So today has been eventful to say the least and although im shattered i cant sleep. So i came for day 28 hcg checks and was told they’d fallen to 22, great, so i thought, until i mentioned the pain i’d been getting on and off for the last 2 days. I thought it was the metharexate or even the fibroids id been diagnosed with. I was given an internal scan to be told to be told there was a big mass of blood clots and it looked like id ruptured so was admitted and within a few hrs in surgery! Ive had my right tube removed as it had split but i think they said my left tube was ok. They’d also removed some clots off my left ovary but left the fibroid. Im very sore and battered but doing ok.
Looking back i wish id opted for the surgery instead of the drug as ive felt like a ticking timebomb over the last 4 weeks and the bomb went off so not only have i felt awful because of the drug i now feel awful due to surgery!
I feel emotionally and physically drained but what i would say to everyone is get any pain checked out as it couldve been a whole different outcome had i not mentioned it and with living on my own its a very scary thought!
Dear Kazshuker89,
I am so sorry to hear that you have had to go through this.
You were so right in mentioning your pain. We always advise to mention a change or worsening pain as sadly there is a small risk of rupture with low and declining levels, although this is not common.
You have been through a huge ordeal and your body needs time to heal from your surgery which is in itself a gruelling task. You have also had to process the loss of your baby and been through an immense rollercoaster of emotions - all of this will take time to come to terms with.
You should take it very easily for about six weeks after surgery. Your body will be using its energies to heal internally. It is normal to feel physically and emotionally exhausted during this time and please do be kind to yourself. Recovery can take time and some days will be better than others, one day you maybe ok and the next you maybe in discomfort or more emotional. This is perfectly usual and the healing process will go back and forth in this way for however long you need. It is important to listen to your body’s signals and pain and feeling tired are your body’s signs to tell you to rest. We suggest keeping a healthy balanced diet, drinking lots of water and resting. Once your wounds have healed, very gentle exercise such as a short walk can help, but please do take this slowly.
Sending much love and warm hugs,
Karen x
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I just wanted to chip in on this as the same thing has recently happened to me. The OP may get a notification but also I totally understand if the OP does not want to contribute any more 
I had methotrexate 29 Aug then surgery just over a week later for a rupture (ignored for a couple of days). It was complicated and the laparoscopy turned into laparotomy as the the rupture (and possible previous undiagnosed pelvic infection?) had meant my bowels and uterus were stuck together. They couldn’t even see my left ovary and so my left tube and ovary and mass were all removed. This all came after my HCG dropping following the methotrexate. I was also sent home from hospital despite extreme pain 36 hours before I eventually came back for the surgery. I had no idea when I came round from the surgery that this would have happened - four hours plus a big scar instead of laparoscopy.
This follows two previous miscarriages, and I’m 41. I don’t want to be on a downer, I’m just having a bad night 3 or 4 weeks on from surgery. This is partly to say that having a bad night is okay, and partly to solicit anyone having a similar experience - I was looking for a chat room but there doesn’t seem to be one.
I had had a lot of pain leading up to this, but assumed it wasn’t bad enough - I put it down to very bad IBS and morning sickness. There was only one time when I knew it was definitely abnormal, and from what the surgeons told me, the rupture had happened long before that. I went to hospital at that time but was sent home to come back the next morning for a scan - the nurse told me that day that she was horrified the doc had sent me home. I’m fortunate that it somehow was messy rather than a bleeder. I’m still here to tell the tale. No one wants to assume the worst, but if you have very bad pain, please get it seen to if you can. 1 or 2 in 100 seems rare to us, but to a doctor (whom I spoke to) it is seen as fairly common.
I just wanted to reach out to the OP and anyone else who is experiencing this - it’s slightly more rare to have methotrexate and still need surgery, but if it happens to you it doesn’t feel rare! And I know from people around me that perhaps they’re treating me with kid gloves, but it seems they’re treating it more as miscarriage when it’s equal to the biggest trauma I’ve had in my life - it’s petrifying.
I don’t really know what I’m saying here - I don’t want to scare any one - I just want to say, please seek help if you’re in pain. I also just wanted to talk to fellow survivors. The first week involved a lot of crying, I’ve been doing better since but I feel like no one expects it to be two steps forward one step back, which is completely logical to me!
So sorry to read both these experiences.
For Blaueshemd, I am also 41 and also had emergency surgery on Monday resulting in my right tube being removed.
I’d been trying the wait & see approach and had severe pain Friday & Saturday- the first time I was in hospital getting my blood taken so a doctor checked me out. As he could press on my stomach without me complaining too much I was sent home.
Who knows when I did rupture but on Monday although my abdomen was hurting the real pain was my nerves in my right groin & leg. Turns out I’d already lost a litre of blood! After the scan when they saw the blood & decided to operate I went down hill quickly - guess it was all the prodding sped up the blood loss!
Thankful to be here sharing my story & mad I wasn’t more assertive with my discomfort.
Anyone reading this worried you may have ruptured - don’t wait for excruciating pain to be checked out as we all have different pain thresholds!
Hiya Rahimi,
Thanks so much for posting; hope you’re back home now and recuperating. Just wanted to say thanks for posting and am thinking of you. xx