Hello,
I fell pregnant with my first pregnancy in August of this year and after around three weeks of back and forth visits to the hospital, it was confirmed that I was having an ectopic pregnancy. I was given the methotrexate injection on September 11th and advised to wait three months to try again. My HCG levels reached five by October 18th and I have been taking folic acid since then and I have also had two periods since the injection. We’ve really struggled with the idea of waiting again and December 11th has obviously been on my mind as that will be three months since the injection. I made the decision not to go back on the birth control pill as I felt my body had been through enough and long story short, after having some time with my husband the other night, I could now be pregnant again. Obviously it would be far too early to take a test and too early to be experiencing any symptoms but due to it being around my time of ovulation I know there’s a high chance I could be pregnant. I just wondered if anyone else had been in my situation before of falling pregnant two months after the methotrexate injection and if so, how the pregnancy has been? And if I do happen to be pregnant, should I be worried? Any advice is greatly appreciated. Thank you in advance.
Dear Amethyst93,
I am so sorry to hear of your ectopic pregnancy and loss and the worries you are having now. I can understand your having concerns and this is perfectly normal after everything you have been through recently.
Medical professionals recommend that you wait for two periods after treatment with methotrexate, which is typically three months after an ectopic pregnancy. This is because the methotrexate may have reduced the level of folate in your body and cause problems for any baby during pregnancy. Hopefully the medical professionals will also have suggested that you start taking folic acid now to increase your levels again. If you are not taking it yet, we strongly recommend you do so.
We would advise taking a pregnancy test around the time of your expected period, if it is negative, retest using an early morning urine sample a week later. If you are pregnant, we would strongly recommend speaking to medicals as we have limited access to your medical information, we would hate to suggest what the right course of action is in your personal circumstances. We would therefore recommend you telephone 111 or speak to NHS professionals to see whether they would like you to see your GP to discuss whether you need to take the ‘morning after pill’ or whether they are happy that your folate would be high enough to not worry. Hearing this would also give you peace of mind.
Sending much love,
Karen x
The Ectopic Pregnancy Trust
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