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Ectopic Pregnancy Treatment
The latest USG performed on 31st Oct suggests of an likely unruptured right tubal ectopic pregnancy without obvious periadnexal fluid.. Also as per USG Report right adnexa is bulky and shows a solid lession measuring 11MM * 14MM... Her LMP was 08th September and pregnancy tested positive on 15th Oct.. latest beta HCG done on 29th with count as 5,226.. There were multiple USG done on 22nd, 25th, 29th but there were no evidences of ectopic observed, also multiple beta HCG tests done as well however HCG count didn't double as in the case of intrauterine pregnancy
Now doctor has given methotrexate 50 mg dose on 31st Oct as the size is less than 3cm; would there be any requirement of a laproscopic surgery in this scenario required ?? Also my wife's left tube is blocked what are the chances of pregnancy via IVF with her own eggs ???
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Yes there is chances of failure of methotrexate therapy. Ectopic pregnancy can rupture and it needs surgery then. Successful methotrexate therapy will decrease the beta hcg level and ectopic mass will shrink in size. IVF with own eggs depends on AMH level and antral follicular count done on day 2 of her periods. Connect for further clarification
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Dr. Neha Vashisth
Obstetrician
10 yrs exp
Jaipur
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Dr. Gunjan Agrawal
Obstetrician
16 yrs exp
Jaipur
Please consult for proper discussion.
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Dr. Vijaya Gupta
Gynecologist
21 yrs exp
Chandigarh
At bhCG more than 1000 transvaginal scan should definitely pick up an ectopic mass
If the titers are not dubbing in 48 hours it is indicative of an ectopic pregnancy
Yes methotrexate as a management of ectopic pregnancy comes with the failure rate in that case laparoscopic surgery may b required
chances of pregnancy with IVF with own eggs will depend upon the amh values
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.