hcg levels rising after a miscarriage?

[Melster]

Luna...im sorry about the ectopic..i hope you're handling it ok and feel better soon!!!!!!!!! I will pray you can keep you're tube

[Luna]

Ladies, thank you very much for your kind words and the information.
Mildez - when I was reading your story it sounded so much like what I was going through that I was convinced they will find ectopic pregnancy there going in. And they did.

I am handling it OK for now, but I am not sure about trying again. The risk of tubal pregnancy will be higher for me now, the mc risk is something about 50% after 40, so I am just not sure it makes sense. Plus, I just heard that you have to wait 3-6 months after the methotrexate to TTC, so I think I may just run out of time here.

[Mildez]

Luna it is 3months after methotrexate before you can ttc again depending on how quickly the HCG drops. Methotrexate acts by killing of rapidly dividing cells (such as in cancers and pregnancy) so if you do fall pregnant within that time there is a chance that the methotrexate will harm your next pregnancy if you ttc to quickly after having it. Once the HCG drops to less the 5 I would consider getting a blood test to check your folate levels as Methotrexate works by depleting your folate which in turn can no longer feed rapidly diving cells and they disappear/shrink etc. If your folate is a good level then you should be safe to start ttc again with folate suppliments but if not you might need to take a higher dose of folic acid until they are at a more desireable level (due to the risk of spina bifida, nucal tube defects etc)

I joined a UK ectopic site/forum and many people have fallen pregnant before the 3months and had successful pregnancies and healthy babies so it can happen but its a risk I wouldn't take until the 3months. Only you can decide if you want to ttc again but as a midwife I can assure you many people continue to fall pregnant and have healthy pregnancies well beyond your age. I'' keep everything crossed for you that if you do ttc again next pregnancy brings you the baby you have been longing for.

Don't take folic acid until the HCG has dropped of to a non pregnant state as the folic acid will then stop the methotrexate doing what its suppose to do.