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11-29-2012 at 3:41 PM
skeppler1
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Ectopic Pregnancy..what to do now

I just got back from having an vaginal ultrasound and came out with the worst news. It is ectopic, so now we are waiting to see if my levels are going down on their own or if I will need a shot to stop it.

I feel so defeated right now.  I know it isn't the end but I wanted it to be successful so badly.  I guess we just have to get over this now and wait til try again.

Has anyone else been through this? Any advise?



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11-29-2012 at 3:45 PM
PrimRoseMa...
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I'm so very sorry for your loss. I have not been through an ectopic, but I'm sorry that you are going through this. 

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11-29-2012 at 3:46 PM
kt012885
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I'm so sorry for your loss.  I haven't had ectopic but did have a loss back in June.  As far as the loss goes- take all the time you need to get through this.  It will get better with time. 

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11-29-2012 at 3:51 PM
octbride12...
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I am very sorry you are going through this.  I experienced this a couple of years ago.  It was discovered around 5-6 weeks, I got the shot and my levels did not drop much, when I was due for the second shot, I ended up having an emergency surgery becauseit burst through my tube.  To be honest I am surprised they did not give you the shot when you were diagnosed.  Hopefully it will resolve on it own but please, if you experience any heavy bleeding or any pain please go to the ER because this can be very dangerous.  Best of luck. 
 
11-29-2012 at 3:58 PM
andrea0418
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I'm so sorry for your loss. This happened to me in August. They did not catch it before it ruptured. I ended up losing over 2 liters of blood internally and they had to remove my tube and ovary. So I would not wait around!! It can be life threatening if it ruptures.

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11-29-2012 at 4:40 PM
skeppler1
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Thank you ladies. I definitely will go to the ER if anything happens. Was it easy to get pregnant again? I have to take provera to have a period and took clomid for the first time to get this positive pregnancy.
I am glad they did catch it early. Just sucks. It was my first positive.
Thank you again ladies. I really appreciate it.


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11-29-2012 at 4:50 PM
starinala
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I had an ectopic pregnancy in June.  I ended up getting a shot of Methotrexate.  It took about a month for my HcG levels to drop back to zero from 800.  I'm going to tell you what my experience was so you can have an idea of what might happen after the shot because I had no idea what was in my future when I got it.  The shot made me sleepy and really dehydrated with dry eyes the first day.  I got the shot in the morning and went to work after.  The shot also made me a bit tired.  The most discomfort I felt was gas pains and having a BM.  For some reason, my sphincter muscle seemed tight.  That last for about a week.  I only had to get one shot because my numbers were dropping at the rate they needed to.  After that first week, I didn't feel anything.  It was just a lot of blood work to follow-up on progress.  I did bleed a normal period amount for 30 days straight.  That was annoying.

Keep your head up and know that at least you are being monitored by your Dr and that it was found before it grew larger.  I did get a test done to see if my tubes are blocked.  They may suggest that for you also.  It'll give you a better idea for TTC in the future.


Married September 17, 2011. Me 37, PCOS H 43, SA normal. TTC #1 since November 2011. HSG - both tubes clear. Metformin+ Clomid + Prometrium (Ob/Gyn) Attempt #1- January 2012- Chemical Pregnancy Attempt #2- June 2012- BFP- Ectopic (5 weeks), Methotrexate Attempt #3- November 2012- BFP- Miscarriage (5 weeks),D&C(12/14/12) December 17, 2012 first apt with RE Metformin + Folgard+ Clomid+ Bravelle + TI +Prometrium (RE) Attempt #4- March 2013- 2 follicles- BFN Attempt #5- April 2013- 2 follicles- BFN w/FRER 5/12/13, b/w 5/14/13 scheduled  
11-29-2012 at 4:55 PM
starinala
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I forgot to mention that I was also on Clomid (the ectopic was my first round) and now I am pregnant the first try after the ectopic.  Now I am just trying make sure this one sticks.  I do know it's not an ectopic as I had an u/s today.

Best of luck to you.


Married September 17, 2011. Me 37, PCOS H 43, SA normal. TTC #1 since November 2011. HSG - both tubes clear. Metformin+ Clomid + Prometrium (Ob/Gyn) Attempt #1- January 2012- Chemical Pregnancy Attempt #2- June 2012- BFP- Ectopic (5 weeks), Methotrexate Attempt #3- November 2012- BFP- Miscarriage (5 weeks),D&C(12/14/12) December 17, 2012 first apt with RE Metformin + Folgard+ Clomid+ Bravelle + TI +Prometrium (RE) Attempt #4- March 2013- 2 follicles- BFN Attempt #5- April 2013- 2 follicles- BFN w/FRER 5/12/13, b/w 5/14/13 scheduled  
11-29-2012 at 5:07 PM
skeppler1
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starinala:

I forgot to mention that I was also on Clomid (the ectopic was my first round) and now I am pregnant the first try after the ectopic.  Now I am just trying make sure this one sticks.  I do know it's not an ectopic as I had an u/s today.

Best of luck to you.

 

Thank you so much. And I am glad to know that it was pretty easy for you to get pregnant again, best of luck to you and the baby!!



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BFP#1 • 11/15/12 ectopic-too early to have EDD • MTX 11/30/12
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11-29-2012 at 7:06 PM
hoopduck
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The good news is that they caught it early. If I had a do over I would absolutely not wait to get that shot, though. When is your next appointment? I waited too long to have my symptoms checked (6-7 weeks) and I lost my right tube because of that naivety. It has taken almost 9 years for me to have a pregnancy that didn't miscarry right away. I was able to conceive on a fairly regular basis though, so it didn't seem to affect my fertility. I hope everything goes well hun, that your tube is flushed and they don't have a reason to remove the pregnancy surgically. My heart absolutely goes out to you right now, Skeppler. I was married 5 months when I had mine and it was our first pregnancy too. *hugs* Keep us updated and don't let the docs tell you to wait if you don't feel comfortable waiting, okay? Take care of yourself Wilted Flower

TTC since 2004 Ectopic 2005, lost right tube. Multiple miscarriages.  BabyFetus Ticker 
11-29-2012 at 7:07 PM
want2Bmum
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So sorry for your loss. After 2 miscarriages, I went to an RE the best in my city. He put me on progesterone and baby aspirin and I got pregnant again in february this year. 6 weeks passed and we went for an US and he couldn't find anything in the uterus. He finally saw something in my right fallopian tube. My betas were around 2300. They didnt detect any fetal activity so they decided to manage it with Methotrexate. I and DH were devastated. Some blood work was ordered and I received a single dose (2 shots) of MEX and was asked to follow HCG to see if it was going down. 2 days later I had the most severe of pain in my abdomen and DH rushed me to emergency where they first suspected my tube had burst and prepared to rush me to emergency surgery. DH called my OB and he stopped the surgery as we don't have any kids and he didn't want to take my tube out. 2 days in hospital they tracked the mass in the tubes for size and finally I was allowed to go home after pain went down significantly. In following days I kept passing out the tissue. I went back for an US and HCG and both came in clear. We were asked not to try again for 3 months as MEX has a way of flushing out all follic acid form a woman's body and chances of birth defects are more with such a deficiency. We took some time off and started trying again in october. Went to RE again and he did an HSG test to check tube blockages from previous ectopic and gave us an all clear. We never found out the reason for ectopic as we had no risk factors. This time around, I also started Accupunture to help with blood flow and anxiety. I got BFP in second attempt of trying. So far the counts seems to be doubling fine. I am going in for US next week.

Just make sure you protect your tube. Like the above poster said I'm too am surprised they didn't give you MEX as there is limited time to do that.  I guessing your counts may be  low for them to think that the ectopic will resolve itself. Surgery is the next option if MEX window is missed and is a less preferred option due to side effects.

Hope this helps... 

 

 

 

 

 

 

 

11-29-2012 at 7:13 PM
Shayliz
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When are they bringing you back in? I'm surprised they did not give you the shot today after confirming an ectopic. If they see it in your tube, they should be acting quickly to ensure your tube is not compromised. I would call back in the morning or just go back tomorrow and ask them to give you the shot. 

It took a week to see my ectopic pregnancy in the tube, and by the time they could actually diagnose it via ultrasound - my tube was to the point of almost rupturing. I had to have emergency surgery and my tube was removed because it was stretched more than a tube ever should be.

Not trying to scare you, ectopics and your tubes just aren't things to sit around and wait with.  Unless their confirmation of the ectopic was simply a empty uterus and they did not visually see an embryo in your tube? In that instance, I can see them waiting 2 days to watch HCG levels.

 
11-29-2012 at 7:24 PM
andrea0418
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My ectopic ruptured aug 27th. They did Emergency surgery to remove my tube and ovary. I got my period back oct 1st and conceived that month. I was very surprised to get pregnant so quickly. I thought it would take longer since I would only release an egg every other month having only 1 ovary. But we were very excited and this baby made it to my uterus. I'm so sorry you are going through this! I know how scary/devastating this can be!!

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11-29-2012 at 8:03 PM
transcribe...
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First off, Im sooo sorry! Secondly, I myself am waiting to see if I have an ectopic..OK, I had 3 positive tests at home, called and made an  appt and they got me in the following week..my appt was on 11/16..the visit seemed to be going ok until the doc asked if I was having any pain and I told I was on my right side off and on. I had been in a car accident on October 3 and the seat belt had left a bruise in that spot so i just figured it was that..she examined me and wanted an ultrasound.  Well according to my LMP, she told me then I was 6 wks. 3 days. So the ultrasound started and there was nothing in my uterus BUT they saw a big ovarian cyst and "something' hanging off it or beside of it.well, I have had paraovarian cysts for a few years..So i get my Hcg levels done that day, leaving the office with them telling me if pain starts, get to the ER STAT..Scared the crap outta me and been scared since then. So that day, my levels were 400's, 2 days later, they were in the 800's..I hear from the doc and they just want me to keep my next appt. and in MY mind, Im wondering WTH? How can they make me wait so long (Dec 4). So I called the next day and told them that, if they were so worried why wasn't I been tested again?! So they fax over an order to the hospital for me to go back in 1 week which was just this past Monday,the levels were 21,049 and I have NOT heard from them! So 2 weeks is passing by with me not knowing for sure if I have an ectopic or not. I won't find out until Tues when I go to the doc for my regular visit and have another ultrasound! If it is an ectopic, I guess from all these posts, I will get a shot..I am praying every day and scared every day with just not knowing whats going on..I've read that hcg levels still rise in ectopics so Im just going insane waiting..again, I am so sorry for what your going through, I possibly could next week :(

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11-29-2012 at 9:25 PM
Lovestruck...
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I am so sorry you are going through this. ((hugs))

~a pessimist is an optimist with experience~
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11-29-2012 at 9:26 PM
Amanda&Eri...
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I didn't read all the replies. I went through an ectopic years ago. It was awful- please please please insist on being monitored closely. Mine was not caught early enough, and I was sent to emergency surgery during which I almost bled out and my family was told to call our priest. :(

Insist on being checked VERY OFTEN.

 


Wyatt 9/6/2011 Expecting #2 July 2013!!!
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11-29-2012 at 9:59 PM
Shayliz
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transcriber87:
First off, Im sooo sorry! Secondly, I myself am waiting to see if I have an ectopic..OK, I had 3 positive tests at home, called and made an  appt and they got me in the following week..my appt was on 11/16..the visit seemed to be going ok until the doc asked if I was having any pain and I told I was on my right side off and on. I had been in a car accident on October 3 and the seat belt had left a bruise in that spot so i just figured it was that..she examined me and wanted an ultrasound.  Well according to my LMP, she told me then I was 6 wks. 3 days. So the ultrasound started and there was nothing in my uterus BUT they saw a big ovarian cyst and "something' hanging off it or beside of it.well, I have had paraovarian cysts for a few years..So i get my Hcg levels done that day, leaving the office with them telling me if pain starts, get to the ER STAT..Scared the crap outta me and been scared since then. So that day, my levels were 400's, 2 days later, they were in the 800's..I hear from the doc and they just want me to keep my next appt. and in MY mind, Im wondering WTH? How can they make me wait so long (Dec 4). So I called the next day and told them that, if they were so worried why wasn't I been tested again?! So they fax over an order to the hospital for me to go back in 1 week which was just this past Monday,the levels were 21,049 and I have NOT heard from them! So 2 weeks is passing by with me not knowing for sure if I have an ectopic or not. I won't find out until Tues when I go to the doc for my regular visit and have another ultrasound! If it is an ectopic, I guess from all these posts, I will get a shot..I am praying every day and scared every day with just not knowing whats going on..I've read that hcg levels still rise in ectopics so Im just going insane waiting..again, I am so sorry for what your going through, I possibly could next week :(

I'm not a doctor or anything but I'm fairly certain your tube would have ruptured by now if you've gone almost 2 months with a "suspected" ectopic.  With an HCG level of 400 or 800, it's completely normal to not see anything in the uterus yet. The fact that your levels have risen into the 21k range and you aren't having extreme pain, passing out, etc.. you're probably not experiencing an ectopic.  

 
11-30-2012 at 7:02 AM
transcribe...
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Thanks Shayliz! I have had so many people that know about this say, oh your probably fine, your levels are rising..I just still won't feel at ease until I see the sac in the uterus on Tues, KWIM? With my last, I had an ultrasound in my 5th week and there she was. When I first found this out, I posted on here and most said maybe I wasn't as far along as the doctor originally thought..Im still praying


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11-30-2012 at 8:29 AM
skeppler1
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Thank you ladies for the continued support, it helps. And I am so sorry that there are so many of you that were in the same position as I am now.  It is very hard, and didn't realize it would be.

A little background:

My numbers have always been low. I got the positive test on 11/15, called the doc and went in for blood work on 11/16, numbers came back HCG 300 & Progesterone 2. Went back in 11/19 and those numbers were HCG 581 & Progesterone 2.9. Went back in 11/21 and only had HCG checked and it came back at 660.  So my doc was suspicious that it was an ectopic pregnancy or not a viable one at least :( I am waiting to here from them this morning if my numbers have changed at all. If they are around the same or higher I will be going in for the shot, but if they have decreased she said that since it is so early that it will naturally dissolve itself.

I am definitely watching for any signs but I feel fine right now so hopefully it won't come to surgery.

Thank you so much and I hope you all have a H&H 9 months!!! 



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