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Periods after methotrexate

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Elles
Posts: 5
Joined: Mon May 09, 2022 6:35 am

Periods after methotrexate

Post by Elles »

Hi everyone
I had methotrexate almost 3 weeks ago for an ectopic. I started to have brown spotting a week and a half later and about 5 days ago it turned to light red bleeding and since yesterday it’s a bit heavier and some small clots. Is this normal bleeding after methotrexate or my period? Thanks x

EPT Host 20
Posts: 3155
Joined: Thu May 31, 2012 10:58 pm

Re: Periods after methotrexate

Post by EPT Host 20 »

Dear Elles,
I am so sorry to hear of your ectopic pregnancy loss,
generally your periods re-start anything between four and ten weeks after treatment. Most find that their period arrives sometime in the four weeks after their hCG levels have fallen to below 100 mIU/mL.
Therefore it depends when your pregnancy hormones reached pre pregnancy levels. If they have only just fallen, I would suggest that this is the bleed following treatment rather than your period.

Sending much love,
Karen x

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Elles
Posts: 5
Joined: Mon May 09, 2022 6:35 am

Re: Periods after methotrexate

Post by Elles »

Thanks for your reply Karen. My hcg level day of injection was 1200 and last Sunday at 2.5 weeks it was 145. So probably just normal bleeding post mtx?

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