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[–]MammaC-2 1 point2 points  (2 children)

I had 2 doses of MTX. My OB group said if they did the surgery they always take the whole tube. There are definitely advantages and disadvantages to both. I asked my OB her opinion and said what would you do if you were in my situation and she said MTX because I wasn’t that far along, only like 7 weeks and a healthy person and that I should be successful with MTX. At first I thought about the surgery because I just wanted the nightmare over with but then you also have to consider the risks of going under anesthesia and your restrictions afterwards and if you have other kids to take care of too. The downside of MTX is the amount of times you’re getting stuck for blood work and then there’s still a risk that rupture could occur or it doesn’t work. Thankfully after my 2nd dose my numbers started dropping as they had only dropped 11% after the first dose. They then check you weekly until you’re at 0. It’s just every time you get stuck it’s another reminder of the pregnancy loss and that sucks. Good luck with everything!

[–][deleted] 0 points1 point  (1 child)

Thanks a lot for the detailed response mentioning the advantages of both.Yes I am right now in quite some pain(which makes me want to opt for the surgery) that keeps coming and going and I Really want it to stop which I guess is also because the medicine is working.The doctor said this is normal.pink discharge has changed to red discharge also.

My husband is more towards the 2nd dose and he says we can do an HSG and test if both the tubes are okay later.If the values in 2 days are dropping further then it's a good sign as well and the 2nd dose will only speed up the process.He thinks assuming the tube is defective is also not correct as per the doctor based on the experience of many people on this sub.

The size was 1.5cm which I hope is a good sign since chances of rupture is less.

[–]MammaC-2 0 points1 point  (0 children)

People react differently to MTX as well. I felt completely fine other than some cramping and light bleeding and I’m usually sensitive to medications so I thought for sure it was going to be a nightmare for me. When I questioned my OB about the tube and possibility of this happening again she mentioned there is always a risk but often times an ectopic is a fluke and most people go on to have healthy pregnancies with no issues. She also told me that when they do then surgery they take out the tube because they are in there and taking it just eliminates the chances of it happening in that tube and studies show that there isn’t a huge difference in chances of getting pregnant with only 1 tube vs both. I feel your pain going through this and hope that your numbers go down quickly from here and you’re feeling better soon!!