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Doctor insights on: Methotrexate For Ectopic Pregnancies

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Dr. Heidi Fowler
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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What to expect after methotrexate shot for ectopic pregnancy?

YOU NEED TO CALL: Your gyn who prescribed that because it is the standard of care for your gyn to tell you what to expect and warning signs to look for and when to call if a problem so please call your gyn now so your gyn who knows you and your situation can go over all of this with you and when u should get the next bhcg drawn to make sure it is going down. ...Read more

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Can i board a 2 hr flight 5 days after methotrexate shot for possible ectopic pregnancy.

Can i board a 2 hr flight 5 days after methotrexate shot for possible ectopic pregnancy.

Should be ok: As long as where you are has nearby hospitals. Do bring a copy of your medical records, especially blood tests and ultrasound reports. By 5 days after a Methotrexate injection so people notice an increase in pain. However if you are having severe pain and feel lightheaded don't leave town! see your doctor because the ectopic may be bleeding. ...Read more

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Are there any risks to my new pregnancy/baby if I have fallen pregnant approx 3 weeks after a methotrexate shot for an ectopic pregnancy?

Are there any risks to my new pregnancy/baby if I have fallen pregnant approx 3 weeks after a methotrexate shot for an ectopic pregnancy?

Unlikely: The time it takes for 1/2 that medicine to leave your body is at the most 16 hours. Another half of the remainder in 16 and so on. By 3 weeks out there has been none in your system for some time. It can not effect the developing fetus if it is long gone. ...Read more

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Can methotrexate fail to stop an ectopic pregnancy from growing, eventually resulting in the rupture of the fallopian tube from the growing pregnancy?

Can methotrexate fail to stop an ectopic pregnancy from growing, eventually resulting in the rupture of the fallopian tube from the growing pregnancy?

Yes it can: Yes this scenario can occur if the ectopic pregnancy is greater than 8 to 10 weeks gestational age as methotrexate is less effective in larger ectopic pregnancies and a surgical approach is the option of choice. ...Read more

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Hello i had an ectopic pregnancy on october treated with methotrexate my af due tomorrow but i feel pain in my right side where the ectopic thank you?

Hello i had an ectopic pregnancy on october treated with methotrexate my af due tomorrow but i feel pain in my right side where the ectopic thank you?

Normal: It can be normal to feel a little pain, there could be some scar tissue there. I'm sorry you're going through this, but likely everything is okay. If you do become pregnant, make sure you see a doctor early in pregnancy to make sure the pregnancy is in the uterus. Best of luck. ...Read more

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Had my methotrexate injection 7 weeks ago for an ectopic pregnancy (about 3 weeks along). Still getting pos. home pregnancy tests. What's going on?

Should be tracked: After Methotrexate it is important that your BHCG levels be tracked all the way down to zero. Usually this is done weekly. This is done to make sure that Methotrexate worked to treat the ectopic pregnancy. Also since it has been 7 weeks are you sure that this is not a new pregnancy? It is possible that you are pregnant again. See an Obgyn for a BHCG blood test. ...Read more

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Can methotrexate eliminate periods permanently when injected for treating ectopic pregnancies?

Can methotrexate eliminate periods permanently when injected for treating ectopic pregnancies?

Not permanent : It can temporarily decrease the cycle but it is not ever permanent. You need to discuss this with your physician so you get to the appropriate evaluation and consultation ...Read more

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I was diagnosed with an ovarian ectopic pregnancy. I was given methotrexate to help stop cell division. Will this affect future fertility?

I was diagnosed with an ovarian ectopic pregnancy. I was given methotrexate to help stop cell division. Will this affect future fertility?

No.: You are very fortunate it was caught early and could be treated without surgery. Your chances of pregnancy with two ovaries and fallopian tubes remaining will be normal. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3191676/ ...Read more

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Due to an ectopic pregnancy my wife had 2 methotrexate shots 2 months ago we are now 7 weeks my wife is weak and queezy is this from the shots?

Due to an ectopic pregnancy my wife had 2 methotrexate shots  2 months ago we are now 7 weeks  my wife is weak and queezy is this from the shots?

See her doctor: While this may be unrelated, it still could be related to the injection or even an incompletely treated ectopic. She should follow up with the doctor who gave it her quickly. ...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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Ectopic pregnancy.Got 2 shots of methotrexate & right tube was removed. How much to wait before trying for baby & how to have healthy left tube?

Ectopic pregnancy.Got 2 shots of methotrexate & right tube was removed. How much to wait before trying for baby & how to have healthy left tube?

After ectopic: After tubal removal for ectopic pregnancy, i suggest waiting until ;#40;1;#41; a negative b-hcg ;#40;2;#41; you have a completely normal period before trying. You may want to discuss with your provider reasons why you may have had an ectopic pregnancy in the first place. History of stds, smoking, multiple sexual partners, infertility. When ready to try again, take folic acid. Mtx effect should be complete. ...Read more

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My friend wants to know is it ok to have anal sex during ectopic pregnancy treatment. Her levels are down to 2000 after 2nd dose of Methotrexate.

Most Unwise.: I dont know the specifics of how large her embryo is, but in general anything traumatic to the pelvis currently would be ill advised. If she can't have vaginal intercourse, I dont see why anal intercourse would be any differet. Methotrexate often also causes diarrhea as a side effect because it interferes with the normal gut lining and it's replacement. I'd suggest abstinence, or use of hands/toys ...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
481 doctors shared insights

Ectopic Pregnancy (Definition)

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