A member asked:

I had methotrexate for an ectopic pregnancy 4 weeks ago and as of monday my hcg level was at 96. it is now thursday and i have started my period. is it normal to start your period before the hcg level gets to 0?

Q: i had methotrexate for an ectopic pregnancy 4 weeks ago and as of monday my hcg level was at 96. it is now thursday and i have started my period. is it normal to start your period before the hcg level gets to 0?

: The use of methotrexate to abort an "ectopic pregnancy" is not 100%, so a positive HCG level (96) "four weeks" after methotrexate, may indicate an incomplete termination of the pregnancy. Obtain a repeat HCG level and see your GYN physician for an exam and additional testing (ultrasound) , as further treatment may be necessary.

A doctor has provided 1 answer

Dr. John Berryman answered

The use of methotrexate to abort an "ectopic pregnancy" is not 100%, so a positive HCG level (96) "four weeks" after methotrexate, may indicate an incomplete termination of the pregnancy. Obtain a repeat HCG level and see your GYN physician for an exam and additional testing (ultrasound) , as further treatment may be necessary.

Answered 8/11/2022

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A member asked:

I had methotrexate for an ectopic pregnancy 4 weeks ago and as of monday my hcg level was at 96. it is now thursday and i have started my period. is it normal to start your period before the hcg level gets to 0?

A doctor has provided 1 answer

Dr. John Berryman answered

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Had a ectopic pregnancy in june 2013 treated with methotrexate, my periods are irregular n my hormones are out of control. Is this normal?

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Could I have an ectopic pregnancy with hCG levels too low for home pregnancy tests to detect even after 2 months? Missed 2 periods, but tested neg 3x.

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