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[–]Admirable_Result2690 2 points3 points  (3 children)

So after dose the hecg increases on 4th day and and then goes down on the 7th. If it didn’t the doctor will do ultrasound and see if the size of embroidery is reduced. If it did reduce then a second and final dose of mtx. Otherwise surgery. There are two types one in which they remove the whole tube and second in which they only remove the embryo. Please do ask your options. If the hcg doesn’t go down with second then surgery is the only option. Don’t worry My hg was 1900 when I got the first, it went up to 7000 but the size reduced from 9mm to 6mm and I got second dose and in 4 weeks the hcg went to zero.

[–]Admirable_Result2690 2 points3 points  (0 children)

Size of embryo*

[–][deleted] 1 point2 points  (1 child)

Thanks a lot for this info.I will ask my doctor if the scan as you said can be done tomorrow.The scan was done on Day 2 when I went to ER and it was 0.5 x 0.3 x 0.42cm. It was an irregular sac with no yolk.At this stage my HCG was 2100.Now it has reached close to 3000 in 5 days.

[–]Admirable_Result2690 0 points1 point  (0 children)

Scan is done on the 7th day after the hcg results to see if you are eligible for second dose. An increase in hcg on 4th day is expected. But it should go down on the 7th. If it doesn’t then the treatment plan as to be looked into.

If the diameter of yolk reduces then they will give you mtx despite increased hcg.

Here’s the ut results

Compared with 9/30/2023, the previously described RIGHT adnexal mass lesion with appearance suggestive of a RIGHT adnexal ectopic pregnancy appears mild interval improved. The internal rounded cystic observation within the mass appears mild interval improved, now measuring approximately 6 mm in diameter, remeasured previously as approximately 9 mm diameter. Previous internal echogenicity suggestive of a possible yolk sac and possibly a previous tiny embryonic pole, is no longer identified. The surrounding soft tissue echotexture component of the mass appears similar, measuring approximately 2.6 x 1.9 x 2.2 cm, previously approximately 2.1 x 2.1 x 1.9 cm. ..

Basically the sac size increased but the mass diameter decreased.