My experience with methotrexate

Hey all :wave:
So on the 24th October 2024 i found out i was pregnant, complete shock as i suffer with recurrent miscarriages (had 10) everything was going great until the 7th November where i was getting bad pain in my pelvis left side which was rather intense & brownish blood so i present to the early pregnancy unit my hcg was 2800 & they expected to see a baby? Which at first they couldnt locate… until they done an internal & it was agony on my right side, they located and confirmed a non viable ectopic pregnancy in my right tube… i was advised that methotrexate would be the best option to take, so i took their advice and had methotrexate on the 8th, my hcg was dropping went to 1889 & 1145 fast forward to day 10 & all of a sudden i was cramped over unable to speak i was in so much paim, like period pains but so so so intense. I went back to hospital yesterday (day10) because i knee something was wrong… i was right there was, even though my numbers was dropping, the ectopic itself was getting bigger, i went from being 1 in 80 to being in a 5% group. I had surgery last night and they removed my right fallopian tube.
Has anybody else experienced this please, what do i have to expect in terms of recovery?
Sorry for the long post :heart:

Dear lostsoul,
I am so sorry to hear of your ectopic pregnancy loss. To experience this on top of your previous losses is heartbreaking. From your own words, i can imagine what a frightening experience this must have been and i am so sorry you are having to go through this.

Experiencing an ectopic pregnancy is a huge ordeal and you are in the early stages of recovery. 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.

If you are considering trying to conceive again, i would advise requesting a referral to a fertility specialist for review, given the number of losses you have had to sadly go through. It may also be comforting to know that generally, when a person has only one fallopian tube and both ovaries, they are still able to get pregnant from an egg at the opposite ovary as an egg from one ovary can travel down the tube on the other side. The fallopian tubes are not attached to the ovaries and, at the point of ovulation, some very delicate structures called the fimbriae begin to move gently creating a slight vacuum to suck the egg toward the end of the tube it is nearest to (like lots of little fingers waving and drawing the egg towards it). So, if you have only one tube then there is only one set of receptors working and one set of fimbriae creating a vacuum and so the egg is much more likely to find its way to that tube, whichever ovary it is produced from. Conservative estimates suggest that an egg produced on the tubeless side manages to descend the remaining tube around 15 to 20% of the time.

Please be kind to yourself and allow time to grieve and heal both physically and emotionally. We will be here to support you for as long as you need.

Sending much love and gentle hugs,
Karen x

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Lostsoul24
I’m so very sorry for what you are going through and have went through! I know the feeling of devastation as well. I just got my right tube with ectopic pregnancy removed on October 3rd! I also did have treatment with methotrexate first but it did not work for me as well due to my hcg number being too high peaking in the 1700s. I will say I was sore following surgery felt extremely bloated from the gas they fill you abdomen with making it even more uncomfortable! I also has pain in my shoulder on the right when I called my doctor he said it was normal as well from the gas. About three days following my surgery I started to bleed moderately from the lining of my uterus shedding (this is not your first period) for about a week. I had light spotting a week prior to my first official period which was 5 week and 1 day from the date of my surgery! As far as recovering mentally give yourself some grace I have good days and bad days still. At first I told myself I’m find whatever is meant to be will be and it is out of my hands. Slowly that thought faded and I was filled with sadness questioning why and how. I’m do have more better days then bad but everyone is different. I pray for a speedy recovery for you and peace knowing that you are not alone and everything you feel is ok! Best of luck to you
Kourtney