Ectopic Journey: 2nd Ectopic, High HCG, MTX
I’m nearing the end of my second ectopic journey, and I just want to hear similar stories and seek support. My HCG started off high, ~11,000, and I’ve had one Methotrexate injection. Right now as I approach week 5 post-MTX, I’m in the 100’s, and I’m feeling discouraged that the decline is slowing down. I know this is common, but I think I need someone on here to just say “hey, hang in there.”
Background:
1st pregnancy | Oct. 2025 | Ectopic, lost left tube
2nd pregnancy | Jan. 2026 | chemical
3rd pregnancy | Apr. 2026 | PUL, eventual diagnosis of Ectopic in right tube (ring of fire identified on US), treated with MTX
Levels (rounded)
Day 1 of MTX injection: 11,000
Day 7 MTX: 6,600
Day 14 MTX: 2,200
Day 14: extreme bleeding and large clots (one was the size of my palm). Had what felt like were contractions, waves of intense pain in my hips and lower back. Admitted in the hospital for overnight observation.
Day 21 MTX: 400
Day 31 MTX: 144
Day 37 MTX: 136
No one else I know personally has gone through this, and it’s so isolating. They don’t get it that this isn’t “one and done.” I still might have WEEKS of trending these labs, bleeding, pain, uncertainty. I’m honestly at a point that I just want my remaining tube gone. It’s already damaged, why even keep it? Not only am I terrified to conceive naturally again, but it would potentially cause issues if we pursued IVF, so why even keep it?
How much longer am I in this for? Is now the time to go get some green tea? Did you keep your tube or opt for removal?
I’d love to hear your stories and support.