PREGNANCY-BIRTH Messages for February, 2000: Re: methotrexate

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Re: methotrexate - please help

From: anonymous@obgyn.net
Thu, 24 Feb 2000 11:23:26 -0600 (CST)

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In reply to: Michele: "methotrexate - please help"

At Thu, 24 Feb 2000, Michele wrote: >
>I've been diagnosed with an ectopic pregnancy and a "false yolk sac" in
>my uterus at 6 weeks (LMP). I will be given methotrexate tomorrow. I
>just want to know what I can expect. How long will it take until I lose
>the baby? Will it be similar to a miscarriage?(I had one recently at 8
>weeks LMP) Are there any side-effects from this drug? How effective is
>it? What will be the physical recovery period? I am very scared and
>really would like to know what to expect... If anyone can help or share
>their own experience (good or bad) it would be of great help to me.
>Thank you.

Methotrexate is a chemotherapy medication that is now probably the standard of care for the management of early, unruptered ectopic pregnancies. It is safe, effective, avoids the need for potentially dangerous surgery, and is more likely to leave you with a normal Fallopian tube than is surgery. It will be very similar to a miscarriage, though you may have more abdominal pain than before. Methotrexate can impact your bone marrow temporarily, so your doctor will be checking to make sure that you are still making enough white cells. I have had a number of patients that have had both the Methotrexate and laproscopic surgery for ectopics. They are univeral in their preference for the Methotrexate.

I am sorry that you are in this position. Good luck!

--
William D. McIntosh, MD, FACOG
Clarksville, TN

This is for educational purposes only, and is not intended to be replacement
or substitute for consultation and examination by an appropriate medical
professional.  Due to time constraints, private e-mails cannot be answered.

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