Confused about when to try again

So I know they say wait 2 cycles, or 3 months… but is it 2 periods and then you can try after the 2nd period? Or is it the 3rd period? Its confused me.

I just want to try again. I had my first period since my levels reached 0, after having MTX on the 30th of April. As soon as my numbers reached 0 I started to take pre natals again.

Dear Kaate,

I am so sorry to hear of your ectopic pregnancy loss,

If you have had methotrexate, regardless of how many periods you have, you need to take folic acid supplements for 12 weeks before trying to conceive.

We say 2 proper periods some people mistakenly think the first bleed after treatment is a classed as a period. This generally takes people up to a three month mark, which is why we use this as a general rule.

I hope this helps,

Sending much love,

Karen x

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Hello, I would like to add on to this. I’ve recently had two doses of methotrexate and confused if this now means I have to wait 6 months instead of 3. Or 24 weeks of taking folic acid instead of 12?

Dear MCLS,

I am so sorry to hear of your ectopic pregnancy loss.

Unless instructed otherwise by your medical team for medical reasons, the information is the same regardless of having one or two doses of methotrexate.

Even with two doses, we advise to wait until your blood hCG levels are below 5, and then take folic acid supplements for twelve weeks before trying to conceive.

I hope this helps.

Sending much love,

Karen x

The Ectopic Pregnancy Trust

Registered Charity Number: 1071811

Ectopic pregnancy patient information suite: Highly Commended in the 2019 BMA Patient Information Awards


If the information provided here or through the EPT website has helped you, you can donate towards our support services, volunteer, or fundraise to raise awareness.

Further information is available on our website.

Email us: ept@ectopic.org.uk

We provide a call-back helpline service: 020 7733 2653

Detailed medical information can be found on our website. Please remember online medical information is NO SUBSTITUTE for expert medical advice from your own health care team