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Ectopic/Unknown location

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Reese18
Posts: 2
Joined: Tue Aug 10, 2021 8:31 pm

Ectopic/Unknown location

Post by Reese18 »

On 7/24, I got my first HPT + after two years of trying and 3 medicated IUIs. The following week (week 4-5 of pregnancy) my very other day betas went 99, 211, and 384. Last Wednesday 8/4, I went in for a 5w6d scan only to be told the gestational sac was tiny and empty and there was a mass near my R ovary/tube. The beta was now 111. They couldn’t completely confirm it, and I went back on 8/6 for another US. The beta was now 102. Although it seemed to be resolving naturally, and appeared somewhat smaller on the US, they still wanted to take action. On 8/7, I got my first dose of methotrexate. On 8/10, my follow up beta was 78. Starting on 8/9, I’ve had mild pressure/discomfort that comes and goes on the side of the pregnancy of unknown location. I’m not bleeding yet, haven’t really had cramps. Everything seems to be going in the right direction, but I am still so hung up on the possibility of a rupture or pain. The doctors can’t guarantee I’m in the clear until the beta reaches 0. They said they don’t expect a rupture to happen, but the risk and possibility still exists with low or decreasing numbers. Every day feels so long, I just want this nightmare to be over. I already have health anxiety and it just cannot shake the nerves while today’s news should have been somewhat of a relief. I know to go to the Er if I develop severe pain. My next bloodwork is Friday 8/13. I’m hoping someone on here is in a similar situation and can offer hope.

Reese18
Posts: 2
Joined: Tue Aug 10, 2021 8:31 pm

Re: Ectopic/Unknown location

Post by Reese18 »

Reese18 wrote:
Tue Aug 10, 2021 8:42 pm
On 7/24, I got my first HPT + after two years of trying and 3 medicated IUIs. The following week (week 4-5 of pregnancy) my very other day betas went 99, 211, and 384. Last Wednesday 8/4, I went in for a 5w6d scan only to be told the gestational sac was tiny and empty and there was a mass near my R ovary/tube. The beta was now 111. They couldn’t completely confirm it, and I went back on 8/6 for another US. The beta was now 102. Although it seemed to be resolving naturally, and appeared somewhat smaller on the US, they still wanted to take action. On 8/7, I got my first dose of methotrexate. On 8/10, my follow up beta was 78. Starting on 8/9, I’ve had mild pressure/discomfort that comes and goes on the side of the pregnancy of unknown location. I’m not bleeding yet, haven’t really had cramps. Everything seems to be going in the right direction, but I am still so hung up on the possibility of a rupture or pain. Now I am a teeny bit dizzy, but not sure if it’s the methotrexate. Im hypersensitive to every sensation and don’t know what’s real. The doctors can’t guarantee I’m in the clear until the beta reaches 0. They said they don’t expect a rupture to happen, but the risk and possibility still exists with low or decreasing numbers. Every day feels so long, I just want this nightmare to be over. I already have health anxiety and it just cannot shake the nerves while today’s news should have been somewhat of a relief. I know to go to the Er if I develop severe pain. My next bloodwork is Friday 8/13. I’m hoping someone on here is in a similar situation and can offer hope.

EPT Host 20
Posts: 3155
Joined: Thu May 31, 2012 10:58 pm

Re: Ectopic/Unknown location

Post by EPT Host 20 »

Dear Reese,
I am so sorry to hear of your ectopic pregnancy and loss,
I too was treated with methotrexate and can really relate to the worry if rupture. Thankfully it isn't common with low and declining numbers but your doctors are right in saying they cannot guarantee it won't happen.
I also had pain, which worsened about 5-7 days after my injection and then I started bleeding. The problem is that pain is very subjective so you have to benchmark your own level. I f it significantly worsens from what you have now or you feel dizzy and unwell, please seek medical advice.
I wish I had more tips on how to make the days go by quicker. Reading, box sets, anything to keep you occupied.
I know that methotrexate seems very drawn out but in the plus side it isn't as invasive as surgery.
There is a section on methotrexate called What can I do to help the treatment work? On our website, The link is here and it may have some useful tips for you.
https://ectopic.org.uk/treating-an-ecto ... hotrexate/

Above all be kind to yourself and allow time to grieve and heal both physically and emotionally.
Sending much love,
Karen x

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