Dear Rachael,
I am so sorry to hear of your ectopic pregnancy loss,
As we are a charity, we cannot provide individualised medical advice but can provide general information.
Following methotrexate injections, we would advise not doing any activities that increase the chance of infra-abdominal pressure and this would include penetrative sexual intercourse until.your hCG levels are below pre pregnancy levels.
It is also very important to avoid trying to concieve and to use additional contraception for a period of time following Methotrexate injection.
We and many health care professionals strongly advise to wait until your hCG levels have reached pre-pregnancy levels (your doctor will tell you when this is) then take folic acid supplements for 12 weeks. This is because the Methotrexate may have reduced the level of folate in your body which is needed to ensure a baby develops healthily. The Methotrexate is metabolised quickly but it can affect the quality of your cells, including those of your eggs and the quality of your blood for up to three months after it has been given. The medicine can also affect the way your liver works and so you need to give your body time to recover properly before a new pregnancy is considered. A shortage of folate could result in a greater chance of a baby having a neural tube defect such as hare lip, cleft palate, or even spina bifida or other NT defects. This is why the “wait” and then taking folic acid for 12 weeks before trying to conceive is so important.
This also gives chance for your body to recover from the ordeal of an ectopic pregnancy, it gives your periods to return to a more normal cycle. This can be key when dating possible future scan dates.
We have more information.in methotrexate treatment on our website which I have added here
https://ectopic.org.uk/treating-an-ecto … thotrexate
And trying to conceive again here.
https://ectopic.org.uk/physical-recover … eive-again
If you are experiencing worsening bleeding or pain or feel dizzy and unwell, we would always advise to seek urgent medical advice.
Sending much love,
Karen x
The Ectopic Pregnancy Trust
Registered Charity Number: 1071811
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