PREGNANCY-BIRTH Messages for February, 2000: Re: Bleeding and pain after methotrexate

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Re: Bleeding and pain after methotrexate

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Fri, 18 Feb 2000 13:00:43 -0600 (CST)

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In reply to: Tracy: "Bleeding and pain after methotrexate"

At Thu, 17 Feb 2000, Tracy wrote: >
>I had an ectopic pregnancy diagnosed 2 weeks ago with high-resolution
>ultrasound and was treated with methotrexate. I cramped for 3 days and
>bled for a week, but the HCG levels on days 4 and 7 dropped by 30%, so
>my ob said treatment was effective.
>Now I am out of town and I have started severe cramping this morning and
>am bleeding again- bright red blood. Should I be concerned or am I just
>trying to pass some tissue, as happened with a previous miscarriage?
>
> Thank you for your help.

Did your ob draw any other levels? We generally follow levels weekly until they drop to zero to ensure the treatment was effective. Some bleeidng and pain is not unexpected, but if it is sever, you really must be seen by a doctor -- go the the local ER if you are out of town.

-- M. Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

Replies are for educational purposes only and do not construe a doctor-patient relationship; they do not take the place of a face-to-face consultation with your own doctor.

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