Hcg really high and methotrexate

Hello everyone,

I have been searching through this website in order to find some answers. I have been diagnosed with an ectopic pregnancy yesterday at 8 weeks, it is in my right ovary. What’s crazy is that my hcg are really high, over 58000 and my doctor still instructed methotrexate. I’ve got my shot yesterday and now after reading all the topics I’m so scared it’s going to rupture. I didn’t have any bleeding as yet and no pain either. I don’t know what to do at this point, should I ask for a surgery?

Thank you for your time.

Hi Cherry79,

I am so sorry that you are experiencing this ectopic pregnancy and loss. It can be a nerve-wracking time and can leave us with many questions. I will do my best to help.

It’s very good that your doctors are looking after you. I encourage you to take it as easy as possible during this time. You may experience tiredness or some side effects. The Trust provides guidance on MTX treatment: https://ectopic.org.uk/treating-an-ecto … thotrexate.

Your doctors will want to follow up with you with blood tests every few days to monitor the decreasing HCG levels. Please try to rest and to give yourself time to recover. It can be helpful to take time off of work, your doctors should be able to provide you a note for your work.

You know your body the best, and while the hcg levels are decreasing, it’s important to be mindful of your symptoms until you reach non-pregnant levels under 5mIU/mL, as there is, unfortunately, still a chance of rupture. The symptoms of a deteriorating ectopic pregnancy, which include worsening or progressively increasing pain; vaginal bleeding; shortness of breath; feeling faint; and pain in the tip of the shoulder, among others, may become noticeable. You will need to be reassessed if you suffer any of these symptoms. Your hospital will give you a number to contact for health advice if you feel anything is changing, or you will have been told to report to the Accident and Emergency Department (A&E). If you have not been told what to do and need to speak to someone, ring the hospital department which is treating you or the NHS 111 Service by dialling 111.

From the bottom of my heart, please be kind to yourself through your recovery. We are here for you whenever you need it.

With good wishes,

Michele

The Ectopic Pregnancy Trust

Registered Charity Number: 1071811

Ectopic pregnancy patient information suite: Highly Commended in the 2019 BMA Patient Information Awards


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Thank you so much for your reply. I have started to experience some pain, so I decided to go with a surgery last night it was performed. I think it will put my mind at ease, since I have to wait so long with methotrexate to work and my numbers are extremely high. I hope this will get easier and time will heal. Thank you for this blog and so much information.