Hello,i have an ectopic pregnancy and after the first methotrexate shot my HCG levels dropped by 25% in 6 days and now doctor says they need to drop by 50% in the next 7 days.I have a heamatoma around the sac in the tube.Is this a good sign or the expected
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Formation of hematoma around the sac may indicate that the methotrexate may be acting in regressing the ectopic pregnancy. But if you are having bleeding from the tube with peritoneal hemorrhage, better to be careful and ruptured ectopic should be ruled out. If you are having only hematoma around the sac you can continue with regular periodic ultrasound examinations and beta HCG levels for monitoring. Hope I have answered your query. Let me know if I can assist you further.