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Hcg level increased exponentially on day 4 after methotrexate
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- Joined: Fri Mar 01, 2024 1:42 am
Hcg level increased exponentially on day 4 after methotrexate
I was diagnosed with ectopic on 28/2. Since my hcg was 1900 but no sac was visible in uterus, but a cystic structure was observed in right tube.
I had methotrexate shot on 29/2.
I had my day4 hcg test today (3/3) and the level is 7030.
Doctor is going to wait for day7 test.
Though the level is expected to rise on day4, 7030 sounds alarming to me.
Is it safe to wait till day7?
In case if it didn’t go down by 15% on day7 will I still have the option for second dose of methotrexate considering my hcg?
I’m so worried now
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Re: Hcg level increased exponentially on day 4 after methotrexate
I am so sorry to hear of your ectopic pregnancy loss,
Unfortunately I am unable to provide personalised medical advice, however your hCG level has risen quite a bit. Hopefully your levels will reduce at your next test but I would certainly contact them or seek urgent medical advice with any heavy bleeding, worsening pain, you develop shoulder tip pain or feel dizzy and unwell.
Sending much love,
Karen x
The Ectopic Pregnancy Trust
Registered Charity Number: 1071811
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Re: Hcg level increased exponentially on day 4 after methotrexate
Now it is confirmed that the diagnosis was incorrect and it is just a small fibroid in my tube which is not dangerous and would resolve on its own.
Also there is a pregnancy in my uterus now. I’m devastated after knowing this.
I will be going ahead and terminating this long awaited and much loved pregnancy (baby) because of the methotrexate taken
I am extremely extremely unlucky. Feeling guilty and helpless.
Re: Hcg level increased exponentially on day 4 after methotrexate
Re: Hcg level increased exponentially on day 4 after methotrexate
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- Posts: 9
- Joined: Fri Mar 01, 2024 1:42 am
Re: Hcg level increased exponentially on day 4 after methotrexate
They sent me to emergency immediately.
I had no pain or any issues.
They scanned me again at the hospital the next day and since no sac was found I was given methotrexate. My hcg was only 1900.
After mtx, day my hcg shooted upto 7030, so they did a repeat scan on day5 and found a sac and yolk sac
Not sure why the doctors didn’t choose to wait and make a decision in my case when I had no pain and my hcg was still borderline.
Another important point is that the corpus luteum was found in my left ovary and they diagnosed ectopic on my right tube. They should have weighed all these!
I was in a shock that day and I was made to wait 12 hrs in the ED without food and water. (It was 18hrs since my last meal). I couldn’t think and make a decision too.
Re: Hcg level increased exponentially on day 4 after methotrexate
It’s all pretty shocking and I would be attempting to take this further when you are ready - I haven’t experienced this as such but definitely a few let downs leading to a rupture that I will be putting an official complaint about when I feel ready.
I feel like you feel bad about what happened but I really hope you don’t beat yourself up - at the end of the day we trust professionals to know what they are doing and you were following their advice for the sake of your health in a state of shock - this isn’t your fault.
Re: Hcg level increased exponentially on day 4 after methotrexate
It sounds like they did not wait until 6 weeks gestation or more at least to check for a potential intrauterine pregnancy. I was told they would not make a decision on methotrexate without a second visit and second HCG and scan, and I was 6 weeks on the dot then.
It is so important to look after yourself right now but I think at some point when you are ready you can take this up as a formal complaint, it is likely going to be important for you in processing what has happened and grieving this loss, to have proper answers as to why this happened.
I am just so so sorry you are going through this right now. You’re in my thoughts xx
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Re: Hcg level increased exponentially on day 4 after methotrexate
It’s been difficult trying to conceive with my pcos and been trying over a year. Now I have to wait 6 more months to start trying and God knows when my baby is going to come back to me.
Praying that these rough times pass soon.
Re: Hcg level increased exponentially on day 4 after methotrexate
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- Posts: 9
- Joined: Fri Mar 01, 2024 1:42 am
Re: Hcg level increased exponentially on day 4 after methotrexate
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- Posts: 9
- Joined: Fri Mar 01, 2024 1:42 am
Re: Hcg level increased exponentially on day 4 after methotrexate
I had a d&c and laparoscopic investigation done yesterday.
The surgeon confirmed that it was a cyst in the tube.
He cleared my uterus and said that it was a healthy pregnancy and the mtx had stopped the growth.
Re: Hcg level increased exponentially on day 4 after methotrexate
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- Posts: 9
- Joined: Fri Mar 01, 2024 1:42 am
Re: Hcg level increased exponentially on day 4 after methotrexate
Re: Hcg level increased exponentially on day 4 after methotrexate
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- Posts: 9
- Joined: Fri Mar 01, 2024 1:42 am
Re: Hcg level increased exponentially on day 4 after methotrexate
I’m ok now, just the constipation issue.
I’m getting better emotionally as well. Just counting the days until 6 months to be able to try again.