C Section Scar Ectopic help!

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I am currently in the midst of an ectopic pregnancy in my C section scar. I finished the 4 doses of methotrexate on the 18th March and returned to work at the beginning of April for a couple of weeks but found sitting painful and I was spotting a lot so I have been off again for the past two weeks.

Every time I ask a medical professional on if I should be at work or should I be at home resting with it sore and the spotting I can’t seem to get an answer. I keep being told ‘we don’t really know as it’s rare and everyone’s different.’ One doctors told me to live life as I usually would, another rest and another ‘just be careful’

A scan the other day showed the sac is still in my scar and not any smaller 6 weeks on. They also found my right ovary full of cysts. No one will tell me what happens if at the three month scan, the sac is still there. I feel so lost and in limbo, I want my body back and I’m miserable about it all. The loss is obviously awful, the danger of it all.

Can anyone else that’s had a c section ectopic help me by telling me what happened with you, what was the process and when did you return to work. Please.

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Hi Mrsfrutie,

I am so sorry to hear of the worrying time you and your partner are going through. You are right that Caesarean section ectopic pregnancy is still relatively uncommon and so some hospitals see very few of them. We have information here on our website specifically for healthcare professionals on c-scar ectopic and you may some of this of value: https://ectopic.org.uk/what-is-an-ectopic-pregnancy

The treatment of cesarean scar pregnancies is potentially difficult, so management has to be individualized on a case-by-case basis. It is hugely important to speak to your doctors about your treatment. They have access to your medical records and are best placed to guide you. Enduring an ectopic pregnancy is extremely difficult, particularly in circumstances where such hard decisions need to be made. I understand the toll it takes on women and their families especially where there are no clear answers. You are right that there are, sadly, risks with each option, and your doctors are best placed to guide you in light of these very demanding (both physically and emotionally) circumstances.

What I can say is that as you have concerns, you are entitled to discuss these with her doctors and even seek a further opinion. As much as I wish I could give you additional guidance, I am afraid I have no definitive answers as I am not medically qualified. You are perfectly entitled to speak to her doctors again (and indeed as much as you wish) about how you are now feeling and seek the opinion of another consultant, too, if that may help you think things through.

With good wishes,

Michele

The Ectopic Pregnancy Trust

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Hiya. Hope you’re doing okay. I was diagnosed with scar ectopic in December this year and had surgery in January. I didn’t have methotrexate.

But leading up to surgery and when having scans before diagnosis, I was always told to relax and take it easy. After my surgery I had some retained tissue which gave me prolonged bleeding and often got cramps and I would always need to take it easy on the bad days. I’m not currently working as I have a one year old, so can’t answer that question. But tbh I wouldn’t have felt comfortable working as like you say it’s all so scary I would have been to scared too!

Luckily my partner was able to have time off work to look after me and my one year old, whilst I went through it all and had surgery.

I 100% felt so scared and it was like the whole thing took over my life for months. But it does get better! Hope your doing okay. Xx