I was diagnosed with a right side ectopic on 5th September and administered with methotrexate on the 10th. My hcg started at 2,800 and my pregnancy was a tiny 5mm sac!
My hcg results were dropping beautifully and I was nearly at the finish line with Hcg level of 67 this Wednesday.
I then had a sudden sharp pain Thursday and was rushed to hospital. My hcg had fallen to 43. They did a scan and the pregnancy was 57mm! I’ve just come out of surgery as it began to rupture.
How on Earth did the pregnancy continue to grow so big with my hcg dropping so nicely?! Has anyone else had a similar experience?
I am so sorry to hear that you have suffered this ectopic pregnancy and loss. While I’m not medically qualified to comment on your specific situation, it is typical for the hCG level to rise on the day four blood test because the action of methotrexate is not instantaneous, so the cells will have continued to divide for two or three days after the injection was given. Some cells release more hCG when they start to disappear. As the MTX shot isn’t instantaneous, it is possible that the embryo continued to grow.
I always encourage women to follow up with their doctors to better understand their specific situations. It may be worthwhile to speak to gain greater clarity on what might have happened.
Sending good wishes,
Michele
The Ectopic Pregnancy Trust
Registered Charity Number: 1071811
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