Mrs.McIrish
Mrs.McIrish

February 11th, 2014, 2:06 pm #11

I suspect my gyn will be the same about waiting to give the shot. I just gave the run down to the nurse ad was told,they need all the HCG reports and u/s from last week as they need to make their own independent assessment of the situation before they will give it to me. I also told the nurse that I was a little uncomfortable doing it without another u/s. I know the pregnancy isn't viable but I'd rather not take the drug if it was in fact intrauterine... I feel like the HCG level was too low to see anything last week..but maybe now we can as its closer to 1000... I'm just so tired of everything.
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Experienced
Experienced

February 11th, 2014, 2:59 pm #12

I think I am just cursed when it comes to anything IF-related. My beta is now up to 856 (515 on Thursday) so RE wants me to take methotrexate. Has anyone gotten this while cycling OOT and if so, where? When I asked the nurse where they usually suggest someone get the shot when OOT, her response was that she's never run into this situation before... Great... Don't I need to be monitored to see if beta drops? I feel like no one is taking care of me at all and that I'm on my own to figure it out...It's after 5 locally so I can't call anyone until tomorrow.
Call your gynecologist and just say you are pregnant with a suspected ectopic. You need to be followed-- ectopics need to be carefully monitored. It really shouldn't matter how the pregnancy happened. They should see you immediately or send you to a specialist if they can't treat you.

Take care and I'm sorry. I've had an ectopic treated with Methotrexate and it's difficult. Be sure you ask about how long to wait for subsequent cycles as it takes some time to clear from your body. Sorry again for that news, but it would be worse not to know I guess.
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Joined: August 1st, 2012, 6:50 pm

February 11th, 2014, 3:24 pm #13

I suspect my gyn will be the same about waiting to give the shot. I just gave the run down to the nurse ad was told,they need all the HCG reports and u/s from last week as they need to make their own independent assessment of the situation before they will give it to me. I also told the nurse that I was a little uncomfortable doing it without another u/s. I know the pregnancy isn't viable but I'd rather not take the drug if it was in fact intrauterine... I feel like the HCG level was too low to see anything last week..but maybe now we can as its closer to 1000... I'm just so tired of everything.
I feel inadequate repeating over and over how sorry I am about all of this. Wish I could say something more comforting.

I know this is all incredibly wearing, but I think it would be a good decision to wait it out a little. No advice on whom to see, but I think an OBGYN seems like a good choice.

Referencing the post above on misoprostol-- yes-- it is for IU pregnancies. It causes intense uterine contractions (I used it for one of my clinical losses-- dr was pressuring me to do a D&C). I would not use it again.

Mrs. McIrish, you have been through so much. I don't know the details of your whole story, if you are seeing a therapist, etc... If not, the right person might be helpful. I know it's not for everyone-- it has helped me a bit.

Take care of yourself- really. I hope you have something to relieve some of the grief and stress, even briefly.

Sophie

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Joined: January 16th, 2011, 11:41 pm

February 11th, 2014, 5:13 pm #14

I think I am just cursed when it comes to anything IF-related. My beta is now up to 856 (515 on Thursday) so RE wants me to take methotrexate. Has anyone gotten this while cycling OOT and if so, where? When I asked the nurse where they usually suggest someone get the shot when OOT, her response was that she's never run into this situation before... Great... Don't I need to be monitored to see if beta drops? I feel like no one is taking care of me at all and that I'm on my own to figure it out...It's after 5 locally so I can't call anyone until tomorrow.
My gyn sent me to the ER without seeing me. I've asked for another u/s before giving me the mtx. They are re-running hcg and checking liver enzymes before giving the medication... I'd just feel more comfortable knowing the pregnancy was located first. It's interesting talking with ER staff and explaining that I know this pregnancy is not viable as they prob have to give that news to most patients in this situation.
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Anonymous
Anonymous

February 11th, 2014, 5:47 pm #15

I don't have much to say - except I am so very sorry. You deserve a break and this is not it....(((((hugs)))))
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Joined: November 28th, 2012, 12:12 am

February 11th, 2014, 5:52 pm #16

My gyn sent me to the ER without seeing me. I've asked for another u/s before giving me the mtx. They are re-running hcg and checking liver enzymes before giving the medication... I'd just feel more comfortable knowing the pregnancy was located first. It's interesting talking with ER staff and explaining that I know this pregnancy is not viable as they prob have to give that news to most patients in this situation.
I hope you get another US. Under 1000 it will be tough to find anything IU. I wish they would let you hang in there another 24-48 hours. Are you having any ectopic symptoms?

I told my RE that I would not take the MTX unless they were beyond a shadow of doubt sure it was ectopic. They monitored me every 48 hours for a bit and then my HCG starting coming down. It was still up a bit last week so she did the endo biopsy to "move things along."

I hope you find someone there who hears your concerns and proceeds carefully. I'm so sorry you're going through this. HUGS
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Joined: January 16th, 2011, 11:41 pm

February 11th, 2014, 6:24 pm #17

This is a definite downside of cycling out of state. You are essentially no one's patient so it's hard to demand more monitoring.
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Joined: September 13th, 2008, 5:13 pm

February 11th, 2014, 7:09 pm #18

I think I am just cursed when it comes to anything IF-related. My beta is now up to 856 (515 on Thursday) so RE wants me to take methotrexate. Has anyone gotten this while cycling OOT and if so, where? When I asked the nurse where they usually suggest someone get the shot when OOT, her response was that she's never run into this situation before... Great... Don't I need to be monitored to see if beta drops? I feel like no one is taking care of me at all and that I'm on my own to figure it out...It's after 5 locally so I can't call anyone until tomorrow.
You'll be in my prayers. Take care, Maggie (in VA)
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Joined: August 1st, 2012, 6:50 pm

February 11th, 2014, 7:28 pm #19

My gyn sent me to the ER without seeing me. I've asked for another u/s before giving me the mtx. They are re-running hcg and checking liver enzymes before giving the medication... I'd just feel more comfortable knowing the pregnancy was located first. It's interesting talking with ER staff and explaining that I know this pregnancy is not viable as they prob have to give that news to most patients in this situation.
Just awful- so sorry! Please update as you are able. We are all thinking of you.
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Mimi
Mimi

February 11th, 2014, 9:43 pm #20

This is a definite downside of cycling out of state. You are essentially no one's patient so it's hard to demand more monitoring.
...to fax them a prescription for more monitoring. Something like "HCG tests today, tomorrow and the next day, U/S today and two days from now" or whatever. As long as you've got an RX they shouldn't have any problem with the monitoring.
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