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Doctor insights on: Methotrexate For Ectopic Pregnancies

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Dr. Katharine Cox
4 doctors shared insights

Pregnancy (Definition)

When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more


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Treatment of ectopic pregnancy?

Treatment of ectopic pregnancy?

Options: The most important thing with an ectopic pregnancy is to get treated now. This is a true emergency. In early cases we can treat it with a medication called methotrexate. This is the best and safest option. If the ectopic is too big or beginning to rupture it must be treated with surgical intervention. If you have an ectopic pregnancy you should be seen in the er now. ...Read more

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How are ectopic pregnancies treated?

How are ectopic pregnancies treated?

It depends: Ectopic pregnancies can be treated w/medication or surgery. Early, stable ectopics in compliant patients are often treated w/methotrexate (a chemotherapy drug) & closely followed. More advanced ectopics or ectopics in patients that are unstable or complicated are usually treated by laparoscopy to remove the pregnancy and possibly the tube. An uncertain diagnosis is also a reason to operate. ...Read more

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Does methotrexate cause complications after molar pregnancy?

Mmm? Let's C.: If you have had a molar pregnancy, the use of Methotrexate is for what condition. Obviously a molar pregnacy is virtually non-viable and occurs in 1/1000 pregnancies. If you are on methotrexate, you cannot get prenant, because mtx is an abortifacient. Mtx metabolites stay in your sytem for up to 2 & 1/2 months. It should not cause complications, if you are justified in taking it.Do nnot try! ...Read more

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Does methotrexate cause fertility issues after molar pregnancy?

Does methotrexate cause fertility issues after molar pregnancy?

No: Methotrexate causes the abnormal molar pregnancy cells to stop growing. It will not affect fertility. It is important to avoid getting pregnant while taking the medication and for a few months after therapy is completed. Your doctor should give you details. ...Read more

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Had ectopic pregnancy successfully treated with 1dose of methotrexate. How likely is Fallopian scarring after this?

Had ectopic pregnancy successfully treated with 1dose of methotrexate. How likely is Fallopian scarring after this?

It was already there: Most Fallopian tube(ectopic) pregnancies already had luminal (phenobarbital) adhesions or scarring that stopped the fertilized ovum from transporting itself down the tube to the uterus. Methotrexate was the least traumatic way to end the ectopic as opposed to surgery. ...Read more

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Medical treatment for cervical ectopic pregnancy?

Medical treatment for cervical ectopic pregnancy?

NONE: Ectopic pregency of cervix is rare even rare going to full term, unless get implanted close to uterus, then a nightmare to managing team, always associated with bleeding, could be massive, usually aborts, or require urgent surgical intervention, and medical treatment has no role. Leave it to expert OB surgeon to handle the problem. ...Read more

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Blighted ovum or potential ectopic? My HCG levels doubled, then dropped twice before rising again. OBGYN is recommending methotrexate.

Blighted ovum or potential ectopic?  My HCG levels doubled, then dropped twice before rising again. OBGYN is recommending methotrexate.

Good idea: After multiple lab examinations, if there is still nothing seen in the uterus and a rising HCG, you most certainly have an abnormal pregnancy that should be actively managed. A dilation and curettage would help to figure out if the abnormal pregnancy was in the uterus. If it was confirmed that it was not in the uterus, then methotrexate would be a good idea along with continued lab follow up. ...Read more

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Can an ectopic pregnancy miscarriage naturally at 7 weeks without tubal damage?

Can an ectopic pregnancy miscarriage naturally at 7 weeks without tubal damage?

Unlikely: While tubal spontaneous abortion is known to happen. .. it is extremely unlikely and that is reason that ectopic pregnancy needs treatment by a skilled ob.gyn TUBAL damage has already happened which lead to the ectopic in the beginning. This means there is high risk if another ectopic pregnancy. ...Read more

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Does a blighted ovum miscarriage affect future pregnancies?

Does a blighted ovum miscarriage affect future pregnancies?

No.: Most women have at least one miscarriage during their reproductive life. You should have normal fertility and ability to carry a healthy pregnancy to term. Take Folic Acid 1-5 mg daily before conception. ...Read more

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Does Clomid (clomiphene) Cause ectopic pregnancy or misscarage?

Does Clomid (clomiphene) Cause ectopic pregnancy or misscarage?

No…: Clomid (clomiphene) is used to help conceive a pregnancy. Without the Clomid (clomiphene) there might not be a pregnancy that could either be ectopic of miscarry. I guess in that sense it would increase the risk by increasing the risk of the pregnancy itself. ...Read more

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Are pcos patients have higher risk for blighted ovum?

Are pcos patients have higher risk for blighted ovum?

Slightly: Statistically people with PCOS are at a slightly higher risk for miscarriage because their ovulations are not as "typical" as non-PCOS pts. If you are taking meds for your PCOS and continue them through the first trimester it can sometimes reduce your risk of miscarriage. ...Read more

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Can stiilbirth and eptopic pregnancies lower pregnacy rate after reversal?

Can stiilbirth and eptopic pregnancies lower pregnacy rate after reversal?

Ectopic - yes: Having an ectopic pregnancy means at least one of your tubes is unhealthy. If so, you would be far better doing ivf than having a tubal reversal. ...Read more

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I have a question about ectopic pregnancies after a tubal ligation. Higher risk than before?

I have a question about ectopic pregnancies after a tubal ligation. Higher risk than before?

Yes: It is a relative risk. Risk of pregnancy is tremendously decreased for obvious reason. But if it happens the risk of ectopic is higher. If a period is missed immediately do a pregnancy test. If positive called your ob/gyn asap. ...Read more

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Does a past eptopic pregnancy effect the chances of future pregnancies?

Does a past eptopic pregnancy effect the chances of future pregnancies?

Yes: An ectopic pregnancy is associated with a blocked or damaged fallopian tube. Many women with this problem are unable to conceive because there is no way for the egg to travel from the ovary to the uterus. ...Read more

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Does twin miscarriage considers as two miscarriages?

Does twin miscarriage considers as two miscarriages?

Unfortunate : Unfortunate event, miscarriage is miscarriage with one or two , if you want more descriptive you can say twin miscarriage ...Read more

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Ovarian cyst pregnancy always results to ectopic pregnancy?

Ovarian cyst pregnancy always results to ectopic pregnancy?

No: In all normal pregnancies there is a cyst that develops in one ovary called the corpus luteum cyst. This cyst supports the early pregnancy and goes away on its own. Sometimes a "cyst" seen in or near the ovary does represent an ectopic pregnancy (most often in the fallopian tube". This is often accompanied by pain and bleeding. ...Read more

Methotrexate (Definition)

Methotrexate was originally used in the early 1950's as a treatment for cancer but was also found to be effective in many other diseases including rheumatoid arthritis and psoriasis. It has anti inflammatory and immunosuppressive properties which make it an excellent first line therapy for RA ...Read more


Dr. Gerard Honore
489 doctors shared insights

Ectopic Pregnancy (Definition)

An abnormal condition in which the pregnancy occurs ...Read more