Where do you inject methotrexate for ectopic pregnancy?

Where do you inject methotrexate for ectopic pregnancy?

When you come for your appointment we will check your height and weight to work out the right dose for you. We will inject the methotrexate into a muscle in your buttocks, which may be uncomfortable. Usually one dose will be enough but, very rarely, a second dose might be needed.

What is the most site for ectopic pregnancy?

The most common location in the fallopian tube for ectopic pregnancies to occur is the ampulla (70.0%); other locations, such as the isthmus (12.0%), the fimbria (11.1%) and the cornua (2.4%), are less common (Figure 1). The ampullar portion of the fallopian tube is more distendable than other areas.

What are the sites of ectopic pregnancy?

Normally, the fertilized egg attaches to the lining of the uterus. An ectopic pregnancy occurs when a fertilized egg implants and grows outside the main cavity of the uterus. An ectopic pregnancy most often occurs in a fallopian tube, which carries eggs from the ovaries to the uterus.

How is methotrexate injection given?

The medicine is given as a shot under your skin, usually on the stomach or thigh. Use a different body area each time you give yourself a shot. Keep track of where you give each shot to make sure you rotate body areas. This will help prevent skin problems from the injection.

How did you feel after methotrexate for ectopic?

Methotrexate is given by injection. After treatment, you may have mild abdominal pain or cramping. Some women also have nausea and vomiting, diarrhea, or fatigue.

Do you bleed after methotrexate for ectopic?

About two to seven days after the injection you will probably have some pain in your lower abdomen. It should not be severe and lasts four to 12 hours. You can also expect to have vaginal bleeding which is light or like a period. This lasts a few days but you may have a brown discharge for two to three weeks.

Why are ectopic pregnancies increasing?

The rate of ectopic pregnancies has been rising in the past decade and it is responsible for an increasing proportion of maternal deaths. A history of pelvic inflammatory disease is strongly associated with ectopic pregnancy. There is a higher rate of ectopic pregnancy among intrauterine device users than non-users.

What causes recurrent ectopic pregnancy?

The risk factors for recurrent ectopic pregnancy are previous spontaneous miscarriage, tubal damage, and age older than 30years. After treatment with methotrexate, between 62% and 70% of women had a subsequent intrauterine pregnancy, and around 8% had recurrent ectopic pregnancy.

What is the rarest type of ectopic pregnancy?

Abdominal Ectopic Pregnancy. It comprises 0.9–1.4% of all ectopic pregnancies and is the rarest form [5•]. It occurs primarily by direct implantation of the blastocyst in the peritoneal surface or the abdominal viscera, or secondarily by attachment of the embryo aborted from the tube to the peritoneum.

Is methotrexate injection painful?

Subcutaneous injections of methotrexate are associated with a mild amount of pain. Presence of side effects may amplify the amount of perceived pain.

How quickly does methotrexate work ectopic?

When this happens, we know that the medication has worked. This can take at least 4-6 weeks.

How soon do you start bleeding after methotrexate?

A few days after the injection, it is usual to begin to bleed and this bleeding can last between a few days and up to 6 weeks. It is usual to have some discomfort and pain initially but as long as this is not severe.

What to expect after methotrexate shot for ectopic pregnancy?

Do bring a copy of your medical records, especially blood tests and ultrasound reports. By 5 days after a Methotrexate injection so people notice an increase in pain. However if you are having severe pain and feel lightheaded don’t leave town! see your doctor because the ectopic may be bleeding.

How does methotrexate affect pregnancy?

There are good reasons for the severe restrictions on methotrexate use during pregnancy. Using methotrexate while you’re pregnant could end your pregnancy or cause severe birth defects. These birth defects could affect the way your child looks, develops, or functions for the rest of their life.

Can you get pregnant while taking methotrexate?

Methotrexate should not be taken if you are pregnant or plan to become pregnant. Methotrexate can cause serious birth defects as well as pregnancy complications. You should be using some form of contraception while taking methotrexate and for three months after you stop taking methotrexate.

Is methotrexate considered chemotherapy?

Methotrexate is the chemotherapeutic drug most widely used by rheumatologists because it is effective in treating rheumatoid arthritis and certain other rheumatic diseases (such as certain forms of vasculitis, or inflammation of blood vessels), and it is relatively safe. Most patients can take methotrexate by mouth in a single, weekly dose.