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Decision making
Decision making
I've been reading on here about expectant management too and I don't know what the best option for me is. I'm desperate to become pregnant and I'm nearly 34 so I don't want to have to wait ages to conceive again (the leaflet said 3 months but it sounds like 6 is better to allow time for folate levels to come back up? Any advice on this front?)
On the other hand the Dr last night told us she's seen women rupture at far lower levels than me. It felt like she was pushing me towards methotrexate. Any advice? I don't want to be risky and put myself at increased risk of rupture, plus it would be a relief (and I'm sure easier mentally) to draw a line under this sooner, on the other hand being able to try again sooner would be great for us. Any advice welcome and sorry we are all having to be here in the first place, what a rollercoaster x
Re: Decision making
I'm currently on day 6 of methotrexate and my hcg is in the 6000.
My 2nd ectopic I did expectant management, hcg peaked around 150 but took 5 weeks to come down, it's so draining isn't it!
I'd maybe give it a few more days as your levels seem more stable or coming down slightly. From reading through forums this week I think with your numbers methotrexate would work and probably be back to below 5 within a couple of weeks.
Good luck with whatever you decide xx
Re: Decision making
I've just had a scan which confirmed a 17mm tubal ectopic but thankfully no signs of rupture. Just waiting for the drs to talk about options. I'm a bit sore post scan and feeling paranoid now I've seen it (and read that tube's max diameter is normally 12mm!) But still undecided, will be good to talk through options.
I hope your levels come down soon. The waiting is one of the hardest bits I think xx
Re: Decision making
Can I ask about your second ectopic? You said it peaked around 150hcg. Was anything seen on a scan with this low hcg, was it diagnosed as ectopic or was it PUL?
I have just had expectant management for PUL which has come not long after a ruptured ectopic. My levels peaked at the same level as you.
I will never know where this egg was and it’s so distressing not knowing if there’s hope for the future or not.
Kind regards and best wishes for all xx
Re: Decision making
Re: Decision making
Hope its over for you soon. Definitely try the methotrexate, a few months is worth keeping your tube, I'm also 34 and ttc fir 7 years so I understand your frustration keep us updated xEmaeii wrote: ↑Fri Sep 08, 2023 11:08 amThanks for the reply and I'm so sorry you've had to go through this several times, it's so unfair.
I've just had a scan which confirmed a 17mm tubal ectopic but thankfully no signs of rupture. Just waiting for the drs to talk about options. I'm a bit sore post scan and feeling paranoid now I've seen it (and read that tube's max diameter is normally 12mm!) But still undecided, will be good to talk through options.
I hope your levels come down soon. The waiting is one of the hardest bits I think xx
Re: Decision making
Re: Decision making
Think they are going to give me a 2nd dose as levels are still in the thousands.
Re: Decision making
Really sorry you might need a second dose. What did they say? I hope whatever happens next works well for you. Thanks for the info. I'm feeling ok so far, fingers crossed this continues x