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Re: : Follow up question of Dr Laureano FolgarFrom: Laureano (anonymous@obgyn.net)Thu, 24 Jun 1999 22:20:21 +0200
At Mon, 21 Jun 1999, rose wrote: > >Hi and thank you for your reply. I have done second laparoscopy that is >remove my fallopian tube the hcg level drop but it goes up again. I was >given methotexate (one time only)on 19th June and will have another hcg >test this 25th . My Dr told me if the hcg level result not good I will >have another dose. What worred me is that what happen if the medical >treatment does not work for me ? Is the methotexate is the only >treatment left for me. Is there any threatment that can pinpoint where >does the hcg level come from ? I dead worried cause I on M&C for almost >a month now and cant afford to goes on like this. > >Will appreciate your reply. >Rose Dear rose, standard treatment is 0,3-1 mg/kg/d during 4 days, so if HCG still elevated you could go on with metrotrexate using folinic acid to avoid secondary efects. If HCG is higher than 1000 mUI you must have a eco to evaluated the ectopic, less than 300 is high possible you could not see the ectopic tissue. Remenber to talk to your doctor, he knows more than anyones about your ectopic. Laureano Folgar ob/gyn especialist Hospital Comarcal Melilla MALAGA, SPAIN
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