Every month we will identify the 6 most commonly asked questions about ectopic pregnancy and answer them. If you have any further questions which you cannot find answers to on the website, please can you contact us.
When is methotrexate given to treat ectopic pregnancy?
Methotrexate is given to highly selective group of patients with an ectopic or suspected ectopic pregnancy. Different units may have slightly different criteria of treatment. However most would agree that the woman is well with minimal symptoms and have normal pulse and blood pressure. Further to this, the initial bHCG should be below 5000 iu and no fetal cardiac pulsation seen on trans vaginal scan. Further she should be able to regularly attend the hospital for close monitoring.
How is methotrexate given?
The dose is calculated for each patient based on height and body weight. Before administering this drug, blood is taken to access both liver and kidney function and is given by intramuscular injection usually in the arm or buttocks.
What are the possible side effects and risks of taking methotrexate?
There are well recognised side effects of methotrexate. These include cramping, lower abdominal or pelvic discomfort or pain. Vaginal bleeding may occur and can last for up to six weeks. Gastrointestinal symptoms can include indigestion nausea and vomiting but tend to subside after a few days. Fatigue is a further possible side effect.
Is there anything that I should avoid whilst taking methotrexate?
There a few things that should be avoided when being treated with methotrexate which includes the consumption of alcohol. Also pregnancy should be avoided for at least 4 months after a dose of the drug.
How will I feel when taking methotrexate?
Apart from the potential side effects mentioned above, some women are understandably anxious, concerned, under a high level of stress and may suffer from insomnia and low mood. It is important that both heath care professionals and family and friends recognise this and offer support and reassurance.
The dose is calculated for each patient based on height and body weight. Before administering this drug, blood is taken to access both liver and kidney function and is given by intramuscular injection usually in the arm or buttocks.
How can I get support emotional support?
Ectopic pregnancy can be a very emotionally draining Experience which may result in low mood, high anxiety and insomnia which should be looked for by those health care professionals caring for the woman. Support maybe obtained from the hospital or through the general practice. Also sharing experiences with other may be of benefit and this can be done on the ectopic pregnancy foundation under patient experiences. Also see the website section on psychological impact of ectopic pregnancy.
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