WOMENS-HEALTH Messages for July, 2000: Re: Ectopic questions (Long)

Re: Ectopic questions (Long)

From: geo_gal (anonymous@obgyn.net)
Mon, 31 Jul 2000 13:19:45 -0500 (CDT)

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At Sun, 30 Jul 2000, Jane wrote: >

I am trying to avoid this procedure again and would >like Methotrexate, because that I think will leave me fitter more
>quickly so that I can look after my 2 year old

Hi Jane,

I did extensive research on methotrexate as an option to consider if I needed treatment. Methotrexate is a potent anti-cancer drug, which, by the way, does not have FDA approval for this particular use. There have not been many studies done on it in this application, and most have not been well-designed. The time from initiation of treatment to resolution of the ectopic pregnancy is a fair bit longer with methotrexate than with surgery. You also risk having the tube rupture even while being treated with mtx. Also, patients were more likely to be debilitated after methotrexate therapy than surgery. There is alot of information on mtx on the web, from very reputable sites. I would encourage you to visit them, become informed and talk to your doctor about your concerns.

>I can understand all the things you're feeling at the moment - loss,
>despair, frustration, confusion, anger (well, I am anyway) and am
>completely distracted, totally preoccupied, on the verge of tears most
>of the time and yet trying to get on with as normal a life as possible
>for the sake of husband and child.

You bet-the emotional roller-coaster is not nice at all!

>
>I am thinking of you, and hope that your blood result tomorrow is a good
>one for you. If they are worried about ectopic, they should follow you
>back down to 0.

Thanks! We had a very encouraging result of 82 :-) The doctor is comfortable with expectant management at this point! Hurray!

Lisa

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