TW: successful pregnancy, secondary infertility, recurrent pregnancy loss

So often, when things were dark, I would search for things on Reddit for a glimmer of hope. My ectopic pregnancy really flipped my life upside down, but now that I’m on the other side of things, I just wanted to share my story for those that might find some solace in any similarities.

My infertility rundown:

Secondary infertility

First baby at 34. No issues conceiving. Only issue with birth was that he was a surprise breech and 9 1/2 pounds so he was born via caesarean.

Started ttc second when he was 18 months. 

Got pregnant when he was 20 months— ectopic pregnancy that ruptured. I was only about 5.5 weeks along and it seemed too soon for it to rupture. Turns out my tubal walls were probably weakened from a cyst that happened to be there and blocking the embryos passage. Emergency tubal removal. Found out later that they didn’t actually remove the whole tube- just part of it. Can’t confirm that set up my secondary infertility, but couldn’t help. 

I got pregnant two months later. Miscarried at 8 weeks. No known cause.

Did not conceive again until 11 months later. Chemical pregnancy.

Got infertility testing and began going to a clinic. Found out I have an AMH of .3 and my best producing ovary was also the side with the non-functioning tube. 

Began letrozole and cycle monitoring to try to optimize an egg for my working ovary. Although the tube can go to both sides, it is more likely they’ll pick up from the same side. Got pregnant that month- another chemical.

Pregnant 3 months later- chemical.

Saline sonogram found a large polyp. Scheduled for polypectomy. Was told that was likely why we have been miscarrying. After the polypectomy was told “never mind! Wasn’t that big.” :-/

Continued letrozole/clomid while preparing for IVF. 3 failed IUIs .

Doctor thought that maybe I have a niche from the C-Section, so did additional imaging- no evidence of that after additional ultrasounds. 

Got set up with a fertility clinic to begin IVF, began taking estrogen to prime for the next cycle. All meds were ready in my fridge, but… miraculously got pregnant that cycle and she stuck!

After intensive ultrasound monitoring, a 5cm subchorionic hematoma that resolved itself, and lots of spinning babies due to breech presentation at 34 weeks,  a healthy baby girl was born (via a successful VBAC) almost exactly 3 years from the date of my ectopic pregnancy.

I just hope this helps give hope to someone when staring at statistics. One tube, low AMH, advanced maternal age, history of recurrent pregnancy and ectopic, somehow still made it through. Hope you will too. ❤️

My hCG has been going up and down for weeks now. This has been the pattern of my hCG since 4 weeks post ovulation: 23 → 55 → 99 → 42 → 23 → 38

I experienced what both my doctor and I thought was a miscarriage and have been going in regularly to check if my hCG was going down to zero. It has now been about 6 weeks of testing my hCG and it has gone down the past few visits but my hCG has gone back up again today. My doctor thinks it may be an ectopic pregnancy so I have an appointment for methotrexate in a couple days.

There is nothing in the sonogram that shows any signs of ectopic pregnancy so my doctor is solely going off the irregular hCG. Has anyone had a similar experience? Does an ectopic have to show up on a sonogram?

I realize I am unlike many people in this group. I am childfree by choice and I took proper precautions.

Boyfriend (29M) and I (36F) had a condom failure, followed with plan B, which also failed.
I took a test to ease my mind when my very regular period did not show up and unfortunately, it did the opposite. A very clear line appeared. Bf and I talked. We agreed on abortion.

I went to Planned Parenthood, where the doctor said the words that started this whole ordeal, “I don’t see anything in the womb”. As she continued the ultrasound, she found a sac in my right tube (no heartbeat) and sent me to the ER for an ectopic pregnancy. (aged 5 weeks, 2 days) I have no risk factors for the ectopic other than being over 35.

I spend sixish hours in the ER, mainly waiting. I chose methotrexate as unplanned surgery scared me. I was given a regimen of two doses of MXT as my HCG was high. I also had no symptoms to suggest it had ruptured.

My draws have been as such:
1st dose- 6,010
Next day ER visit as I couldn’t stop shaking- 6,837
Second dose of MXT- 6,254
3 days later- 4,371
3 days later- 2,652
*Changed to weekly draws after that*
1st weekly- 1,100
2nd weekly- 211
3rd weekly- 61
4th weekly- 30.7
5th weekly- 15.6
6th weekly- 11.2
7th weekly- 11.9
*had what seemed like a normal period*
8th weekly- 9.8

My doctor seems stumped, but still thinks it can resolve without another dose of MXT, which I definitely don’t want anyways. Meanwhile my body is still pregnant and I am very sensitive to the HCG in my system. I was full body nauseous for a week before I went to the ER. Thankfully, they prescribed me Zofran. I smell things I normally wouldn’t, my body wants unplanned naps, and I constantly feel like crying. I’m trying to give myself grace, but I’ve gained 10 lbs. I can’t workout for fear of a rupture. I’ve had a slight discomfort in my lower right abdomen off and on through the whole ordeal.

My boyfriend has been so supportive and loving, but I’m anxious for this to be over. We have not been able to have sex this entire time. I’ve been taking care of him in other ways. I’m furious that my body betrayed me in the first place and now is refusing to finish getting rid of the betrayal. I’ve worked the entire time. The only thing I have told people at work, other than my boss, is that I’m having some health issues that should clear up in a couple of months. I just want this to be over.

Hi everyone,

I am in early pregnancy limbo. Based on my LMP, I should be about 7w3d. We got a positive pregnancy test and hCG ~13471.

I had a transvaginal ultrasound today to establish gestational age. The report noted:

• Thickened endometrium, but no mention of a gestational sac in the uterus.
• Two fibroids.
• Left ovary is normal.
• Right ovary has a corpus luteum, but the tech also noted: "Fluid seen adjacent to ovary, ? Hydrosalpinx vs ectopic."

I know the corpus luteum is normal for early pregnancy, but seeing the word "ectopic" next to fluid on the same side is terrifying, especially since my hCG is high and my uterus appears empty on the scan.

I am already in contact with my doctor and waiting for our next steps (likely more bloodwork/scans), but the waiting is the hardest part.

Has anyone had an ultrasound report that looked like this? Did it turn out to be a hydrosalpinx, an ectopic, or just normal fluid? What were your next steps for confirming what was going on? Any stories or advice would be so appreciated right now.

Context

• Last Period Date: 03/28/2026
• Ovulation: 04/12-13/2026
• I am yet to receive Dr's notes after the visit. The above text is from just ultrasound.
• Gave blood sample today as well to measure hCG.
• We have next visit planed for tomorrow.

Hi everyone,

I am in early pregnancy limbo. Based on my LMP, I should be about 7w3d. We got a positive pregnancy test and hCG ~13471.

I had a transvaginal ultrasound today to establish gestational age. The report noted:

• Thickened endometrium, but no mention of a gestational sac in the uterus.
• Two fibroids.
• Left ovary is normal.
• Right ovary has a corpus luteum, but the tech also noted: "Fluid seen adjacent to ovary, ? Hydrosalpinx vs ectopic."

I know the corpus luteum is normal for early pregnancy, but seeing the word "ectopic" next to fluid on the same side is terrifying, especially since my hCG is high and my uterus appears empty on the scan.

I am already in contact with my doctor and waiting for our next steps (likely more bloodwork/scans), but the waiting is the hardest part.

Has anyone had an ultrasound report that looked like this? Did it turn out to be a hydrosalpinx, an ectopic, or just normal fluid? What were your next steps for confirming what was going on? Any stories or advice would be so appreciated right now.

Context

• Last Period Date: 03/28/2026
• Ovulation: 04/12-13/2026
• I am yet to receive Dr's notes after the visit. The above text is from just ultrasound.
• Gave blood sample today as well to measure hCG.
• We have next visit planed for tomorrow.

Hey Everyone! Really looking for some insight and past experiences from you all ❤️

I'm currently 25DPO. I had light bleeding and spotting at 20 dpo. Since then my urine pregnancy tests seem to keep getting darker / staying consistent, however my hcg at 23DPO was only 263, which is really low. I've continued to have very light brown discharge on and off but nothing major and no cramping. I have 2 living, healthy, children and went through one horrific miscarriage between them. At first I was terrified of miscarriage as this is a reallllly wanted baby, but honestly, now I think I'm more terrified of an ectopic because of the data. (My husband and I have battled infertility All 14 years of marriage, I'm 37 now and this is the first time getting pregnant on an unmedicated cycle which in it self is a blessing.)

Anyone have similar labs/tests? If so what was the outcome? Just looking for some real world patterns. I'm getting my second hcg draw today @ 48 hrs and have a Dr. Appointment tomorrow, but just want to prepare myself mentally and emotionally and know which questions to take with me to the provider.

Thank you all for your time! Also I have pictures of the line progression but can't figure out how to post them.

I’m currently around 6 weeks pregnant (last period April 6). I’ve had brown spotting since May 8, which is still continuing. I also had a transvaginal ultrasound today and the doctor said they could not see a gestational sac in the uterus.

I have a history of 4 previous miscarriages, so I’m very anxious right now. I also have mild cramps, but they don’t feel one-sided. I don’t have shoulder pain or severe pain.

The doctor told me to go to the ER if I notice heavy bleeding, shoulder pain, or one-sided severe abdominal pain, mentioning ectopic warning signs. That has made me even more worried.

I had my hCG blood test done today and am waiting for the results.

My question is — is it possible this could still be ectopic even if nothing was seen on the scan? What could be the possible next steps in evaluation or management in this situation?

Hi all. i’m 23 and i had an ectopic back in september. basically, the cause of it was that my first OB placed my IUD wrong or measured myself uterus wrong or something like that and my IUD sat in the opening of my cervix for 3 years. once they found out i was pregnant they removed it. the crazy part was it took 3 weeks of suspicion, 3 doctors, and 5 internal/external excruciatingly painful intervaginal altrasounds just to get misdiagnosed and have my tube ruptured to find out that i had an ectopic. i was in the beginning of my last semester of university and my life changed.
my dr and i all disscussed going back on birth control so not being on one isn’t an option. the nexplanon made me very suicidal, depo is giving people brain tumors, and ive never been good on the pill. so now that im back on the IUD im mortified. every ache and bump makes me scared im constantly aware of my right tube now since it’s my only one. right now i came down with something and its the was everyone describes pregnancy flu. no fever just runny green mucus, the worse head abs neck pain, and diarrhea. plus my nipples hurt. so two tests one last night one as soon as i woke up nothing. i think part of me wants a happy healthy baby in utero but im not ready.

i’m scared and im not pushing for a baby any time soon but still i have 3 more years of my grad program before i can even consider a family but i just wonder if this fear will ever die down or go away. i think right now i may be a little emotional because mother’s day just happened and a friend who was pregnant and the same time 2 week apart had her baby a bit ago and it was just salt in the wound. i also just found out a friend of mine is 5 weeks and that’s around the time i found out about my ectopic. also stg 4 or 5 girls i went to school with jut had babies and facebook is torturing me. its just weird right now.

did any of you ever get over that fear of being pregnant. i just can’t keep dealing with the panic attacks when i feel a pain on my right side or spending 30 dollars on pregnancy tests a month it’s exhausting.

Hi all, i had a confirmed ectopic in Feb 26 but I am now concerned that my first miscarriage (July 25) was actually also an ectopic. They never found anything on a scan (PUL it was early) but were satisfied my numbers were going down. However it was v different to my confirmed miscarriage (Oct 25). My biggest concern if this was a second ectopic and both were self resolving, my liklihood of another is high. I am not sure I want to continue TTC however accidental pregnancy where I am unaware and it ends up being ectopic is now a worry. What are peoples experiences of having a removal vs leaving a very likely to be damaged tube?

So I am 5w4days pregnant, I tested positive on 9-10dpo and had mild cramps hear and there. Today i started to spot brown/pinkish discharge, called OB office since i had a miscarriage last year. I went to emergency and they did ultrasound (I asked them abdominal as my last loss started soon after tVS) the result came as inconclusive, doctor said no sac is seen and hcg was above 10000. I’m really worried now, has anyone gone through anything similar ?

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 ❤️

Got my HSG yesterday - left tube is blocked but not dilated. waiting for them the get my results over to my OB but at the fertility clinic they said it’s unlikely I’ll have to get it removed. But my question is wouldn’t that cause risk for an ectopic? Isn’t it just better to get the blocked tube removed? Has anyone TTC with one blocked tube and one normal tube and had a good outcome?

I've been answering questions in these communities for a long time, and there are a handful of things that come up over and over that I really wish people knew before they were sitting in a waiting room being told not to worry.

So here it is, all in one place. I'll probably edit as I re-read and think of things to clarify or add.

1. The “discriminatory zone” does not mean what many people think it means

The discriminatory zone — usually cited as 1,000–2,000 mIU/mL, sometimes higher — is the hCG level above which an intrauterine pregnancy should generally be visible on transvaginal ultrasound.

That’s it. That’s all it means.

The AAFP guideline on ectopic pregnancy explicitly defines it this way: “The discriminatory level is the β-hCG level above which an intrauterine pregnancy is expected to be seen on transvaginal ultrasonography.”

Not ectopic pregnancy. Intrauterine pregnancy.

If you're told an ultrasound is completely useless below 1,000 hCG, that’s an oversimplification and can be misleading in the context of ectopic pregnancy. An ultrasound at low hCG can still provide important information when ectopic is on the differential.

2. Ectopics can absolutely be seen at very low hCG. Here's why

When looking for an intrauterine pregnancy, you're trying to see a tiny gestational sac growing inside the uterus. That does require some hCG-driven growth.

But with an ectopic, you're often not looking for the embryo itself. You're looking for what the pregnancy is doing to the surrounding tissue.

A 2014 Harvard/Brigham and Women’s study of 231 confirmed ectopic pregnancies found:

• Tubal rings were seen with hCG as low as
• Adnexal masses were seen with hCG as low as 7

The authors concluded there is “no lower hCG cutoff value” for visualizing ectopic pregnancy findings.

Why? Because even at very low hCG, an ectopic can cause:

• A tubal ring — the tube swells and deforms around the implantation site
• A hemorrhagic or complex adnexal mass — bleeding into the tube creates a visible mass even when the embryo is microscopic
• Free fluid in the cul-de-sac — even a small amount of tubal bleeding can pool and be seen
• Disruption of normal adnexal architecture — the tube just looks wrong

The tube is a very small, tight space. It doesn’t take much to make things look abnormal.

Importantly, the most common finding in that study was not an embryo or yolk sac — it was a nonspecific adnexal mass. Just the tube looking wrong.

That has nothing to do with hCG reaching a certain threshold.

3. Not seeing an ectopic on ultrasound does NOT rule one out

This is equally important.

Even at high hCG levels, many ectopics are never visualized.

A normal or nondiagnostic ultrasound does not mean you do not have an ectopic. It means they didn’t see one. Those are not the same thing.

4. Rising hCG does NOT rule out ectopic

Ectopics very commonly rise slowly. Some rise at normal rates.

Rising hCG does not mean intrauterine, and it does not mean you're safe.

And here’s something that I think is underappreciated: reproductive endocrinologists and early pregnancy specialists do sometimes see ectopics that start with slow or abnormal rises and later begin doubling more normally.

A lot of our published ectopic beta-pattern data comes from ruptured ectopics — patients who often never had very early monitoring before things went wrong. The pre-rupture picture is genuinely understudied.

That doesn’t replace evidence-based medicine, but it does highlight the limits of the data we currently have.

So the fact that your betas “look better now” is not always reassuring if there is still no confirmed intrauterine pregnancy and the overall picture remains concerning.

5. hCG patterns — what they mean and what they don't

People get told things like "your hCG is low" or "your hCG looks good" all the time. A single number in isolation often doesn't tell you very much.

The trend matters.

What a normal rise can look like in a viable intrauterine pregnancy

Research suggests that among viable intrauterine pregnancies:

• With a starting hCG under 1,500, about 99% will rise at least 49% over 48 hours
• Between 1,500–3,000, at least a 40% rise over 48 hours is expected
• Above 3,000, at least 33% over 48 hours is expected
• Above 6,000, rates are much slower and vary widely

As hCG gets higher, the rate naturally slows.

A rise slower than these thresholds raises concern for ectopic pregnancy or early pregnancy loss, though rare viable pregnancies can fall outside these patterns.

What a drop means

• A drop of at least 21% over 48 hours suggests a likely failing intrauterine pregnancy
• A drop smaller than that raises more concern for persistent PUL or ectopic because the pregnancy may not be resolving the way we'd expect
• A drop followed by a rise is one of the biggest ectopic red flags

What a plateau means

Plateauing hCG is not inherently reassuring. It needs close follow-up and should not automatically be assumed to represent a resolving miscarriage.

What "slow then normal" can mean

As discussed earlier, some ectopics appear to start with slow, below-cutoff rises and later normalize. This pattern is understudied.

One concern is that many patients never have very early betas drawn. If someone only starts monitoring later — after the pregnancy has already begun growing more actively — the numbers may simply look "normal" from the first beta onward. You would never know there had been an earlier abnormal pattern.

But if you do happen to catch a pregnancy showing slow or concerning rises early, and then later see those rises begin looking more typical, that shouldn't automatically be treated as reassuring. The fact that the numbers improved does not erase the earlier abnormal behavior.

This doesn't mean every "slow then normal" pattern is ectopic. It means the whole story matters. Earlier concerning trends should still be considered alongside symptoms, ultrasound findings, and whether an intrauterine pregnancy has actually been confirmed.

How often should you be getting betas?

It depends on the situation, but if there are still unanswered questions — abnormal trends, symptoms, or no confirmed intrauterine pregnancy — serial betas every ~48 hours is a very common approach.

One thing I see a lot is people getting moved to much longer intervals while they're still in a PUL. Sometimes it's because the numbers are rising more appropriately, sometimes because they're dropping, and sometimes simply because things seem to be "heading in the right direction."

But if the diagnosis is still uncertain and ectopic is still on the table, longer gaps can create a false sense of reassurance.

Betas can change direction. A pregnancy that initially appears to be resolving can behave differently later. And ectopics can rupture at any hCG level — including while numbers are falling.

The point isn't that every person needs bloodwork every 48 hours forever. The point is that if you still don't know where the pregnancy is located, there should be a clear reason for spacing testing further apart.

If you're in active monitoring for a PUL and ectopic hasn't been reasonably excluded, make sure you understand exactly why the monitoring interval is what it is — and if it's extending beyond ~72 hours early on, ask questions and push for an explanation.

6. Ectopic is NOT truly ruled out until there is a confirmed gestational sac with a yolk sac in the uterus

A thickened endometrium does not rule out ectopic.

A gestational sac alone does not fully rule out ectopic either, because pseudosacs can mimic one.

The pregnancy is not confidently confirmed intrauterine until there is a gestational sac with a yolk sac clearly visualized inside the uterine cavity.

Until then, ectopic generally should remain on the table.

7. Red flags that should escalate your care

• hCG that dropped and then rose again
• Bleeding that seemed like a period, followed by a positive during or shortly after
• A faint positive, heavy bleeding, then darkening tests

• an “early” positive; too early or too dark to truly be from the cycle you think it is, meaning you had a bleed you counted as a period

• Slow/low betas that later begin rising more normally
• Late first positives for cycle timing
• Ongoing spotting or bleeding with no confirmed IUP
• One-sided pain
• Shoulder tip or shoulder blade pain
• Dizziness or faintness
• Prior ectopic, prior pelvic surgery, prior PID, or IUD pregnancy — your risk is elevated and you deserve earlier and more aggressive evaluation
• IVF pregnancy — ectopic rates are higher with IVF than with natural conception, even when embryos are transferred directly into the uterus. Many people don't know this and assume a transferred embryo can't end up elsewhere. It can. IVF patients with abnormal betas or no confirmed IUP need the same vigilance as anyone else

If you have concerning symptoms plus a pregnancy of unknown location and are simply being told to wait, push for a clear follow-up plan and seek another opinion if necessary.

8. “PUL” is not a diagnosis

Pregnancy of unknown location (PUL) means they have not yet identified where the pregnancy is.

That’s all it means.

It does not mean you’re fine. It does not mean ectopic has been ruled out. It means the location is still unknown.

PUL should involve active follow-up:

• serial betas
• repeat imaging
• a clear plan for what happens next depending on your numbers and symptoms

It’s a temporary state, not a final answer.

9. That “cyst” might not actually be a cyst

Early ectopics are very commonly mistaken for hemorrhagic cysts or nonspecific adnexal cysts.

If your ultrasound mentions:

• corpus luteum cyst
• hemorrhagic cyst
• adnexal cyst/mass

...and you ALSO have:

• abnormal betas
• no confirmed IUP
• one-sided pain
• bleeding
• late positives
• other ectopic red flags

...do not let the word “cyst” automatically reassure you.

The clinical picture matters just as much as the ultrasound label.

10. D&C with pathology is an under-discussed diagnostic option

In some PUL cases where a viable pregnancy can reasonably be excluded, uterine aspiration/D&C with pathology can provide very useful information.

If chorionic villi are found, the pregnancy was intrauterine.

If they are not, ectopic becomes much more likely and treatment can proceed more confidently.

This option is not discussed nearly enough. (I had this done!)

11. MTX saves lives — but the diagnosis matters

Methotrexate is an effective and important treatment for ectopic pregnancy. In many cases it prevents surgery and preserves fertility.

The issue is not MTX itself.

The issue is making sure the diagnosis is reasonably solid before giving it.

A resolving chemical pregnancy does not need MTX. A true ectopic may.

Before treatment, you ideally want reasonable confidence that:

• the hCG trend supports ectopic over resolving miscarriage
• viable IUP has been reasonably excluded
• you understand follow-up and treatment-failure signs

Once those boxes are checked, MTX may absolutely be the right next step.

12. The data on early ectopics is incomplete — and that matters

A lot of what we know about ectopic beta patterns comes from patients who ruptured.

Many never had early monitoring before things became emergent.

That means the earliest, most treatable stages of ectopic pregnancy are likely underrepresented in the literature.

This is part of why one “reassuring” number or one “good” rise shouldn’t automatically override an otherwise concerning clinical picture.

13. Ectopics can rupture at any hCG level

Including very low ones.

A low hCG does not guarantee safety or extra time. Neither does dropping so track to negative.

14. Not all ectopics are tubal

Most are tubal, but some implant elsewhere — and these are often more dangerous and easier to miss.

Interstitial/cornual ectopics, in particular, can grow larger before rupture because they are partially surrounded by uterine muscle. When they rupture, bleeding can be catastrophic.

If your report mentions:

• eccentric sac
• cornual
• interstitial
• angular

...ask specifically whether the location has been fully evaluated and whether expert review is needed.

15. Life after ectopic

Many people go on to have healthy pregnancies after ectopic — including with one tube.

Things I’d strongly recommend after resolution:

• Early monitoring in future pregnancies
  • Serial betas
  • Early ultrasound
• Discussing an HSG with your doctor
• Starting folate again once hCG is negative

You should not be waiting until 8 weeks for reassurance after a prior ectopic.

-----
And finally:

If you’re reading this because you’re scared and in limbo right now, you are your own best advocate.

Ask for serial betas.
Ask for imaging even at low hCG.
Ask what specifically would change management.
Ask what would be required to confidently rule ectopic out.

And if the answers don’t make sense to you, seek another opinion.

A possible ectopic should be treated seriously until it’s confidently ruled out.

I am in the dreaded limbo right now of suspected ectopic (2cm adnexal mass) that I am hopeful will resolve naturally, and have seen some (fairly but not extremely promising) HCG and mass reduction as well as bleeding.

At this point, I'm becoming more resigned to the fact that I may need treatment, and have seen a few people say they wish they had just gone the surgery route instead of MTX. I am incredibly conflicted as to which would be the best route to go, and just want to hear experiences really of any kind, but especially those who chose surgery as the first resort.

Thank you all. This sucks; I'm sorry for everyone who's gone through & is going through this.

In 2019 I had an ectopic where I was treated with methotrexate. Afterwards I went on to have my daughter who was born in 2022. I recently found out I’m pregnant again and keep having twinges of pain where my previous ectopic was. I called my OB so I could stay on top of this pregnancy to confirm I wasn’t having another ectopic and was told since they haven’t seen me since 2022 that I’m now considered a new patient. They denied me getting my hcg levels checked (I’m now doing those through my PCP) and only set my first ultrasound for 8 weeks. Should I push to be seen sooner? Should me having history of an ectopic not be a serious concern? Do I just find a new OB? I’m not sure what to think of it all.

Just need to say this out loud. Three ectopics, a missed miscarriage, chemicals, and two rounds of failed IVF.

I don’t even know why I’m posting this. Maybe I just need somewhere to put it.
My first ectopic happened at 32. I wasn’t even actively trying yet, just starting to think about it. It resolved on its own but it shook me. Then another at 33. Then at 34 a missed miscarriage and a few chemicals scattered in between. Then at 35 a third ectopic and I lost my right tube.
After the surgery I tried naturally for 3 months because I just needed to feel like my body was still mine. Then my doctor sat me down and said with one tube and no guarantee the remaining one picks up eggs, IVF makes more sense than IUI.
So I did two rounds of IVF. Both failed.
I’m 36 now And I don’t know what comes next and honestly right now I don’t have the energy to figure it out. I don’t know if having only one tube will help as the doctor told me repeatedly while in the ER that the left tube is stuck behind my uterus.
It’s a lot of years. It’s a lot of loss. I’m just really tired. Not sure where I go from here but I just needed to share this somewhere. 😔

I posted here a couple of weeks ago about my hcg slowing down. Well last week my hcg dropped from over 500 to 45. However one week later today my hcg is back up to 455. This is after 2 doses of methotrexate. Tomorrow I have more blood work and an ultrasound. Has anyone else ever experience such a low drop only for it to rise again.