Methotrexate Take 2

I got stuck in the butt again today. I went in for blood tests Wednesday and Saturday and rather than declining, my hcg levels doubled for Wednesday (2,692) and up another 200 to 2,890 yesterday. The Wednesday number was okay, I was advised that it is normal for the level to go up initially, but by day 7 should go down by 15% putting me around the 2,330 range.

 So I got to meet Dr. M today, he's a nice guy, to the point and quite gentle. He found the gestational sac on ultrasound confirming an unruptured ectopic pregnancy. He did check other areas as well to be certain. So, he recommended two options-another dose of methotrexate or surgery. As the sac was still very small and there wasn't really anything to see in it, he was confident that another shot would do the job. This set hurt. A lot. Maybe it was the difference in nurses or maybe the site was still sore from last week, but it really hurt this time. Stu said she stuck the needle in all the way and plunged fast. Ouch! I also bled this time at the injection sites. I seriously don't ever want to do this again. So now we still wait.

It is weird that I am still pregnant and feeling pregnant even though my pregnancy was doomed almost 2 weeks ago. Today would have been 7 weeks. So as we speak, I am now having brown spotting which I can only assume is good. On my ultrasound photo, on the left side, you can see a white outlined gestational sac with a dark area around it (fluid)...it is the round one on top of a kind of oblong shape. To the right of the sac is my fallopian tube which looks like a straw going at an angle upwards. I will try to upload the photo in a smaller form but here is the link to my photo:Ultrasound photo

On another note, my suspicions of having a positive test for the MTHFR (or the motherf&@#3r gene as I call it) was confirmed. I am positive for a double copy (homozygous) of the C677t mutation. This is the bad one to have as far as I understand. It has everything to do with properly converting and producing folic acid in the body.

 People with this type of mutation do not produce enough folic acid which leads to increased occurrence of neural tube defects. It also leads to increased homocysteine levels which lead to clotting factors. Both of these issue are troublesome for pregnancy and even though it is still controversial to say this, there is an increased likelihood of recurrent miscarriage. 

 So I've got the thyroid/MTHFR/ectopic/autoimmune thing to worry about for my next pregnancy. No problem...