TTC after MTX…wait 3 months or 6?
Hi guys, I got MTX in March for a PUL / presumed ectopic. At the appt where I got the MTX, my OB said I needed to be put on birth control ( I declined and have just not had sex at all because I’m horrified 😅) because I could absolutely NOT conceive prior to 6 months post MTX because the baby would have spina bifida, neural tube defects etc. That was shocking to me because almost everyone else I’ve seen on this page has said their doc recommended 3 months, some even saying there’s told them no wait was necessary.
I guess my question is - how long were you told to wait? My experience with this OB throughout the course of the ectopic was not great. I truly don’t think he is very educated on them (which means I did not get very much education from him) and he never even considered the possibility of ectopic despite all of the signs pointing to it, and dismissed me every time I even said the words “ectopic” or “PUL”. I guess I’m trying to figure out if I should try to go see a different OB and discuss things with them and get their opinion. I was also told that there was no reason for an HSG because I’ve had a successful pregnancy prior and it’s “easy for me to get pregnant”.
Is the only concern with getting pregnant after MTX the folate depletion, or are there other contributors? If I got a hormone panel to check everything including folate and it’s normal, would that mean I’m fine?
To be clear - I’m not ready to TTC yet, my cycle is still extremely messed up which leads me to believe my body is not healed yet. I definitely won’t be trying prior to 3 months post MTX and definitely not before I discuss things with my OB or a new one, get hormones checked, potential HSG etc., but I just wanted to get some others opinions and hear what their doctors told them and that extra push to maybe switch OBs.
Thank you guys ❤️