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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is A Subchorionic Hematoma During An Ectopic Pregnancy A Good Sign?

Hello,i have an ectopic pregnancy and after the first methotrexate shot my HCG levels dropped by 25% in 6 days and now doctor says they need to drop by 50% in the next 7 days.I have a heamatoma around the sac in the tube.Is this a good sign or the expected
posted on Fri, 2 Mar 2018
Twitter Sun, 13 May 2018 Answered on
Twitter Fri, 18 May 2018 Last reviewed on
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OBGYN,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Formation of hematoma around the sac may indicate that the methotrexate may be acting in regressing the ectopic pregnancy. But if you are having bleeding from the tube with peritoneal hemorrhage, better to be careful and ruptured ectopic should be ruled out. If you are having only hematoma around the sac you can continue with regular periodic ultrasound examinations and beta HCG levels for monitoring.

Hope I have answered your query. Let me know if I can assist you further.
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Is A Subchorionic Hematoma During An Ectopic Pregnancy A Good Sign?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Formation of hematoma around the sac may indicate that the methotrexate may be acting in regressing the ectopic pregnancy. But if you are having bleeding from the tube with peritoneal hemorrhage, better to be careful and ruptured ectopic should be ruled out. If you are having only hematoma around the sac you can continue with regular periodic ultrasound examinations and beta HCG levels for monitoring. Hope I have answered your query. Let me know if I can assist you further.