If you have read my earlier post from today, you will know I was waiting for my hCG results, my doctor was expecting to see a drop or at least a similar level because I have bled so much since Monday.
I got the call at 2.15pm, my doctor said ‘Your levels have increased again to 3200 (from 2600 yesterday), I want you to take the methotrexate. There has to be something growing somewhere other than your uterus. When can you come in?’.
Fortunately Chris was with me because he was working from home, so we were out of the house and on the road to the fertility clinic. We had to stop by the pharmacy to pick up the methotrexate. The pharmacy was in a children’s hospital. I joke with you not. The pharmacy was having problems processing my insurance details, so we waited about 45 minutes. Babies and children EVERYWHERE. It was a very cruel joke. Then to top it all off, it turns out my insurance wasn’t going to cover it. Well – using methotrexate to effectively abort a pregnancy is an off label use of the drug. Duh. Of course my insurance wasn’t going to cover it. Fortunately, the pharmacist used a coupon and it only cost us $23.
Finally we arrive at our clinic, drug in hand. When 5 doctors are telling you to take the methotrexate, it’s time to listen. If my hCG levels got any higher I would not have been eligible to take the drug and surgery would have been my only alternative option. We are not completely out of the clear…the drug is effective only 90% of the time. In 7 days time we find out if it actually worked – and of course I’m still on ‘ectopic rupture watch’ until then.
One of the doctors injected the drug into my buttock muscle…honestly, all I was thinking was – can’t a nurse do it? Only because he asked where I would like it to be injected arm muscle or butt muscle (nice to have the choice!), we decided on butt muscle – he then turned to my doc to ask where would be a good place on the butt! This was the point I was nervous!! But I think it had to be the doctor injecting it – I don’t really know. It was painless compared to progesterone butt injections, the needle was a lot smaller though.
Methotrexate comes with a long list of side effects…I am already experiencing two of them (though these should only last about 24 hours and are relatively normal) – tiredness and nausea – they hit me about 3 hours after I was given the injection. I won’t list the things I have to watch out for as a side effect, they can easily be found by googling ‘methoretexate ectopic pregnancy’.
We are truly gutted this had to be our course of action, but it seems to be the safest considering the large unknown growing inside me 😦