Petrified of Methotrexate injection

[timetostartbeingme]

I'm having a pregnancy of unknown location. I should be around 8 weeks pregnant, bloods been low and slow rising. They dropped but then went back up, last week mon-wed they rose by 200 Wednesday- Fri they only rose by 2.

Nothing at all to be seen on a scan Monday and Friday last week.

My 'plan' is to have methotrexate tomorrow. I'm going to ask wether I could have hcg taken again in the hope that it's peaked now with the very slight increase and that it will go down but even if it does if it's of unknown location will it correct itself?

Beside myself with worry, feel so sick. No symptoms such as cramps or bad pain.

We dreamt of getting these two lines for so long, now I dream of a negative and being able to try again.

Any experience on Methotrexate?

Thanks

I was abroad so the healthcare was better than the uk possibly, they identified the ectopic (6 weeks), admitted me for 5 days and on day one had the injection and then they monitored me. Then weekly until my hcg was zero I went in for a blood test to check the level. They were quite insistent we didn't go on hol or away from being near a hospital.
I don't remember any ill effects from it but I was anxious as hell waiting for hcg to go down and went down the google rabbit hole.

@timetostartbeingme hope everything is ok x

@timetostartbeingme hi OP I'm in the same position as you was. Very unsure of the next route to take. Just wondering how you got on and how your doing? It's a very isolating time and so unsure of what to do for the best. I'm going back again for a scan tomorrow to try and locate the ectopic. I have a feeling they won't be able to see it though.

The ideal situation is it passes on its own but sadly there's no way of knowing until it's too late and surgery could be the only option.

Hoping you're ok x

Hi x

When they reviewed my HCG before giving me the injection, I'd had only gone up by 2 instead of hundreds that it has been going up by. The consultant gave me three options, saying them in the order he recommends and that was to have the injection which they had ready, have surgery to try and locate it or monitor HCG closely to see if as it had plateaux that numbers would then decrease.

As I had no pain he was happy for me to have my HCG monitored, thankfully since it went down to 300 then a week later 90. I'm going back on Monday for another blood test two weeks after the 90 so hoping it will be on 0. I don't really know what's been happening, it is a very lonely place. I've bled all along for the last 4-5 weeks however it's been very pink/brown and watery. Yesterday I started to have red blood but still not like a full bleed, hopefully I have a big bleed now and numbers are at 0.

Hope you're ok! It's an awful thing to go through. Just feel so helpless! I would have had the injection if my numbers had continued to climb or if I'd had any pain xxxx

Oh that's really good news because your body is doing it all by itself!
I'm so scared to wait it out in case in a couple of weeks time it becomes worse. My HCG levels have been low only 187 last Friday, 231 Sunday and 301 yesterday so they said although they are rising it's very slowly so I don't have to make decisions now. It's so hard though because there's this part of me that just wants it out now. I haven't bled at all and now I find myself hoping for a bleed every time I go the loo.

I don't want to pump my body full of such a toxic substance like the injection and potentially end up with a damaged tube and at the same time I'm petrified of having the surgery.

It's the grief of losing a pregnancy mixed in with it all which I'm really struggling with now. I think I've cried more in the last 24 hours than in my life.

I really hope your levels are at 0 soon, it seems to be going well for you! That's really given me some hope thank you for replying so quickly x

I think my highest levels were 1500-1700. It's devastating grieving the loss but then also dealing with it all. In no way am I saying a miscarriage would be easy however I'd have rather had a natural miscarriage with a full bleed. The uncertainty of it all is so scary!

The EPU were brilliant, I had three scans and nothing could be found on any. Told me it's a mystery!

It's hard to move on when your body won't let go isn't it. Xx

Hi there.
I'm just wondering the outcome for you. Your journey is 100% relatable for me now. I’ve been back and forth to the hospital and just want it all to be over. I’m so sorry you’ve been through this.
I’m going tomorrow to see if my hcg levels have come down as I have been in a very similar position. I’m just praying they have come down as I’m really anxious about the methotrexate :(