Dear Hina,
I am so sorry to hear of your ectopic pregnancy loss,
Not experiencing vaginal bleeding after being treated with methotrexate is not something you have to be too worried about. Some will not experience bleeding as a side effect with this medical treatment option.
To check that the treatment is working, it is important to attend regular appointments with your healthcare professionals to have your hCG levels monitored. Having said that the hCG level often rises on the day four blood test because the action of methotrexate is not instantaneous. The cells therefore, will have continued to divide for two or three days after the injection was given, and some cells release more hCG when they start to disappear. Your doctors are looking to see a drop in your hCG value of at least 15% between days four and seven. If there has not been a 15% drop, this is when the doctors will consider a second dose of methotrexate or surgery.
Dear Chloe,
I am also thinking of you and am so sorry to hear of your ectopic pregnancy loss too.
We have more information on methotrexate treatment on our website which I have added here which I hope you will both find useful
https://ectopic.org.uk/treating-an-ecto … thotrexate
Sending much love,
Karen x
The Ectopic Pregnancy Trust
Registered Charity Number: 1071811
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