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Re: Ectopic questions (Long)

From: Debbie (anonymous@obgyn.net)
Mon, 31 Jul 2000 14:42:06 -0500 (CDT)


Hi Lisa,

I took the methotrexate with no problems whatsoever, but my Mom was cautioning me about it. She said it is new and experimental and I should just have the lap done. A friend of mine said she never would have trusted it because she would have worried that it would have left a little something in the tube...like not dissolved it all. Despite all that, I did it and it worked and I had no side effects...although...within 6 months my periods started to change. They were gradually getting heavier and longer. This went on for a few years and than I developed menorrhagia(excessive menstrual bleeding} and had an ablation for it this year. I always wondered if that metho had anything to do with this or not. I have read things from woman all over the net, that had tubal ligations, and their cycles were never the same again. Some went on to have an ablation, some a hysterectomy...and they wondered too if their tubal ligation had anything to do with it. I know that an ectopic pregnancy is so different than a tubal lig., but it seems as if whenever the tubes are messed with, problems develop in some woman down the road. I wonder if it has a connection?! That is why if I had the lap, maybe the outcome would have played out different. I was never followed up with an ultrasound or anything, which shocked me..but than again they never saw it on ultrasound so that could be why too.

Great news on the HCG being down to 82:)))) I remember that relief feeling, and am happy for you that it is down;)

Take care,

--
Debbie

At Mon, 31 Jul 2000, geo_gal wrote: > >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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