Quick Answer: How Is Methotrexate Administered For Ectopic Pregnancy?

Where do you inject methotrexate for ectopic pregnancy?

We will inject the methotrexate into a muscle in your buttocks, which may be uncomfortable. Usually one dose will be enough but, very rarely, a second dose might be needed.

How quickly does methotrexate work for ectopic pregnancy?

When this happens, we know that the medication has worked. This can take at least 4-6 weeks.

What happens after methotrexate for ectopic pregnancy?

About two to seven days after the injection you will probably have some pain in your lower abdomen. It should not be severe and lasts four to 12 hours. You can also expect to have vaginal bleeding which is light or like a period. This lasts a few days but you may have a brown discharge for two to three weeks.

How did you feel after methotrexate for ectopic?

The most common side effect of methotrexate is some cramping belly pain. This pain usually occurs in the first one to two days of treatment. You may also start or continue to see vaginal bleeding or spotting, or have other GI side effects, like nausea, vomiting, or indigestion.

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How soon after methotrexate will I start bleeding?

A few days after the injection, it is usual to begin to bleed and this bleeding can last between a few days and up to 6 weeks. It is usual to have some discomfort and pain initially but as long as this is not severe.

How soon after methotrexate will I get my period?

Most find that their period arrives sometime around week six or seven after surgery, or, if treated without surgery, at some time in the four weeks after their hCG levels have fallen to below 100 mIU/mL. Before you can have a period, you would usually have to ovulate.

How fast do hCG levels drop after methotrexate?

If single-dose therapy is used, serum hCG concentrations are measured on the day of administration and on days 4 and 7 after administration. hCG levels frequently increase between the day of administration and day 4; however, there should be a 15% or greater drop in hCG between days 4 and 7.

What happens after methotrexate injection?

Methotrexate is given by injection. After treatment, you may have mild abdominal pain or cramping. Some women also have nausea and vomiting, diarrhea, or fatigue. There are some cases when you can’t use methotrexate.

How soon after methotrexate can I get pregnant?

However, due to general concern rather than actual risks, some healthcare providers recommend that men wait at least 3 months after stopping methotrexate before trying to conceive.

What should I avoid after methotrexate for ectopic pregnancy?

Yes, during treatment with methotrexate you should avoid the following:

  • Heavy exercise.
  • Sexual intercourse.
  • Alcohol.
  • Vitamins and foods that contain folic acid, including fortified cereal, enriched bread and pasta, peanuts, dark green leafy vegetables, orange juice, and beans.
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What happens if methotrexate doesn’t work for ectopic pregnancy?

If methotrexate therapy doesn’t work, surgery is the next step. It’s also the only option for women with high hCG levels, severe symptoms, and ruptured or damaged fallopian tubes. You may have laparoscopic surgery that involves a very small cut and a tiny camera.

How long stop folic acid after methotrexate?

Avoid taking these medicines during methotrexate treatment and for one week after your treatment has finished. Products containing folic acid, including multivitamins, can reduce the effectiveness of treatment with methotrexate.

Can your tube rupture after methotrexate?

There is still around a one in 14 chance of your fallopian tubes splitting open (rupture) after medical treatment with methotrexate, even if your hCG levels are going down. Therefore, be aware of the potential symptoms of a rupture and be ready to call an ambulance if you think a rupture has occurred.

Do you bleed after methotrexate?

After you get methotrexate, you may have: mild to moderate cramps or pain in the abdomen. vaginal bleeding (like a period)

What should you avoid while taking methotrexate?

What should I avoid while taking methotrexate? Avoid drinking alcohol. It may increase your risk of liver damage. Do not receive a “live” vaccine while using methotrexate, or you could develop a serious infection.

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