Trying after Ectopic?

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Trying after Ectopic?

Postby fortune313 » Sat Oct 06, 2012 8:18 am

This is my first time posting here.. I'm sad that a place like this even has to exist because I would NEVER want another woman to go through this. That being said, I am grateful to come here and have other people that understand what I'm going through.

We are currently in the process of miscarrying (still). My HCG numbers were still going up after the methotrexate shot but they said if by Sunday (tomorrow) they don't go down we will have to have a repeat shot. My pregnancy was found in my fallopian tube, near my ovary. My body tried to miscarry naturally but it didn't finish the process and my numbers started rising again (after a confirmed blood draw that they were indeed going down).

My RE said once our hcg numbers go down to zero we don't have to wait to get pregnant, we can try again right away and even wrote me another script for clomid. I've been reading on here and a LOT of women say that their doctor makes them wait 3 months before trying because the methotrexate can linger in your tissues and cause birth defects.

Obviously I prefer my RE's advice.. we want to get pregnant again ASAP. I know I won't ever forget this baby, and I feel awful that there wasn't anything I could do to save him/her. But my yearning for a healthy baby has grown so much since this happened. Even my husband is saying how he can't wait for us to be pregnant again. At the same time though, I don't want anything to happen to a new baby and I want everything to be perfect next time. To go through this again.. I just don't know if I could handle it.


Has anyone else experienced this? What did your doctor recommend after the methotrexate shot?
Me (29) DH (31)


BFP 05.31.09!!! (after almost 3 years of trying!!!)
Soy Iso CD5-9 (210mg)
EDD: 02.11.10
Preeclampsia: Induced at 35 weeks.
01/09/10 our baby boy was born :)


Currently TTC #2 (07/2011)

Dx: PCOS

Clomid 50mg -BFP - 09/13/12
10/2012 confirmed ectopic pregnancy
07/2014 - natural BFP, our first one ever - ended in miscarriage. :hb: not a day will go by that I won't think of you :hb:

*Praying on a miracle for #2*
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Re: Trying after Ectopic?

Postby Shew34 » Sat Oct 06, 2012 1:24 pm

I am SOOOOO sorry :hugs: I am currently going through an ectopic as well. As of 10/4 my numbers were 1932, down from 2223 on 10/2. I had one shot on 9/28. My doctor said that after my next period we could try again. I was devastated when I heard about the 3 month thing and asked him about it. He said that the shot only hurts the current pregnancy, not your eggs. I know the shot also depletes your folic acid, so as soon as your numbers hit 0, I would start on some heavy duty folic acid if your doctor approves. I have an appointment with a repeat pregnancy loss specialist on Tuesday and plan on asking him these questions as well. I can let you know what he says. I hope you're able to get pregnant again soon with a healthy babe in the right spot!
Trying for #2 since Jan 2012.
DH - 36
Me - 33
DD :baby: - 9/1/09
All RPL tests & chromosomes normal
IVF# 1 April/May/June 2013 - 5 genetically normal embies on ice!
FET 6/11/13 - transferred 1 embryo

:angel: - July 2008 5w4d
:angel: - Sept 2008 5w
:angel: - June 2012 10w
:angel: - Chemical Aug 2012 4w5d
:angel: - Ectopic September 2012
:angel: - Suspected ectopic Feb 2013
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Re: Trying after Ectopic?

Postby Neisy » Sat Oct 06, 2012 9:23 pm

Hi Ladies!
I am so sorry about your losses, I also M/C last month. It is really hard my numbers only went up to 62, I was so exited and even during the bleeding I kept hoping for a miracle. Everything has sunk in now but I still kept my pregnancy test just to remember the baby. I am also going to try again right away. I miscarried naturally and had 14 days of spotting/bleeding. It has been a week and 5 days since my bleeding stopped. I have been using OPKs and they are coming up pretty dark but not quite there yet so hopefully tomorrow it will be positive! You should start on the folic acid right away, I am taking pre-natals because my Dr recommended it. I also have heard you are more fertile after M/C! Goodluck to both of you! :D
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Re: Trying after Ectopic?

Postby fortune313 » Sun Oct 07, 2012 3:50 am

Shew thank you so much for your response :hugs: it really truely means a lot to me right now. I'm so sorry you are also currently going through this process. There are days I still cry all day because of reality of the situation.



Did your doctor say anything about how soon you could start taking folic acid? I know mine said don't take any vitamins because it will reverse the methotrexate but what about if we took just the folic acid?


Is your doctor making you wait a cycle more for dating purposes or is there another reason too?


Please keep me updated with your doctor appointment on Tuesday. You'll be in my prayers.
Me (29) DH (31)


BFP 05.31.09!!! (after almost 3 years of trying!!!)
Soy Iso CD5-9 (210mg)
EDD: 02.11.10
Preeclampsia: Induced at 35 weeks.
01/09/10 our baby boy was born :)


Currently TTC #2 (07/2011)

Dx: PCOS

Clomid 50mg -BFP - 09/13/12
10/2012 confirmed ectopic pregnancy
07/2014 - natural BFP, our first one ever - ended in miscarriage. :hb: not a day will go by that I won't think of you :hb:

*Praying on a miracle for #2*
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Re: Trying after Ectopic?

Postby fortune313 » Sun Oct 07, 2012 11:34 am

My numbers have only decreased by 7 :( I have to go back for another shot tomorrow morning. This is like the nightmare that never ends. I feel so devastated yet angry at the same time. Why did this happen to us?
Me (29) DH (31)


BFP 05.31.09!!! (after almost 3 years of trying!!!)
Soy Iso CD5-9 (210mg)
EDD: 02.11.10
Preeclampsia: Induced at 35 weeks.
01/09/10 our baby boy was born :)


Currently TTC #2 (07/2011)

Dx: PCOS

Clomid 50mg -BFP - 09/13/12
10/2012 confirmed ectopic pregnancy
07/2014 - natural BFP, our first one ever - ended in miscarriage. :hb: not a day will go by that I won't think of you :hb:

*Praying on a miracle for #2*
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Re: Trying after Ectopic?

Postby Shew34 » Sun Oct 07, 2012 12:01 pm

Oh, Fortune313, it just isn't fair. I'm so sorry your numbers have only gone down a bit. It's so sad that our bodies try to hold on to these babies. I've had 5 miscarriages now, and with 4 of them, my body took care of things. And, then I get one in the wrong spot and it's hard to let go. I hope this phase passes quickly for you and that before you know it you have a healthy baby on the way. As for your question about folic acid - that's the vitamin that reverses the shot. So, that's why you have to wait until your numbers hit 0 before replenishing your body with folic acid. Good luck to you, Fortune. You're in my thoughts!
Trying for #2 since Jan 2012.
DH - 36
Me - 33
DD :baby: - 9/1/09
All RPL tests & chromosomes normal
IVF# 1 April/May/June 2013 - 5 genetically normal embies on ice!
FET 6/11/13 - transferred 1 embryo

:angel: - July 2008 5w4d
:angel: - Sept 2008 5w
:angel: - June 2012 10w
:angel: - Chemical Aug 2012 4w5d
:angel: - Ectopic September 2012
:angel: - Suspected ectopic Feb 2013
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Re: Trying after Ectopic?

Postby fortune313 » Thu Oct 11, 2012 7:08 pm

Shew my heart aches for you... I couldn't imagine going through that many losses and still maintain my sanity. We went back for my blood draw today and my levels went down over 50%. They think I was starting to miscarry after the first shot but with two shots it just pushed things along faster (thank God because this has been a long journey). They think my levels should reach zero in about three weeks and then we're able to try with clomid again.


I was curious how your appointment went on Tuesday? I've been thinking about you a lot and keeping you in my prayers. It's kind of nice to have someone who knows what it's like to go through this.. you kind of were my stabilizer in this. I talk to my husband but as a man he doesn't understand the emotional drain it is to be poked at, have shots, have ultrasounds, blood draws every other day, all to help lose a baby.

Hope you're still following this.. I am still thinking of you.
Me (29) DH (31)


BFP 05.31.09!!! (after almost 3 years of trying!!!)
Soy Iso CD5-9 (210mg)
EDD: 02.11.10
Preeclampsia: Induced at 35 weeks.
01/09/10 our baby boy was born :)


Currently TTC #2 (07/2011)

Dx: PCOS

Clomid 50mg -BFP - 09/13/12
10/2012 confirmed ectopic pregnancy
07/2014 - natural BFP, our first one ever - ended in miscarriage. :hb: not a day will go by that I won't think of you :hb:

*Praying on a miracle for #2*
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Re: Trying after Ectopic?

Postby Shew34 » Fri Oct 12, 2012 5:39 am

Hi Fortune,

I've been meaning to get back to you. I haven't been on TWW very much lately - just too many emotions right now. Yes, you're right, I have no idea how I've kept my sanity! I just savor my sweet little girl and try to look forward instead of dwelling on what's happened. I've shed enough tears already!

I am so happy to hear your numbers have dropped so much!! I started bleeding yesterday, so I am hoping that means my numbers are low too. I am expecting a call on yesterday's blood draw today. FX!

My doctor's appointment went well. He suspects there is something wrong with my lining. It turns out I won't be able to try again this month though, but only because I have to go through a million tests this cycle. We'll be trying the cycle after that. Hopefully the HSG shows that my tubes are still good - I am TERRIFIED that we'll have trouble getting pregnant now.

Please keep me posted on how you're doing. You're in my thoughts and prayers as well - and I can't thank you enough for being in yours :) The support means so much!
Trying for #2 since Jan 2012.
DH - 36
Me - 33
DD :baby: - 9/1/09
All RPL tests & chromosomes normal
IVF# 1 April/May/June 2013 - 5 genetically normal embies on ice!
FET 6/11/13 - transferred 1 embryo

:angel: - July 2008 5w4d
:angel: - Sept 2008 5w
:angel: - June 2012 10w
:angel: - Chemical Aug 2012 4w5d
:angel: - Ectopic September 2012
:angel: - Suspected ectopic Feb 2013
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Re: Trying after Ectopic?

Postby Shew34 » Fri Oct 12, 2012 9:38 am

Fortune,
I found this article in my quest for some reassurance regarding pregnancy after methotrexate treated ectopic pregnancies. It's very "medical," but the findings are reassuring :)

http://www.ncbi.nlm.nih.gov/pubmed/2360595
Trying for #2 since Jan 2012.
DH - 36
Me - 33
DD :baby: - 9/1/09
All RPL tests & chromosomes normal
IVF# 1 April/May/June 2013 - 5 genetically normal embies on ice!
FET 6/11/13 - transferred 1 embryo

:angel: - July 2008 5w4d
:angel: - Sept 2008 5w
:angel: - June 2012 10w
:angel: - Chemical Aug 2012 4w5d
:angel: - Ectopic September 2012
:angel: - Suspected ectopic Feb 2013
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Re: Trying after Ectopic?

Postby fortune313 » Sat Oct 13, 2012 5:06 pm

That article actually was reassuring.. almost an 80% success rate within 4 months of trying after treatment.. we can only hope :praying:


One month off to do a bunch of tests might not be too bad.. at least that will rule out a LOT of things. Plus if they do find something, when you get pregnant the month after that they might have a solution to help keep you pregnant. Do you know what they are doing after the HSG? Are they going to biopsy your endometrial lining?

I'm still feeling pretty hormonal. I'm still crying a lot.. how long does it take for everything to balance out again?
Me (29) DH (31)


BFP 05.31.09!!! (after almost 3 years of trying!!!)
Soy Iso CD5-9 (210mg)
EDD: 02.11.10
Preeclampsia: Induced at 35 weeks.
01/09/10 our baby boy was born :)


Currently TTC #2 (07/2011)

Dx: PCOS

Clomid 50mg -BFP - 09/13/12
10/2012 confirmed ectopic pregnancy
07/2014 - natural BFP, our first one ever - ended in miscarriage. :hb: not a day will go by that I won't think of you :hb:

*Praying on a miracle for #2*
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Re: Trying after Ectopic?

Postby Shew34 » Sun Oct 14, 2012 4:11 pm

Hi Fortune,
Yes, they will be doing a uterine biopsy after I ovulate next. So, lots of blood work, the HSG and then the biopsy. I am hoping whatever they find is an easy fix. I just want to get pregnant and have no issues like everyone around me seems to do! And, I am not a patient person, I hate the waiting!

I'm sorry you're feeling so hormonal :hugs: In my experience, and sadly I have a lot, once you reach 0 and start to bleed, your hormones level out and the excess sadness goes away too. You'll always be sad about what happened, but it won't have that overwhelming hormonal tinge to it. Does that make sense? Just think of it as terrible PMS! I actually don't think I've hit that hormonal emotional bit yet since my numbers are dropping so slowly. Yay, something to look forward to, ha.

I have a girls trip planned next weekend - we're taking a day trip to a winery. I was hoping to be the DD when we planned it, but at least I can enjoy a glass of wine or 3 now. Trying to find the positive in things!

Hope you feel better soon!
Trying for #2 since Jan 2012.
DH - 36
Me - 33
DD :baby: - 9/1/09
All RPL tests & chromosomes normal
IVF# 1 April/May/June 2013 - 5 genetically normal embies on ice!
FET 6/11/13 - transferred 1 embryo

:angel: - July 2008 5w4d
:angel: - Sept 2008 5w
:angel: - June 2012 10w
:angel: - Chemical Aug 2012 4w5d
:angel: - Ectopic September 2012
:angel: - Suspected ectopic Feb 2013
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Re: Trying after Ectopic?

Postby Ash26 » Thu Oct 18, 2012 4:16 pm

Shew and Fortune-
Today I built up the courage to look at the ttc after a loss board and found your posts. I am in the exact same situation right now, and just had to post for some support.

I was diagnosed on 10/5 with an ectopic pregnancy near my right overy. This was my third cycle of clomid and IUI (following a few fertility issues- not ovulating, DH low motility, and me having a T shaped uterus). At first I did not know i was pregnant because I was spotting pretty heavily. My numbers kept rising- 22, 346, 990, 2226, and 3450. I had 3 shots of methotrexate- One Monday 10/8, Friday 10/12 and Monday 10/15. I had to go to the ER last night because of pain in my lower back and bad cramping. They did an ultrasound and can still see it blocking my tube, but my tube is not ruptured and they think the pain is just the metho finally working. I go back to the RE tomorrow for blood work to be sure my levels are decreasing. I just want to move past this.

I too want to ttc again and long for that baby that i lost (even though i know it was a large bunch of cells). I was curious about how long I have to wait, but thanks to your posts, it seems like there is hope.

I was just wondering- how far along were you ladies when you found out? And how long did it take to start bleeding after you were given metho? I have been given 3 shots and have had nothing more than a tiny bit of spotting.

My doctor informed me to stop the folic acid and to avoid any foods that contain it. The diet is awful but I am sticking to it.

Thank you for your posts. and Fortune- you post about talking to DH about this really stuck home with me. I felt like I was reading a post that I had written.
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Re: Trying after Ectopic?

Postby fortune313 » Sat Oct 20, 2012 7:05 am

Shew how are you doing? I'm still thinking about you. I wanted to hop on earlier this week to ask you how the weekend was but it's been an extremely busy week. I was also going to ask you, how long does it take for the bleeding to stop? After the second methotrexate shot I started bleeding about a day later, it lasted 7 days, stopped, and started a full heavy bleed again. I've bled for like three weeks at this point, and I'm feeling like my body was run over by a bus lately.


Ash I'm sorry you are also going through this. It is a hard step emotionally to get over. The methotrexate is not easy on your body. For me after the first shot I only spotted, I never fully bled. They said some people don't bleed as a reaction to it though. After the second shot I started bleeding 24 hours later.. I'm still bleeding. I'm having a lot of cramps still and lower back pain. I go back Monday to make sure my numbers are still dropping. This process wouldn't be so hard if it didn't take our bodies so long to do what they were meant to do. :hugs: it does get better though.
Me (29) DH (31)


BFP 05.31.09!!! (after almost 3 years of trying!!!)
Soy Iso CD5-9 (210mg)
EDD: 02.11.10
Preeclampsia: Induced at 35 weeks.
01/09/10 our baby boy was born :)


Currently TTC #2 (07/2011)

Dx: PCOS

Clomid 50mg -BFP - 09/13/12
10/2012 confirmed ectopic pregnancy
07/2014 - natural BFP, our first one ever - ended in miscarriage. :hb: not a day will go by that I won't think of you :hb:

*Praying on a miracle for #2*
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Re: Trying after Ectopic?

Postby Ash26 » Sat Oct 20, 2012 2:44 pm

Fortune- thanks for your post :)

I had my 3rd shot of methotrexate last monday. I started bleeding yesterday, not just spotting, this is pretty heavy bleeding. I also had blood work to confirm that my numbers have dropped, and they did, but not a lot. The RE said I am still in a dangerous zone where my tube could rupture.
I really wish my body could figure this out. As bad as it is to say this, I really just want to put this behind me and move on to a normal, happy pregnancy.

Good luck to you. I hope your bleeding stops soon. Did they say when you could try again? I asked the other day and was told 6-8 weeks from my last methotrexate injection, whenever AF arrives after that 6-8 week period I can resume treatment and try again.

Keep me posted! Its nice to have someone who just understands all of this.
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Re: Trying after Ectopic?

Postby fortune313 » Sun Oct 21, 2012 11:11 am

Oh Ash I know exactly what you mean! It's hard to move past everything when you're STILL waiting for your numbers to drop. I go back in tomorrow for another blood draw to see what my numbers are down too. Once our levels drop to zero we can start trying again. I have PCOS and I only get my period naturally three times a year, so we have to go on clomid to get pregnant. We have another meeting with our RE November 5th to discuss starting clomid again. Fingers crossed that this is a fast process, we can't wait to get pregnant again!


I'm glad you finally started bleeding.. as awful as it is.. it's a good sign for you :) Keep me posted on how you're doing.
Me (29) DH (31)


BFP 05.31.09!!! (after almost 3 years of trying!!!)
Soy Iso CD5-9 (210mg)
EDD: 02.11.10
Preeclampsia: Induced at 35 weeks.
01/09/10 our baby boy was born :)


Currently TTC #2 (07/2011)

Dx: PCOS

Clomid 50mg -BFP - 09/13/12
10/2012 confirmed ectopic pregnancy
07/2014 - natural BFP, our first one ever - ended in miscarriage. :hb: not a day will go by that I won't think of you :hb:

*Praying on a miracle for #2*
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