I had my first round of Methotrexate on October 5th with an HCG of 4500. My second round was on Oct 9th- HCG- 9000. My HCG levels have been as follows: Oct 11- 10000, Oct 15- 7700, and Oct 17th- 7100. I was asked to come back on Oct 21st for blood work. I am not experiencing any pain and there was no sign of fluid or blood in the ultrasound, so my doctor is hoping it would resolve on its own and not lead to surgery. What are my chances of avoiding surgery despite my ectopic pregnancy?
I also hope your ectopic pregnancy resolves and does not require surgery. The only way to know if the ectopic pregnancy has resolved is to continue to follow-up with your physician and obtain serial beta hCG readings until they approach 0. The fact that your hCG level is reducing is a promising sign, though only your doctor will be able to properly determine whether the methotrexate has been effective in your particular case.
Updated on October 25, 2019
By Leah Lefler