ectopic?

shell3879 · March 2013

So my nurse just called with beta #4 and it's 43. Definitely a jump from 11 on Friday. They are thinking ectopic is a possibility instead of a c/p. Anyone else have experience with this? What is the treatment? TIA!

Crystal120410 · March 2013

Unfortunately I got nothing but I hope it all works out ok for ya.

spinch · March 2013

Depends on the doctor, they can give you methotrexate (spelling) its what they give cancer patients to kill the cells. Or unfortunately they take the tube. I have had both so sorry to give you this type of advice. I pray an ectopic isn't the case.

hmz819 · March 2013

It could still be chemical. My first ivf my first beta was 12 second was 33 third was 130. Then four days later my beta fell to 10. I'm sorry your in this situation. I know how much it sucks

vegasbound0606 · March 2013

I hate that you are having to go through this. Praying for answers for you.

shell3879 · March 2013

Thanks ladies! I'm just extra disappointed since we might have to cancel my birthday getaway weekend to NYC. My RE preferred I not travel this weekend.

carrera317 · March 2013

Ugh I am sorry to hear that. Methotrexate is usually the first option if your beta isn't too high (>2000). It's an IM shot, like PIO, well, usually it's 2 shots at once. I went through increasing betas with no other visible signs of pregnancy on US. They thought it might have been ectopic but nothing was visualized in my tube (I only have 1). The trophoblastic cells (which secrete the hcg) can be anywhere, not just in a tube. My betas rose as high as 1800 but not on a curve that would sustain viability. The mtx is a much better option than surgery, if you qualify, but it just takes a lot of time for the beta to decrease to a point where you can cycle again. Sometimes a second round of mtx is required a few weeks later. As was said earlier, mtx is a chemo, it attacks fast growing cells. It's a low dose though that is administered for ectopic. It's a long road sadly, but what isn't in the world of infertility. I hope your torture is short lived. Good luck.

ps I'm a pharmacist

RosyGlow · March 2013

shell3879:
Thanks ladies! I'm just extra disappointed since we might have to cancel my birthday getaway weekend to NYC. My RE preferred I not travel this weekend.

So sorry to hear this. We had to cancel my birthday getaway due to monitoring appointments in the next couple of weeks, and it was one of my biggest disappointments of this process! Ha! Go figure. I'm so sorry you are dealing with this, Shell, and I hope it comes around and is a c/p instead of ectopic. Either way, it sounds like your doc is doing a great job monitoring you and keeping you safe. Sorry I have no advice. Hang in there.

BrideJackie11 · March 2013

carrera317:
Ugh I am sorry to hear that. Methotrexate is usually the first option if your beta isn't too high (>2000). It's an IM shot, like PIO, well, usually it's 2 shots at once. I went through increasing betas with no other visible signs of pregnancy on US. They thought it might have been ectopic but nothing was visualized in my tube (I only have 1). The trophoblastic cells (which secrete the hcg) can be anywhere, not just in a tube. My betas rose as high as 1800 but not on a curve that would sustain viability. The mtx is a much better option than surgery, if you qualify, but it just takes a lot of time for the beta to decrease to a point where you can cycle again. Sometimes a second round of mtx is required a few weeks later. As was said earlier, mtx is a chemo, it attacks fast growing cells. It's a low dose though that is administered for ectopic. It's a long road sadly, but what isn't in the world of infertility. I hope your torture is short lived. Good luck.
ps I'm a pharmacist

Question: if you are given MTX, do you have to wait a certain amount of time to recycle because of the teratogenic effects?

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