Symptoms of Rupture after MTX?

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I’ve had quite a bit of discomfort since my methotrexate injection 9 days ago. (My HCG initially rose from 3987 the day of injections to 6583 on day 4, but dropped appropriately to 4753 on day 7, so no repeat injections as of yet.) Scans last week showed the mass in my tube, but no free fluid. Still, I have had occasional bouts of somewhat intense pain on the side of the ectopic, rectal pressure, and cramping that have sometimes made it difficult to sit or walk. My doctor insists I’d have incredible pain if it ruptured, to the point I couldn’t talk, but I’ve read a few accounts where it never got that bad.

So, for those of you that have had methotrexate and gone on to have a rupture, can you tell me what your symptoms were? Or if you didn’t have a rupture, but were worried about one as I am, how you managed?

Thanks in advance.

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Hi Caitlyn,

I’m so sorry to hear that you are suffering from an ectopic pregnancy and loss, and that you are going through this worrying time. I hope your symptoms have eased since you wrote this post or that you were able to be seen if they increased. It is very important to monitor for increasing pain or bleeding, as you are not below non-pregnant levels.

In my case, I was on MTX and then ruptured. I had vomiting, went unconscious for a moment, and then felt the shoulder tip pain, very clearly. However, I was conscious enough to tell my husband to call the ambulance as I realised what was happening and was clear throughout the hospital engagement.

I know the waiting is so difficult, especially with the symptoms of MTX. You know your body best and I always encourage women to continue speaking with their doctors, calling 111, or going to A&E if they have concerns.

With good wishes,

Michele

The Ectopic Pregnancy Trust

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