Ectopic and Methotrexate

After a miscarriage last year, I found out that we were expecting again.

At 8 weeks pregnant on 11th June 2024, I had a brown discharge but was aware of spotting so I did not worry about this, until that evening I had developed a sharp severe pain down lower left side. The next morning I contacted my GP who referred me onto the Early Pregnancy Unit, they told us to come in that afternoon for an internal scan. At the scan, there was an empty sac, the midwife told us this was ‘Pregnancy of Unknown Location’. She took bloods as a baseline and told us to come back 48 hours for more bloods, she explained if the number of hormone levels go up, this would indicate an ectopic or my body responding slowly to a miscarriage. We were devastated!

We returned 48 hours later and our levels went from 1917 (Wed) to 2021 (Fri).

We were told to return the next day to see the Consultant, after an internal scan, the Consultant confirmed Ectopic. We were informed I could not pass this myself and were given 2 options of medical intervention; Methotrexate or surgical but with surgical they would need to remove my left fallopian tube. So we opted for Methotrexate.

The Consultant had said numerous times that we were lucky we caught this early as if it had ruptured it could have been life threatening.

I had to get more bloods done prior to injection to ensure liver, kidneys and blood were ok which meant we had to wait around for results. Sitting in the waiting room with heavily pregnant women and new born babies was VERY difficult! So one one of the nursing assistants eventually took us into a private room. We got the injection and went home.

We had to return on Day 4 and Day 7 for more bloods to ensure levels were dropping. Thereafter, we had to attend weekly bloods to ensure levels were still going down. I ensured the staff knew we were grateful for them looking after us but was not good and very hard to be sitting in a waiting areas with heavily pregnant women, babies that were days old and family members of women in labour asking us, “if we were waiting on good news too?!” I needed to get that point across as that was emotionally hard to do, not only for me but others in my situation also!

My levels dropped well, and I was finally discharged from the hospital yesterday.

In one sense, I am happy to be healthy as I had been in severe pain for the last few weeks, not able to move, bleeding very heavily, but on the other hand, absolutely devastated we have lost our wee baby , and being discharged from hospital, that is closure. It is comforting to come on to this site and read stories that other families have went through. It helps alot with grief and reading success stories has given me hope for the future that one day we can start a family too.

Thanks for reading and please comment if you wish to as Ectopic seems to be very common and no one knows much about it until it has happened to their family.

Dear jenni,

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

When we experience ectopic pregnancy, we are suddenly faced with a life threatening emergency and it’s treatments, possible reduction in fertility, concerns about the future and the loss of our babies. Experiencing any one of these is an ordeal, putting them together is immense and your feelings are completely normal. It can take up to 3 months to start to deal with traumatic events such as ectopic pregnancy, so be kind to yourself and allow time to grieve and heal both physically and emotionally.

It is normal to feel anxious about the future. We experience a mix of emotions from wanting to try again to being petrified of what may lie ahead. We never forget our babies or experience, but we can learn to accept what happened. It is a slow process that might be weeks or months ahead. In time, we can get to a place where we feel comfortable trying again. When this is, is individual for each person. There is no timeframe for recovery, take each day as it comes. Importantly early scans avail. As soon as you know you are pregnant, contact your local EPU to inform them and book in for an early scan at around six weeks. Remind them of your previous ectopic pregnancy. This self refer route is the best route in our view. Hopefully you will have some comfort to know you are under the radar of medical professionals right away.

The chances of a further ectopic after a first in UK is 10%. So that’s 90% chance of the embryo being in right place next time.

While generally it is possible to conceive after an ectopic pregnancy, the amount of time it takes varies from couple to couple. Factors include age, general health, reproductive health and how often you have sex, among other things. It may be comforting to know that 65% of women are successfully pregnant within 18 months of experiencing an ectopic pregnancy and some studies suggest this rises to around 85% after two years.

Please remember once your hCG levels have fallen to ore pregnancy levels, you need to them take folic acid for 12 weeks before trying to conceive, following methotrexate.

These boards are full of people who have experienced similar situations, they are a safe space to ask questions, write about your experience or even vent. Please do lean on us for as long as you need,

Sending much love,

Karen x

The Ectopic Pregnancy Trust

Registered Charity Number: 1071811

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