thanks for your reply. They have the best facilites in the hospital, infact thay performed laparoscopy when I experienced extreme pain in my back and abdomen that was when I was sent to the emergency hospital. after which they had to operate me for the ruptured ectopic preg. I really appreciate your comments and insights. May you continue to enlighten a lot of women who have been or who have experienced the same condition as mine. Thanks
ruptured ectopic
July 25, 2007
While I want to leave all behind me the traumatic experience of ectopic operation (ruptured), I still want to find out what went wrong or should I ask was it an undecisiveness on the part of the doctor that caused the rupture of my fallopian. Here's my story: On my 6th - 7th week of pregnancy they did not find any baby in my uterus but my HCG was rising from 2 thousand to 3 thousand. They thought it was ectopic so I was confined in the hospital for 3 days to monitor my condition. Initially the doctors were not sure whether there was a baby inside my fallopian or a cist after they saw a samll mass in the tube. Again they monitored my HCG level. Initially it was rising but not normal until it went down from 4 thousand level to 3 thousand. I was sent back home after the drop of my HCG and was told to go back after a week and was told to wait for a normal miscarriage. During those time I was not given Methroxide (whatever?) to remove the mass. My question is If they had found out that I had an ectopic during my 6th-7th week, why was I not given a shot of the medicine to remove whatever was inside? Why did the doctors had to wait for a week? Now it almost caused me my life and worst, they had to remove one of the tubes?
July 25, 2007
It is very difficult to say why all of this happened, and can tell you a few things...
These types of actions by your MDs can be appropriate or inappropriate depending on where you're at...
For example, in Los Angeles where we all have a bunch of cool gadgets we can work with, the vast majority of us should have treated you appropriately. However, if you're someplace else...I may be able to see the difficulty in diagnosing it without the proper equipment and think that may have happened in your case since you were hospitalized (I can't remember if at all the last time I had to hospitalize a patient I simply "suspected" an ectopic, especially with your hCG levels). If you weren't keen on keeping the pregnancy, then some sort of action may have been taken by your physicians, if you really wanted it, it made it tougher on your physicians.
I'm not sure that after the drop from 4 to 3 that if you were given Methotrexate that things would have been different (it takes a week for it to kick in (drop from day 4-7 of 15%), however a D&C and if negative a diagnostic laparoscopy may have been performed, but again, don't know if your doc or hospital has this.
It was dangerous, but the great thing is that you're still chatting with us, don't forget that. Removing one of the tubes may have happened regardless if the ectopic had ruptured or not, that's just simply the treatment most Ob's know about and wouldn't fault your doctor at all for this one. You still have another tube, you should know you're at high risk for having another ectopic in your remaining tube if you get pregnant on your own or via IUI. If and when you do get pregnant, just make sure you get close monitoring...only IVF decreases your chances of another ectopic but doesn't eliminate it.