Im officially 4 weeks today. I feel like what should be a joyous occasion ans drowned by the reminder that only a couple of months ago 4 weeks and when I started feeling the ectopic pain. 5 weeks when I got the shot.

This go around I have been trying not to think of it at all. I have high hopes that this baby will grow healthy.

I’m currently 6 months postpartum so this entire experience has been a rollercoaster. Almost two weeks ago I started experiencing really bad cramps which I thought was my second PP period coming a week early. After a few hours of excruciating pain, I decided to go to the ER. Before I left, I took a pregnancy test because my symptoms matched that of an ectopic and of course got a big fat positive. After blood work and an ultrasound they confirmed a mass on my right ovary and my HCG was 88, at this point I would have been technically 3 weeks pregnant. After staying at the hospital for over 16 hours my pain and bleeding subsided and my HCG dropped down to 66. Based on this, the OB was satisfied with letting me go home and come back a few days later for a follow up blood test.
I went back the following Friday (was in ER Sunday-Monday). This time my levels had gone back up to 72. I realize these aren’t super high numbers, however the mass on my right tube was quite large with free fluid so the bigger picture was still concerning. I ended up back in the ER the following Sunday 48 hrs later and at this point my HCG went back down to 60. Now I’m waiting for a follow up assessment at the EPU but I’m experiencing some minor cramps and intermittent bleeding and brown spotting. I don’t know what to think but I’m hoping that everything will be okay. I’m exclusively breastfeeding my baby that won’t take a bottle so the hardest part of this whole thing has been the disruption to his routine and the unknown… looking to hear about others experience with expectant management. Did you bleed? How long did it take? Anything helps. So glad I found this sub… every woman here is a true warrior.

I've read so many different threads and all opinions are different. Even doctors are split on the answer..

I had MTX 9/3, by 9/12 my HCG was 0. 9/12 I restarted my prenatals and had a period-bleed (without ovulation) for 4 days.

I ovulated about 5 weeks later and am expecting a period 8/24. If I TTC next cycle, I will be ovulating 9-10 weeks after MTX (8 full weeks of prenatal) around November 7-15.

I originally felt comfortable with the decision to go for it (my OB gave me the green light), but my husband is still hesitant, and now I'm doubting myself.

Any advice or stories? What did your doctor say about this?

Just wanted to share my experience for anyone who is experiencing an ectopic pregnancy & want to have a little bit of hope.

I got pregnant my first time in March 2025 & found out April it was ectopic. I had surgery but they kept my fallopian tube.

I ended up doing an HSG after & was told the tube was blocked.

Fast forward to July 2026 I had my rainbow baby.

I'm currently 3 months pp & just found out I'm having twins from my blocked tube side !

-edit to add, I understand you don’t always alternate ovaries. Is it still possible to have ovulation pain on the ovary you didn’t ovulate from after an ectopic-

Hi all, I had an ectopic 8/2026. MTX treatment. I was told I most likely have ENDO and that it was probably the cause. My question is- is it possible to have ovulation pain on the ectopic side even when I’m not ovulating on that side? My ectopic was on my right and this cycle I should be ovulating on my left. I had pain in my right like I was ovulating there no pain on left besides a couple twinges. Is this normal or has anyone else had this happen? Did I ovulate on my ectopic side two months in a row or is it normal to feel pain there even if I’m not ovulating there.

Hello everyone,

I had an ectopic about 1.5 years ago that was surgically removed. Ever since then my periods have been EXTREMELY painful and only on one side. I need help 😭

I don't tolerate birth control well but this pain is intolerable.

Could it be scar tissue causing this??

I (33F) had an ectopic rupture and right tube removal (first pregnancy -- no living children) November 6 2025. For a long laundry list of reasons including that I had a really difficult physical recovery post-rupture, we're just now going down the road of IVF.

I am very fortunate to have IVF insurance coverage now, but I will likely be moving jobs in March 2027, so we're trying to get the egg retrieval and embryo creation done ASAP while I still have the coverage. The expensive part of IVF is the egg retrievals/embryo creation process and we can cover paying out of pocket for the transfer later when we're ready. We're not going to do an immediate transfer.

I am eager and physically ready to get started, but after just getting off the phone with my fertility clinic the target date for my first egg retrieval is going to be on the date I had my emergency surgery last year. The coincidence of dates is just seriously messing with my mind. I know it's just a date and "superstition" but it feels like a signal from the universe that we shouldn't do it because something really tragic and dangerous happened on that same date last year.

Can anyone relate? Any tips for calming the anxiety? I've been in therapy and been working on EMDR for PTSD/anxiety, but important dates like this have just always resonated with me a lot. I'm having a hard time going into the retrieval with a calm positive attitude because of the added burden of the timing/time pressure. If anyone has experiences with these "anniversaries" that are hopeful would love to hear that too.

how long after your MTX shot did your first real period come? I had bleeding 3 days post MTX (only had to get one dose on 9/11). I still haven’t had my first real period and I am normally very regular with my cycles 28-30 days. do I need to reach out to my fertility doc?

Hi everyone - was treated with methotrexate for possible ectopic pregnancy. HCG has been stable 190-220 over 5 weeks now. Nothing in uterus or what they can see in my tubes. Getting scared- hoping the shot works. Also hopeless bc it's been so long. Any similar situations?