What would you do?

Question

I’ve been getting my levels checked every two days since fretting my positive last Monday. This past Monday my HCG was 1213, on Wednesday it was 1725. My OB called yesterday and said he think I’m having an ectopic pregnancy (I’m not in any pain, no symptoms, nor any bleeding) I had an ectopic 8/9 and it was very painful. My OB said I should get the methotrexate shot, I’ve seen success stories on TikTok of people having a successful pregnancy, I’m 5w6d. What would you do if you were me? Again I’m not having any pain nor bleeding.

Answer

There is no such thing as a successful ectopic pregnancy. They are 100% all the time not viable. If you think you aren’t having an ectopic pregnancy, I would absolutely get a second opinion, but if it is ectopic, there is a zero change of viability and your life will likely be at risk.

Answer

You need an ultrasound asap. Did you go get it done?

Answer

You should go in for an ultrasound for confirmation of where the gestational sac is forming (if at all). A sac should be seen after hcg hits 1800.
Either way, that hcg rise is not sufficient enough for a successful pregnancy. You need a 60% or more rise in 48hrs. Yours was 42.2% rise in 48hrs. 
Personally, based on science and risks, I would get the shot. If you wait a week to see what happens and it is ectopic and not just a miscarriage, the risk of a rupture is there. 
Talk with your doctor to get a more informed decision.

Answer

I would try and get in asap for an ultrasound to try and confirm. No pain at this point is good you don’t want pain. That means problems and possibly loss of that tube or your life.

What would you do?

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