Fertility Network UK
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HCG levels after terminated ectopic pregnancy

Hi Everyone

My case is slightly unique and google has limited information. On my second IVF, i got BFP unfortunately, however when it came to my first scan, we were unable to find the pregnancy in the womb. Two weeks later it was discovered, I suffered from a rare ectopic pregnancy known as Intramural ectopic pregnancy at 8 weeks however the embryo measured 5 wks 3 days (and all this time HCG was doubling every 48 hours). After two shots of Methotrexate injection (November last year) my levels begun to drop. I stopped testing my HCG two months after the shots because it was steadily declining and i was having regular periods. Fast-forward to this month and my period is late so i decided to a test and my HCG levels are at 12.5. The strange bit is its 6 months after the injection was administered and i still have HCG in system even though the low levels am confused. I haven't read anywhere that it can take this long to drop. My periods are often regular (only missed my period three times in all my life occurring only in the last 2 1/2 years. . Now i am wondering if its because my fertility issue of low AMH (AMH is declining quickly) or residual of an ectopic pregnancy. Anyone ever experience this....

5 Replies
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So sorry for your loss I have suffered 3 ectopic pregnancies 😢 I am not familiar with your type of ectopic but my second I did wait and watch and it took 6 months for my levels to drop to non pregnant the 3rd when I had methotrexate it took 3 weeks to drop is there any chance you could be pregnant? I would defo go to your EPU sending love xx

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Thank you so much for your words on encouragement. My doctor doesn't seem to be concerned or alarmed or surprised its taken this long. He said I go for a scan should my period not come at end of this week. Pregnancy would be a miracle but not likely given my egg count

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Oh that’s reassuring I’m glad you have support from your GP and that a plan is in place you never know miracles do happen Xx

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Hi Ann_ I feel you need to have a scan to check what is going on. You need to know whether the ectopic pregnancy has resolved or could you be pregnant, even with a low AMH??? Hope you can soon get a scan booked to clear all this up for you, as you must have been through so much already. Thinking of you. Diane

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Thank you for your kind words. Yes would be good to know instead of worrying alot

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