I started trying to conceive in 2020, ended up finding all kinds of unexpected hurdles - polyps blocking left tube - removed twice. Left tube hard to push open on HSG, thin non responsive lining. After that in December 2020 during the first cycle where my tubes appeared open and we used estradiol and letrozole I ended up pregnant. My doctor had cancelled my trigger shot because my lining didn’t thicken. He said I wouldn’t conceive so I knew right away it was likely ectopic.
The doctors thought it was a miscarriage and sent me home. I had shoulder pain and darkening HCG strips and went back. They found my HCG had tripled to 950 and had me come in for methotrexate the next day. They found fluid in the uterus and a mass at the end of left tube. The HCG continued to rise quickly and I had another shot the day before Christmas. After that my levels took 8 weeks to go to zero. 10 weeks before I had a period. The mass still appeared on ultrasound. Ended up in surgery four months later where they found scar tissue adhering my left tube to organs. They removed it and said the tube looked fine. They also said my right tube opening in uterus looked obliterated. On a follow up HSG my left tube was open and right was closed. I know I ovulated fro. Both sides that month so I suspect both eggs had fertilized. Anyway…now for the first time we tried again because a recent HSG showed both tubes open. Pregnant first month of trying. Weird mild pain on right hip, low HCG although it’s rising normally, spotting started after getting my first confirmation normal rising HCG (23 to 87) 15dpo, bleeding moderately started and stopped yesterday 16dpo. Had a couple clots pass now spotting brown again.
Went to emergency room yesterday due to the bleeding. Levels up to 150. They said it’s not a miscarriage. Could be an ectopic or normal pregnancy. Speaking to my doctor after and knowing my body I don’t think it’s normal. She says I could have methotrexate now or wait until we can visualize it. I honestly cannot imagine living through methotrexate again. I think I’d prefer surgery. I mean I had to pause my life for four months and have surgery anyway. I felt exhausted and sick after it. The pain and bleeding went on for weeks after it. Having to go for scans and being told it was still there and HCG a constantly for months. I cannot imagine doing that again. I thought maybe if I get it now before we can see the pregnancy when my HCG is lower like 300-400 tomorrow it’ll be easier. But I’m terrified of it still and not knowing where the pregnancy is for sure sure is scary as well. Anyone experienced anything like this? Any words of advice or encouragement welcome.