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Methotrexate Dose in Ectopic Pregnancy India IVF Fertility’s Complete Guide

Methotrexate Dose in Ectopic Pregnancy: India IVF Fertility’s Complete Guide

| 19 Aug 2023 | 1435 Views |


Ah, the miracle of life! Pregnancy is one of the most joyous occasions for many, but it’s also filled with its share of challenges. One such hurdle that not many are familiar with is an ectopic pregnancy. But worry not! We’ve teamed up with the experts at India IVF Fertility, with clinics in Delhi, Noida, and Gurgaon, to shed light on this subject. Grab a comfy chair, folks, as we dive deep into the world of ectopic pregnancies, the role of methotrexate, and so much more!

When does Ectopic Pregnancy Occur?

Hold your horses, folks! Before we get into the nitty-gritty, let’s clarify what an ectopic pregnancy actually is. An ectopic pregnancy occurs when a fertilized egg implants itself outside the uterus, commonly in one of the fallopian tubes. It’s like trying to bake bread in a toaster—just not the right place!

What are the Methods to Treat Ectopic Pregnancy?

When it comes to dealing with ectopic pregnancies, time is of the essence. Let’s list down the methods:

  • Methotrexate Treatment: This is a non-surgical option where a dose of methotrexate is given. This medicine helps in stopping the growth of the pregnancy and allows the body to absorb the tissue.
  • Laparoscopic Surgery: In cases where methotrexate isn’t effective, or if there’s a rupture, a surgical intervention might be needed.

Dose of Methotrexate in Ectopic Pregnancy

Alright, let’s zoom in on the star of our show – methotrexate! Here’s a table to help illustrate the typical dosage:

Ectopic Pregnancy Size Methotrexate Dose
Small (<3.5cm) Single dose
Medium (3.5cm-5cm) Multiple doses over a few days
Large (>5cm) Surgical intervention might be preferred

Note: The exact dosage and treatment approach is personalized. It’s crucial to consult with a fertility expert like those at India IVF Fertility.

Also Read: Bleeding During IVF Pregnancy- What’s Normal and What Isn’t?

Will There be Side Effects After the Treatment?

Let’s spill the beans! Like with many medical treatments, there might be some side effects after using methotrexate. Here’s the lowdown:

  • Nausea & Vomiting: Some folks might feel like they’ve been on a roller coaster.
  • Dizziness: A bit like having one too many cups of coffee.
  • Fatigue: More of an “I need a nap” rather than “I’ve run a marathon”.
  • Bloating: We’ve all had those days, right?

Always reach out to a healthcare provider if you experience any side effects. They’re your best bet in navigating this journey.

What are the Benefits?

The big question, right? Why go for methotrexate in ectopic pregnancies? Here’s why:

  • Non-Surgical: No knives, no scars. It’s a less invasive option.
  • High Success Rate: With a small-sized ectopic pregnancy, methotrexate works wonders.
  • Shorter Recovery Time: You’ll be up and about quicker than after a surgical procedure.


Whew! That was quite the journey, wasn’t it? Understanding ectopic pregnancies and the role of methotrexate in their treatment is crucial. The key takeaway? Always consult with experts, like the team at India IVF Fertility, who can guide you through every twist and turn. Remember, every cloud has a silver lining. With the right care and knowledge, you’re equipped to handle any bumps in the road.

Note: This article is for informational purposes only and is not a substitute for professional medical advice or treatment.

FAQs Curated by India IVF Fertility

They occur in about 1 out of every 50 pregnancies.

Absolutely! With the right care and guidance, many women have successful pregnancies post an ectopic one.

When administered in the right dose and under expert supervision, it's considered safe for treating ectopic pregnancies.

Generally, it's recommended to wait for about 3 months, but always consult your doctor.

Yes. An untreated ectopic pregnancy can lead to serious complications.

In many cases, yes. But the size and condition of the pregnancy play a role.

Methotrexate is the primary non-surgical treatment. Surgical options are also available.

Regular monitoring and blood tests will help determine the success of the treatment.

Most women start to feel better within a week, but complete recovery may take a month or so.

Some discomfort can be felt, but severe pain should be reported to the doctor immediately.

About The Author
Dr. Richika Sahay

MBBS (Gold Medalist), DNB (Obst & Gyne), MNAMS, MRCOG (London-UK), Fellow IVF, Fellow MAS, Infertility (IVF) Specialist & Gynae Laparoscopic surgeon,[Ex AIIMS & Sir Gangaram Hospital, New Delhi]. Read more

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