but hopefully it will happen soon when my body is ready I guess, after all it has Ben through a lot!

Sending positivity and love to you ladies xxxx

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