So I’m from Australia and had one dose of methotrexate on 27th November. I’m sooooo confused as I saw my fertility dr today and she told me that I don’t need to wait and take folate for 12 weeks and can try again after 3 months from the methotrexate. She said that the folate isn’t all removed from your body after 1 shot unless it’s IV methotrexate or a much higher dose. She is very well known and I really don’t understand now. Also she said the folate blood test won’t tell me my proper level. She was so full on about the folate definitely being ok after just 1 dose and not IV or injected into tube or pregnancy etc. can anyone shed light on this info?
Hi AML,
I’m so sorry to hear of your ectopic pregnancy and loss, and I will do my best to answer your questions. As I’m not medically qualified, I can not speak to your specific situation. The guidance the Trust provides is based on UK Guidelines.
The current guidance says that during treatment of MTX, it is not recommended to take folic acid as there is interaction with the drug. However, once Doctors have confirmed the drug has worked, you can take folic acid. After levels non-pregnant, the Trust recommends taking folic acid for 12 weeks before trying to conceive. This is important as a shortage of folate could lead to neural tube defects in a developing embryo, and the supplement is needed for the embryo’s healthy development.
Please take good care of yourself, and know that we are here for as long as you need.
With good wishes,
Michele
The Ectopic Pregnancy Trust
Registered Charity Number: 1071811
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