Hi,
I am new to this forum.
In November 2017 I suffered an ectopic pregnancy, after 18 months of trying to conceive. I was treated with 1 dose of Methotrexate on 1st December 2017. I have still not had a period yet and I am getting really frustrated & fed up 
It is putting a really big strain on mine and my partners relationship.
How long did you wait until you tried to conceive? Thank you 
xx
Hi there, my ectopic was diagnosed on 3th of December I was managed expectantly so didn’t have the jab, were trying again now but I haven’t had a period yet either! So annoying that my body hasn’t seemed to bounce back, I’m seeing a gynecologist now on 14th hoping to get things started then, hope it’s turns up soon xxx
Dear Mrs-to-be-ttc-2018,
I am so sorry to hear of your ectopic pregnancy and loss,
With Methotrexate, you should wait until your hCG levels have fallen to below 5mIU/mL (your doctor will advise you when this is through blood tests) and then take a folic acid supplement for 12 weeks before you try to conceive. This is because the Methotrexate may have reduced the level of folate in your body which is needed to ensure a baby develops healthily. The Methotrexate is metabolised quickly but it can affect the quality of your cells, including those of your eggs and the quality of your blood for up to three months after it has been given. The medicine can also affect the way your liver works and so you need to give your body time to recover properly before a new pregnancy is considered. A shortage of folate could result in a greater chance of a baby having a neural tube defect such as hare lip, cleft palate, or even spina bifida or other NT defects. This is why the “wait” and then taking folic acid for 12 weeks before trying to conceive is so important.
Your periods can take a while to re-establish and they can re-start once hCG levels have fallen below about 100mIU/mL and most women find that their period arrives some time in the four weeks after their hCG levels have fallen to 0 if treated with Methotrexate. As it has been over 8weeks since your methotraxate injection, it maybe worth discussing the fact that you’ve not had a period with your doctor.
Trying to conceive again can be a challenging time for couples especially after experiencing loss. I will do my best to help.
While generally it is possible to conceive after an ectopic pregnancy, the amount of time it takes varies from couple to couple. Factors include age, general health, reproductive health and how often you have sex, among other things.
I wish I could give more precise information, but as I do not have access to your and your partner’s medical records, it is difficult for me to provide specific details. Generally, we and many healthcare professionals advise keeping a healthy balanced diet, maintaining a healthy weight and abstaining from alcohol and smoking.
Importantly, help is available if conceiving naturally has not yet been successful after some time trying - and the EPT advises that women under 35 should seek medical advice following 12 months trying to conceive and those over 35 should seek advice after 6 months.
Sending much love,
Karen x
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Further information is available at www.ectopic.org.uk
Email us at ept@ectopic.org.uk.
Our helpline is 020 7733 2653 (available Monday to Friday 10am - 4pm).
Detailed medical information can be found on our website. Please remember online medical information is NO SUBSTITUTE for expert medical advice from your own health care team.
Mrs-to-be-ttc-2018:
Hi,I am new to this forum.
In November 2017 I suffered an ectopic pregnancy, after 18 months of trying to conceive. I was treated with 1 dose of Methotrexate on 1st December 2017. I have still not had a period yet and I am getting really frustrated & fed up
It is putting a really big strain on mine and my partners relationship.
How long did you wait until you tried to conceive? Thank you
Hey hun… I had methotrexate on 26th September last year and had a slight bleed 1st October but then didn’t have a proper period until 7th November… everyone is different and it will completely depend on how high your levels are… you won’t have a period until your “not pregnant”…
I was discharged with low levels of 4 on 16th October then ovulated on 28th so it came back quite quick…
They say wait 3 months after the injection to try again so make sure it’s completely out your system and to get folic acid levels back up… the injection basically sucks this out of us lol… if you got pregnant earlier I think they say low folic acid can cause birth defects so I waited my 3 months and started trying again in January… it was a long wait but worth it to know baby won’t be harmed because of something I did… good luck xx