I joined this fantastic site today - been reading through lots of peoples questions and experiences.
Unfortunately i was diagnosed with a right tubal ectopic pregnancy this week. Gestation unknown, but currently is a ball of cells (as such). Thank goodness no fetus
I’m currently under ‘expectant’ management, as i have symptoms such as bleeding, cramp etc.
hcg levels have risen from 380 - 530 - 1300 - 1800
I read online via this site that expectant management should only be considered for up to hcg level of 1500. I had repeat hcg blood test today - i call for the result tomorrow, but i am assuming will be over 2000.
has anyone been advised to continue expectant management with their rising hcg levels (with no symptoms), or has surgery been advised?
I am not a candidate for methotrexate as i have extremely low neutrophils (white blood cells)
ive Read on some other forums it being used under 2000. I had expectant Management for 6 weeks but I was bleeding by the time I saw the clinic so was 375 max.
These are different tube surgeries they can do, some of which can preserve the tube especially if they can see it, but it’s physically small.
Hi, thanks for sharing. I was diagnosed Friday with ectopic and been monitored busy hcg have gone up and now have to into hospital tomorrow. I’m really anxious. There’s the sadness of the pregnancy loss (through IVf) bit actually my main preoccupation is fear for myself. I’ve never had to go to hospital for anything serious and never had an operation. I just want it all to go away so we can get on with processing the sadness and make plans for next steps.
I think you’re feeling similarly uncertain about what’s happening? It’s frightening and such a shock and unknowns too.
I am so sorry to hear of your ectopic pregnancy and loss.
Next time you have your bloods I would ask at what level they would stop monitoring and start treatment.
With expectant management we would expect to see levels falling. Around 25% of women, who are expectantly managed initially, go to on to need medical or surgical treatment. Doctors can tell if the specialised cells of a pregnancy that produce the hCG hormone are dividing because the hCG level will rise and not fall.
Sending much love,
Karen x
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