r/ectopicpregnancy

Im 4 weeks and 1 day. I ovulated July 31st at 11 pm. Had the classic uterus cramping with right side pain. (My usual ovulation pain) I implanted at 10 dpo. I had the cramps and spotting that was very light. Then at 12 dpo at night I finally got a line. The line has gotten darker but at 16 dpo it's still lighter than the control line. 5 days ago I had spotting all day. It went away completely. Then yesterday I had a sharp heartbeat pain for maybe 3 minutes on my left side where the meat is above the gentials. (Low pelvic area) It's odd to me since that's not the side I felt ovulation pain at. It was the opposite side. Well I started spotting very light 2 hours later. 2 times there was a very time bit of red but then went back to very light. Then all night and most of the day no spotting. I started spotting today again at 2 pm. It's 2:33 pm. I had very high cramps where it feels like my stomach is cramping but no low pain anywhere. Yesterday was the first and only time I felt pain in this whole endeavor. Could this be ectopic?

I would be 6 weeks pregnant now, and I am so scared I’m having an ectopic pregnancy.

I started bleeding the day my period was due, but it was much lighter than normal. A couple days later I had a positive pregnancy test. Because of the bleeding, I went for an ultrasound that showed nothing, but I would have only been 4 weeks pregnant then.

The bleeding has been light but ongoing for 18 days now. It changes between dark brown to pink to bright red, but only enough to use a liner (I guess less than 5 teaspoons of blood per day). I don’t have any pain.

I had another ultrasound yesterday, when I would have been 6 weeks pregnant. Again, it showed nothing. The doctor thinks it was an early loss, but the ongoing spotting is scaring me. Hcg was tested yesterday and was 96. I’ll check again tomorrow but I’m just so nervous. Help?

hi everyone

im looking for same insight into similar experiences . My hCG levels have dropped really far, but my most recent bloodwork showed my hCG has been hovering/stalled right at 8 for a week. Over the last few days, I’ve started having light bleeding/ with mild cramps (feels like a withdrawal bleed or first period after hitting zero). not sure if it’s my period. my doctor isn’t too concerned but she wants me to do another test she said it is common for it to stall but another blood test should help.

I’m feeling very anxious about this can someone pelase tell me they have experienced this too? Appreciate it

I had period like bleeding on 24th/25th July and a faint positive pregnancy test on 26th July. Long story short, it was ectopic and I'm awaiting pathology to confirm whether it was ovarian or a 'tubal abortion', as findings during surgery gave these two possibilities. I had internal bleeding in my abdomen, hence the surgery.

Surgery was on the 10th August and I have bloods tomorrow to confirm hCG is still dropping appropriately. It dropped from around 2500 the day before surgery to 1500 the day after surgery so I'm hoping for a big drop tomorrow so my body can start to move on as soon as possible.

However, since the bleeding in July, that came at the time my period was due exactly, I've not had any bleeding whatsoever either before or after surgery.

Comments generally while I was being investigated were that my uterine lining was thin, presumably from the period like bleed in July, so I wonder if I'm unlikely to have any until my lining rebuilds and then sheds in my first period?

I've had two previous miscarriages that came with lots of bleeding, so this is very different and I'm not really sure what to expect.

I have had LOTS of creamy while discharge today, nothing concerning, but way more than I've ever seen before at any point.

Just wondering if anyone has had a similar experience of no bleeding at all, and what I might expect in the coming weeks so I'm not caught out? I'm working from home for a few weeks when I go back, but can't stay home forever.

Thanks in advance.

Hi everyone, I’m currently being monitored by the Early Pregnancy Unit for a pregnancy of unknown location (PUL) and I’m wondering if anyone has experienced something similar and what the outcome was.

I believe I ovulated around 29–30 July. I got my first faint positive pregnancy test around 9 August (roughly 10–11 DPO).

A few days later I started spotting, which progressed into really heavy, period-like bleeding with cramps. The cramps were sometimes more noticeable on my left side, although they felt like period cramps rather than sharp/severe one-sided pain.

Because of the bleeding and pain I was referred to EPU. I’ve now had two transvaginal ultrasounds and nothing was visible in my uterus or elsewhere. They also didn’t see an obvious ectopic pregnancy. My hCG was extremely low:

Thursday 13th Aug: 8.3
Saturday 15th Aug: 19

So despite all the bleeding, my hCG has actually increased by around 129% in 48 hours.

My bleeding has now almost completely stopped and I currently have no pain at all. I’m having another hCG blood test on Monday.

Initially I assumed I’d had a chemical pregnancy/miscarriage because of how much I bled, but the rise in hCG has confused me. EPU are continuing to monitor me as a PUL.

Has anyone had very low starting hCG like this, with heavy period-like bleeding, followed by hCG more than doubling? What did your next hCG do, and did it eventually turn out to be a normal intrauterine pregnancy, a miscarriage or an ectopic?

I know nobody here can diagnose me and I’m following EPU’s advice, I’m mainly looking for experiences from anyone whose numbers/symptoms were similar.

trigger warning: this pertains to medical abortion.

long story short I found out I was pregnant a few days ago and unfortunately due to personal circumstances I decided to not follow through with this pregnancy.

I went to the clinic yesterday (my prediction is I'm 5w+1d). The did a urine and blood test as well as an ultrasound. The urine test came back positive however they didn't seen anything on the ultrasound. Obviously I'm concerned.

of course it's most likely just too early to see anything but they couldn't completely rule out ectopic. I have follow up bloodwork in the next dew days (after the abortion process is done) to compare hcg.

I'm just really worried/nervous. I'm never been pregnant or gone through an abortion. I guess I'm just looking for a bit of reassurance? What are some signs of ectopic I should look out for? I don't have any of the symptoms they spoke to me about which is reassuring .

anyway, any advice or insight is appreciated.

Just scared going through what many of you all have already been through. Please feel free to share your stories.

Dx with ectopic july 23, given MTX july 24th and discharged home from hospital. Hcg has always downtrended well, 4300, 3400, 2100, 1100, 322, then 262. However, all along having random sudden bursts of the most horrendous pains. The worst cramping, ectopic right sided pain radiating into back, lightning bolt sensations in vagina and rectum and simply couldn't escape the pains. Bleeding would ramp up during, then let up in between on my "good days". Though I was constantly tired, dizzy, weak. I would go a few days in between these pain episodes but when they struck they came out of nowhere and were completely debilitating. Even oxycodone did nothing. I was seen in the ED for one such episode August 2nd and told basically my US at that point was unchanged, and I was likely having mass effect and reabsorption pain and it was normal.

So the following several episodes i toughed out at home thinking it was still normal until the latest caused me to pass several clots and tons of blood and at this point i was at the 3 week post treatment mark. So i went in to the ER thinking i possibly had retained clots or tissue. Nope, my ectopic over doubled in its original size, despite the hcg downtrend, and needed same day surgery to remove my right tube.

All this to say, even if your hcg is going down....if you're still having significant pain events in the weeks following your MTX treatment advocate for repeat US as well. I was lucky to have not ruptured but the delay in finding this caused a lot of scarring to my ovary and uterus wall. Prayers for everyone walking through this. After a month I can finally close this chapter definitively and start to heal and move forward.

this is the first time I’m writing something like this so please bare with me…

on 7/10 I had positive pregnancy, urine and blood work. at the time my progesterone was a tad low but the doctor said she wasn’t alarmed and scheduled me for my first appointment for a later time. it was my 2nd pregnancy but the 1st i was moving forward with and I was surprised I was given no instructions of what I should be doing, like vitamins etc. so I had to ask.

about a few days letter I went to the pool, and I was getting weird cramping and even some weird arm sensations and I was told to go in for early pregnancy ultra sound. The doctor told me it was an unknown pregnancy and they would continue to monitor me because based on the calendar I was only 5 weeks.

the following week i started experiencing sever and painful gas pain like I could not pass gas! I ended up buying gas x which helped but it def did not feel right! When I told my doctor she said that I should monitor the triggers. a few days later it happened again and the following morning I had cramping and did not feel good I went to the ER and they confirmed it was an ectopic pregnancy! the Ear doctors made a comment that bothered me asking how could my doctor not see this the previous week. She treated me with medication and advised it could still rupture. the following morning I was rushed to the ER for cramping and it was so bad I couldn’t sit for the transvaginal ultra sound and I was told it had begun to rupture and I was being rushed into the OR. I lost my right fallopian tube!

I am now 25 days post op, and I have had the WORSE anxiety! I am kind of hypochondriac so every thing I have felt sent me into a panic! I had shoulder pain and went to the ER thankfully I was fine, at my 2 week post op my doctor was very robtic looked at my incisions said I was fine and that was it no more no less. I then started getting chest pains and went to my PCP he assured me I was having muscle tension from my sleeping position. the following monday I had cramping so I rushed to the ER told them about my shoulder, chest pain, and cramping they did a full work up EKG, CT, chest X-ray and transvaginal ultrasound everything showed as normal and was told I am healing and okay! it made me feel better but I am still struggling with anxiety!

i still have pulling and tugging occasionally, and I’m not panicking but my anxiety is now going about normal life I have been cooped up in the house for over a month and I am so anxious about being alone or going outside! my home has been my safe place and I am struggling!!

sorry for the long message, it has been so hard to try and feel normal! I’m so focused on physical healing that my mental healing isn’t happening at all! 😢

hi guys

a bit worried right now because I been having spotting for 2 weeks now and my hCG was at 8 a week ago not sure what it’s at now but today I got some cramps and now the bleeding is more but not soaking through pads. could this be a withdrawal bleed or period?

**TW: living children**

Long-time reader, first-time poster

I’m not really sure what I’m looking for by posting this. Maybe I just need somewhere to put all of this where people will understand.

My husband and I always wanted four children. We are incredibly fortunate to be high earners in tech with advanced degrees, so financially, having a big family is something we can comfortably provide for. But lately I’ve been wondering whether I have the *emotional* means anymore.

I have two living children. I adore them. They are my entire world.

And I also have two pregnancy losses: one chemical pregnancy, followed by my two successful pregnancies, and then my ectopic.
My ectopic was horrific.

It happened while we were on vacation, and it was diagnosed relatively late. It was an interstitial ectopic with a heartbeat. I ended up needing surgery, followed by methotrexate because surgery alone wasn’t enough to make me medically safe.

There is something uniquely awful about knowing there is a heartbeat while simultaneously being told that the pregnancy cannot continue and that it is putting your own life at risk.

I don’t think I’ll ever be able to completely explain what that did to me.

And the aftermath was almost as difficult emotionally. I didn’t feel particularly supported by some of my extended family. When I was struggling with the loss, I heard things along the lines of, *“You should just be grateful you have two children.”*

And I AM grateful.

I am profoundly grateful for my children.

But I didn’t realize that being depressed about losing a baby meant I wasn’t grateful for the children I already had.

The truth is, I wanted a big family. I wasn’t done.
I wasn’t done with babies.

I wasn’t done with toddlers and little kids and the chaos and the cuddles and the ridiculousness of having a house full of tiny people.

I wanted to be parenting this stage of life for a long time. I wanted three or four babies. I wanted to stretch out this amazing period of my life where my children are little.

And it’s already going so fucking fast.

My firstborn is going to kindergarten.

My youngest is getting bigger.

And instead of feeling excited about watching them grow, part of me is grieving that this chapter might be ending much sooner than I ever wanted it to.

The timing is making everything so much worse.
My due date for the baby I lost is **right now**.

At the exact same time I’m sending my firstborn off to kindergarten.

So I’m simultaneously watching one of my babies take this huge step toward growing up while thinking about the baby who should have been arriving around now.

It’s brutal.

After the ectopic, my doctor didn’t want me traveling while trying to conceive again because of the risk of another ectopic and the need for early monitoring.

That was extremely difficult because I travel a lot for work.

So we waited.

Six months.

Six months of wanting another baby, being afraid of another pregnancy, trying to figure out how to make the logistics work, and essentially putting this part of our lives on hold.

And now we’ve finally started trying again.
We tried over the last few days.

And instead of feeling happy and hopeful, I’m just… depressed.

Like, **really depressed.**

My mental health is garbage right now.

I lose it over every little setback. Every small disappointment feels enormous. I’m constantly bracing for something else to go wrong. I feel numb one minute and completely overwhelmed the next.

And honestly, I’m starting to wonder if I should stop trying altogether.

Part of me thinks maybe I should just accept that our family is complete, get serious about treating my mental health, get on medication if I need it, and learn to be happy with my two children.

Maybe I need to let go of the family I always imagined having.

Maybe I need to accept that I wanted four children, but life gave me two, and that’s enough.
But then there’s this other part of me that desperately wants to keep going.

Because what if a rainbow baby is what finally gives me some closure?

What if I get to have another healthy pregnancy and bring another baby home, and it doesn’t erase what happened, but it gives all of this grief somewhere else to go?

What if I stop now and spend the rest of my life wondering if I should have tried one more time?
I genuinely don’t know which choice is kinder to myself.

I’m in therapy. I have SSRIs in my back pocket if I need them, although I really, really don’t want to take them if I can avoid it. They have caused pretty extreme side effects for me with sleep and sex in the past, and I also strongly prefer to be medication-free during pregnancy. I know some medications are considered safe during pregnancy, but personally, I’d rather avoid them if possible.

But I also recognize that I can’t white-knuckle my way through another pregnancy if I’m already falling apart before I’ve even gotten a positive test.

And because apparently I make questionable decisions when I’m emotional: I decided to start trying while we’re on a family trip, AMA. But I’m in a place with colleagues in medicine that I trust so I decided to try on vacation anyway.

Which means I won’t even know if I’m pregnant before we get home.

Part of me likes that because I don’t have to spend the entire trip obsessing over a pregnancy test.

Another part of me is thinking, *what the hell am I doing?*

I’m scared.
I’m sad.
I’m angry.
I’m bitter.
I’m exhausted.
I’m having very dark thoughts.

And underneath all of that, I still really, really want another baby.

I want to be happy about trying again.

I want to feel hopeful.

I want to believe that maybe this time I’ll get to bring a baby home.

But right now I feel like a woman who has run out of emotional capacity for the life she always dreamed about.

And I don’t know whether I should keep pushing forward toward that dream or finally accept that pursuing it is destroying me.

I know I am extraordinarily lucky to have two healthy children.

I know that.

I also know that loving my children and grieving the children I lost can coexist.

I’m just not sure how to reconcile being incredibly grateful for what I have with being completely heartbroken over what I don’t.

So I guess I’m asking other people who have been here:

**How do you know when you’re grieving versus when you’re hurting yourself by continuing to try?**

And if you eventually had a rainbow baby, did it actually bring you some sense of closure, or did the anxiety and grief follow you into that pregnancy too?

And did you take meds to help? Should I start meds? Even if they’ll interfere with my ability to conceive, which is what we are trying for?

Thanks for listening and sharing thoughts.

I just need to get this out here because I know I will feel understood in this group.

I just found out that my stepsister who is a year older than me (34) and who smokes marijuana, drinks religiously, snorts cocaine and has made partying her mantra to life is pregnant... My step-mom even told me she lost her period at one point due to her lifestyle.

Whereas I live the complete opposite lifestyle, even getting rid of most things fragrance free like perfume and scented candles, which I love. I've done acupuncture dozens of times, drank disgusting black Chinese tea, eat a brazil nut everyday, and am now trying Mucinex - I am still not pregnant with my one remaining tube. 😪 My partner and I have both ran marathons, exercise everyday and try to get 8 hours of sleep a night. Sometimes you can do everything you're told and still not get the result you want and someone can do everything to destroy their eggs and wind up pregnant.

Life 😐

If you have ever been in this situation please let me know. My hcg levels went from 1335.50 to 1179.70. I did bleed a little last night but it stayed a consistent bright red. Im not bleeding anymore and have little to no pain at the moment. Im trying to push for an ultrasound but my primary care is saying they may not since they think its non viable

Bonjour à tous, je viens partager mon expérience plutôt traumatisante avec vous, et avoir quelques réponses aussi.

Le 16 Juillet j’ai subi une opération d’urgence pour une GEU avec hémorragie interne ils ont enlevé 1.5l de sang, j’étais vraiment instable en gros j’étais entrain de mourir.

Je savais que j’étais enceinte de 6SA le lundi 13 juillet lors de l’écho on a pas vu l’embryon mais il m’a été demandé de faire d’autre dosage BÊTA HCG . 1er dosage j’étais à 3000 et 6000. 48h apres j’étais soulagé mon bébé poussait bien.

J’avait espoir surtout après ma fausse couche d’avril.

Pour finalement perdre cette grossesse tellement désirée.

Aujourd’hui nous sommes le 13 août soit 4 semaines après l’opération, test urinaire très positif et des nausées remontées acides vomissements. J’ai l’impression d’être enceinte… je précise que je n’ai pas eu de rapport pendant 4 semaines.
je deviens folle! Je me dis que peut-être y’en avait deux embryons et ils n’ont pas vu le deuxième….

Et vous quand est ce que votre test est revenu négatif ? Quand est-ce que les symptômes se sont arrêtés ?

Je suis désolée, mon entourage ne comprend pas forcément ce que je traverse.

C’est très dur!

Since January of last year (2025), we have had three losses. The first two were missed miscarriages, the most recent was a ruptured ectopic requiring emergency surgery and resulted in me losing not only the pregnancy but also my left fallopian tube.

Mostly just looking for others stories…. Wondering when it’ll be our time. After your ectopic, when did you start trying again? Did it seem like your fertility decreased with one fallopian tube? Was your next pregnancy successful?

Thank you for being willing to share your story/insight….

Trying to see if anyone has had a similar thing happen. I just got home from the ED. I went in because I had a small amount of blood (maybe the size of a quarter) in my underwear this morning and then quite a bit of brown spotting + blood when I wiped. They did lab work and also a transvaginal ultrasound. Ultrasound showed no gestational sac in my uterus but uterine lining had a great thickness. There’s some sort of 1.8cm cyst either right by my ovary or right on it but they were not sure. They were concerned of an ectopic but there was nothing in my tube so they’re not quite sure if this is that or not. My OB said it could be the corpus luteum but she doesn’t quite know. I’m going in on Monday to repeat hcg and pray that it increases and then also an ultrasound in a week. Has anyone ever had this happen and have a good outcome? She said that the reason for no gestational sac could also be that I’m not as far long as I thought I was (6 weeks based off of LMP but 4 weeks based off of ovulation).

Hi,

I’m not really sure where to start here, but i’m 26F, I take the weight loss injection Retatrutide along side Microgynon combined pill.

I took a 4 day break because I was bleeding because of the pill not absorbing properly (18th-22nd July) - Had unprotected sex on the 25th July.

August 3rd I had pink watery one wipe, and gone.

Thursday 6th had a faint positive on first response

Now i’ve been getting faint pink positives for 4 days, not darkening or lightening, staying the same.

I have had brown blood, saturday / sunday on and off, one wipe and done.

Monday morning (today) 10th - bright red blood, one wipe and stopped… then 4 hours later, again dark red blood (brown too)

I have pregnancy symptoms, but i’m not sure.

Please anyone, some advice please 🩷

So background: I had an ectopic last year. Treated successfully with one round of methotrexate.

Present Day: My last period was June 22nd. I have longer cycles (every 34 days), but I didn't test positive until July 28th which was about five days after I expected to start. I tested two days prior and nothing. The test wasn't super light, but the fact that I got a late positive had me anxious from the start. But my home tests have been increasing steadily. Not slowly or anything.

My OB set up an appointment for the following Monday (August 3rd). My HCG was 1209 on that day. I was a little concerned because my ectopic had higher HCG than that at 6 weeks, which was what I am supposed to be.

I had my first ultrasound today (August 6th). They found nothing in my uterus or in/around my tubes or ovaries. I have had no pain or bleeding. Just occasional twinges, mostly in the center. She did state I had thickening of the endometrium. So I am pregnant, but no baby/sac could be found. But if my hcg doubled, it should be around 2400 now(i wont know for sure until another blood draw), and when I googled it, it said typically they should be able to see something wirh those hcg levels.

The ultrasound tech thought maybe I ovulated late, and I am closer to 4 or 5 weeks (which is possible, seeing as my periods have been a bit off balance since my ectopic..the last one I had was over a week late). I am waiting for my doctor to call to set up blood work and another ultrasound. I'm just not really sure what to think. I feel like I am stuck in limbo.

Has anyone had anything like this happen, and how did it turn out? I'm just so anxious waiting.

In March 2026, I found out I was pregnant. Shortly after, I started bleeding heavily.
I had actually just started seeing a fertility specialist because I’d had a chemical pregnancy in October 2025 and hadn’t been able to get pregnant again. I was still in the middle of my initial intake when I got the positive test, so I called the clinic and they immediately brought me in for bloodwork.
Over the next several days, they monitored my hCG through multiple blood draws. Pretty quickly, it became clear that my numbers weren’t rising appropriately. They repeatedly looked for a pregnancy in my uterus and couldn’t find one, and eventually I was diagnosed with an ectopic pregnancy.
I was treated with methotrexate, and thankfully my hCG dropped very quickly. I thought the physical part was finally coming to an end. Then, only a few days later, I suddenly developed excruciating pain and ended up in the hospital terrified that my ectopic had ruptured. My hCG was extremely low by that point, and it turned out that I had a ruptured ovarian cyst. Just incredibly awful timing on top of everything else.
The next three months were some of the hardest months of my life.
I took a lot of time off work. I spent a lot of time processing what had happened, wondering why it happened, worrying about whether it would happen again, and having absolutely no idea what trying to have a baby was going to look like from there.
And during those months, I read this subreddit constantly.
I don’t think I ever really posted or interacted much, but I read your stories. I read about your ectopics, your recoveries, your subsequent pregnancies, and your fears. I didn’t personally know anyone who had been through an ectopic pregnancy, and there were days when I felt incredibly alone and scared. Reading the experiences of women here made me feel like there were people somewhere who actually understood what I was going through.
Eventually I had an HSG. I wasn’t particularly afraid of the procedure-I was terrified of what they were going to tell me afterward. I had convinced myself that because I’d had an ectopic, they were going to find a completely blocked tube or tell me I needed surgery.
The dye flowed freely through my right tube. On the left, where we suspected the ectopic had been, only a small amount made it through. But it did get through, and my doctor didn’t think we needed to remove the tube. I was so grateful.
As the three-month wait after methotrexate finally came to an end, my doctor and I started discussing what we wanted to do next.
Ultimately, I chose an IUI.
I hadn’t found many stories from women who had an ectopic and then went directly into an IUI cycle, and I debated the decision a lot. But I knew my risk of another ectopic was higher after having one, and strangely, going through fertility treatment made me feel safer. I wanted the monitoring. If something went wrong again, I wanted doctors watching from the very beginning.
So in July, after letrozole, monitoring, and a trigger shot, I had my first IUI.
A week afterward, they checked my progesterone.
It was 2.
I completely spiraled. I thought the cycle was over. I was convinced it hadn’t worked and that my body had failed me again.
A few days later, I took a pregnancy test.
It was positive.
My clinic started following my hCG immediately. This time, instead of watching numbers rise too slowly like they had during my ectopic, I watched them rise beautifully.
And yesterday, at about 5½ weeks pregnant, I went in for the ultrasound I had been simultaneously dreaming about and dreading since the moment I saw that positive test.
There was the gestational sac.
In my uterus.
Then the yolk sac.
And the very beginning of the fetal pole.
I don’t think I can adequately explain the relief I felt seeing that little black circle exactly where it was supposed to be.
I’m obviously still incredibly early. I know there are many milestones ahead of me, and after pregnancy loss I’ve learned that pregnancy doesn’t suddenly become free of fear. But yesterday was a milestone I wasn’t sure I’d ever get to experience.
Mostly, though, I wanted to come back here and say thank you.
To every woman who posted her story when she was terrified, angry, devastated, recovering, trying again, or eventually pregnant again: someone you will probably never meet may have been reading it during one of the darkest periods of her life.
I was one of those people.
Your stories gave me hope when I didn’t have much of my own. They made me feel less alone during three months that sometimes felt like mental warfare. And when I couldn’t imagine ever feeling uncomplicated excitement about pregnancy again, your success stories reminded me that there could still be another chapter after an ectopic.
So I’m adding mine here in case someone is searching this subreddit months or years from now after getting the diagnosis I got in March.
There is hope on the other side of this.
Your story doesn’t end with your ectopic pregnancy. Healing isn’t linear, trying again can be terrifying, and you may not feel like yourself for a while. But you can feel joy again. You can feel hopeful again.
Yesterday, I got to see my pregnancy growing inside my uterus.
And after everything it took to get there, I don’t think I’ve ever been more grateful for anything in my life. ❤️

Hello

I am currently dealing with a PUL. I have referenced below my hcg which after consecutively reducing, it’s sadly increased today. At the same time, when I had my ultrasound, they said the tube has possibly expelled the pregnancy tissue as there is now an adnexal mass of 1.9x2.1 which wasn’t there before. There was some free fluid but not much. I had pain last night and went to ED but as it was not ‘acute’ they sent me home and today went back for the scan. My pain was mild and in my groin area last night.

I am 38 with low AMH and high FSH and have been ttc for 20 months. I was waiting to start ivf when I conceived but it’s resulted in this PUL.

I have a history of endometriosis and have had two laparoscopic surgeries. The last removed adhesions from my ovaries. Probably contributes to my low amh.

Frustratingly, my left tube seemed blocked at a hyfosy last year and today, it was my right tube that had the adnexal mass. Which they couldn’t tell whether attached to ovary or tube or both.

I’ve been scheduled for bloods again on 09/08 and my next scan is 10/08. I really don’t want to take methotrexate due to not being able to TTC afterwards, plus a potential negative side effect with people who already have diminished reserve. But also, the surgery option does not seem favourable as my ovaries are already low on follicle count and I may end up having both tubes removed as left one there’s no spill and right one is the one with the mass! Feel concerned if I take methotrexate I may be in this predicament again in the future with damaged tubes. So many unknowns! :(

Sorry, long winded, but what I’m asking is if anyone has been diagnosed with a PUL that has resolved itself even when the hcg levels have increased. Or has anyone experienced a tube expelling the pregnancy tissue?

Thanks you and so sorry to anyone who is going through or has been on this awful journey.

Positive pregnancy test 08/07

09/07 hcg 80
11/07 hcg 210
13/07 hcg 98
23/07 hcg 93
28/07 hcg 153
30/07 hcg 134
03/08 hcg 96
06/08 hcg 68
07/08 hcg 91

Started bleeding black 17/07
Full bleeding 20/07 for 4 days
Still bleeding/spotting black 07/08