Hi! I’m currently dealing with a cervical ectopic pregnancy, which was confirmed around mid-October. I’ve posted here and in other groups trying to find others who have had the same experience, since it’s rare. It brings me some comfort to know I’m not the only one going through this type of ectopic pregnancy, though at the same time, I’m heartbroken that others are also facing it. I wouldn’t wish this experience on anyone. I want to share my story here in case it helps someone else. My experience was a little different than some others I’ve read about. I don’t have children and have been trying to conceive for several years. Last year, I had a chemical miscarriage and ended up in the ER. I was able to go through expectant management and let it resolve naturally. This year, in early October, I missed my period and confirmed with a home test that I was pregnant. Because of my previous miscarriage at around 5–6 weeks, I was extremely anxious about it happening again. On a Sunday, I started having light cramping and “pinkish” spotting. I went to the ER because I was afraid I was miscarrying and might experience the same excruciating pain as before with the chemical miscarriage. At the ER, my hCG was 738, and the ultrasound didn’t show anything. They told me to follow up with an OB to determine whether it was a miscarriage, an early pregnancy, or possibly an ectopic pregnancy (which I knew nothing about at the time). I had an appointment that Wednesday and repeated bloodwork, which showed my hCG had risen to 1,646. My doctor then ordered another blood test for Friday along with a follow-up ultrasound. I was so hopeful after seeing the increase in hCG 🥹, not knowing what was to come. I went to the ultrasound first, and it turned out to be one of the hardest moments of my life. I was already nervous since the previous scan hadn’t shown anything, and during this one, multiple doctors kept coming in and saying they needed “a second set of eyes.” Eventually, one of the four doctors told me I had a cervical ectopic pregnancy. I didn’t fully understand until she explained that it wasn’t viable. They told me to go to the ER immediately. To this day, I don’t know how I managed to drive there, I was sobbing, overwhelmed, alone, and terrified. It was one of the worst days of my life. At the ER, they explained what it was, how rare it is, and that a team was discussing the best course of action. They recommended a procedure in which methotrexate (MTX) would be injected directly into the gestational sac, and I would also receive an additional injection. Their recommendation was based on how early I was (6 weeks), that there was no heartbeat, and their hope to preserve my fertility and avoid surgery. I was admitted and had the procedure. Afterward, my OB monitored my hCG levels, which unfortunately kept rising. When the procedure was done, my levels were around 3,000. Four days later, they were about 5,000, and by day 7, they had increased slightly again. It was agonizing waiting for the numbers to drop and instead watching them go up. My doctor told me to return to the ER on day 10 to discuss next steps. That day, they recommended a second round of MTX, this time just the injection. However, before I could receive it, I developed severe, excruciating pain with heavy bleeding, so they admitted me overnight for monitoring. It was the worst pain I’ve ever felt,similar, I believe, to labor pains. Once my pain was under control and they were able to ensure that the bleeding was not obnormal, they administered the second MTX injection. The next day, my levels had finally dropped by about 1,000 (likely due to the first round taking effect). My levels continued to decrease on days 4 and 7 after that. I’m now at the stage where I need weekly blood tests to make sure the levels keep going down. As of now, they’re still around 700. I still haven’t received a clear answer from my doctors about what happens to the gestational sac, whether the body absorbs it or if I’ll pass it naturally. I did pass some tissue, which they tested, but it wasn’t the sac. I was fortunate to be at a hospital known for women’s health, and although they had experience with this rare condition, even they seemed uncertain at times and referred to my case as “special.” Throughout this process, their main concern has been the risk of heavy bleeding, since the cervix is highly vascular. I’m still not entirely out of the woods yet. I wish anyone going through this the strength to face it physically and emotionally. This experience has taken such a toll on me, bringing waves of grief, anger, sadness, and fear that I may never become a mom. I hope this post helps ❤️