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Re: PREGNANCY: Confirmed Ectopic Pregnancy, Methotrexate Injection
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 31 May 2009 10:00:19 -0500 (CDT)
Annie
Yes, you should avoid them. Bleeding is unpredictable. Be sure to have
repeat levels drawn as if no dropping appropriately, you may need a
second injection...Dr. von Almen
At Thu, 28 May 2009, Annie wrote:
>
>I am a 33yo female and I recently found out I am pregnant. I have been
>pregnant 2 other times both full term, vaginal births. I have had the
>Paragard copper IUD in place since April 2008 without problems. I began
>light spotting on 5/14/09 that seemed like typical ovulation spotting
>(had what I thought was my LMP On 5/5/09....previous LMP on 4/4/09).
>Spotting continued thoughout weekend (5/15-5/17) as light but enough to
>require panty liner, no longer only on wiping. By Mon 5/18/09 I was
>bleeding and bleeding continued and turned into clotting by Wed 5/20/09.
>First ER visit on Fri 5/22; still bleeding/clotting. Ultrasounds
>(abdominal and vaginal) revealed IUD in perfect place in uterus and 1st
>revealed questionable "mass" near an ovary last week (5/22/09) and
>yesterdays revealed a confirmed ectopic pregnancy in the fallopian tube.
>My hCG levels were as follows (5/22 583, 5/24 659 and 5/27 almost 1600).
>Yesterday I received one injection of the methotrexate. I asked about
>anything avoid - alcohol, sun, sex, floic acid from my vitamin etc...
>the obgyn said "Nothing, not at such low doses". I want to and am
>inclined to trust my doc (new) but after doing some internet research it
>seems most if not all or more of these that I mentioned above should in
>fact be avoided. Could someone please let me know? Also, should I
>assume I will continue to bleed? As of, it seems to have ceased; however
>this happened this past weekend for about 24hrs and then came back
>strongly only to ease again.
>Thanks for any insight, both from personal experience but looking mainly
>for expert OBGYN insight.
>
>--
>Blessings
>
--
Note: Opinions expressed here are for educational purposes
only and, as such, do not constitute a physician-patient
relationship. This information is not intended to supplant
the need for you to consult with your physician prior to
choosing therapeutic options and/or interventions.
** Private emails cannot be entertained due to time
constraints; consequently, they will receive no response.
William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.
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