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Beta hCG follow up after methotrexate for Ectopic Pregnancy 

Parikshit Tank
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Ectopic pregnancy is often diagnosed early and amenable to medical treatment of standard criteria are met. Systemic methotrexate is the standard of care. Follow up is with beta HCG levels. A 15% threshold on day 4 after injection is useful for decision making.

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26 авг 2024

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Комментарии : 65   
@bychirag
@bychirag 2 года назад
Dear Dr.Parikshit, excellent talk. You have cleared my doubts about medical Management of ectopic pregnancy. It was really very helpful. Specially the "grey" period where as a Obstetrician, we are also confused and feel that medical management has faild. But now giving this concept we can proceed for 2nd dose & minimise the surgical intervention. Once again thank you for sharing practical knowledge. Do post such videos frequently. 🙏🏻👍🏻👍🏻
@parikshittank8049
@parikshittank8049 2 года назад
Thank you! I am glad that the video is useful.
@Hameesstudio
@Hameesstudio Год назад
After the fifth week, we discovered that my wife had an ectopic pregnancy. We found this out when checking the ultrasound, and she immediately rushed to the hospital in an emergency to receive medical advice from a doctor because the HCg 6000 Level indicated that the first option was the best. I allowed her to go with the dose of methotrexate injection after first giving medicine and then surgery. The HCG level reached 14,890 after 4 days and dropped to 9,900 after 8days,
@bollywoodviral8275
@bollywoodviral8275 Год назад
Sir Same problem I am facing my wife bhcg level before injection is 3500 than after 4 days it goes to 10616 and today at 6th days it is on 6500 . Please suggest to me whether to go for surgery or continue with this treatment. Is any disadvantage of mithotracise injection?
@paltetisowjanya9695
@paltetisowjanya9695 Год назад
​@@bollywoodviral8275 i also had the same problem.. can you please update on the situation of your wife
@purpleasyou5091
@purpleasyou5091 Год назад
@@bollywoodviral8275 can you pls tell me what happened next with you
@fearwhatisinsideyou
@fearwhatisinsideyou 10 месяцев назад
You allowed her??
@MdNurulIslam-yi2wg
@MdNurulIslam-yi2wg 10 месяцев назад
Thanks a lot
@talltalllady
@talltalllady Год назад
Does this shot cause fertility or make it harder to get pregnant?
@naughtynavya1584
@naughtynavya1584 23 дня назад
Methotrexate ke 2 dose kene ke baad bhi bleeding nhi hori ?? Is it safe??
@Priyankakikahani
@Priyankakikahani 2 года назад
9 ko mera beta hsg 5000 tha fir 13 ko 10k hua injection ke baad 9000 aaya 7000 aur 23 .05.2022 ko 5000 k aa gya but mujhe halki spoting h dard h injection lagne ke baad bhi main kya karu ectopic pragancy aayi h 1 bhi baby na hone se dr injection se remove ko kaha please kya karu
@bollywoodviral8275
@bollywoodviral8275 Год назад
Same problem I am facing my wife bhcg level before injection is 3500 than after 4 days it goes to 10616 and today at 6th days it is on 6500 . Please suggest to me whether to go for surgery or continue with this treatment. Is any disadvantage of mithotracise injection?
@evercharm9864
@evercharm9864 Год назад
@@bollywoodviral8275 surgery laga tha eya phir injection mein kaam hua tha vaisab?
@yogiii096
@yogiii096 2 года назад
Sir methotrexate injection lene k bad biliding hoti h ya nhi
@parikshittank8049
@parikshittank8049 2 года назад
Yes. Usually hoti hai.
@Treelok-y35
@Treelok-y35 Год назад
My 4.5 week hcg 3325 after 48hour 5485 pregnancy healthy nahi ho sakti
@abdulhameed4659
@abdulhameed4659 Год назад
Meri molar preganancy h 6th cyicl h betahcg 99 h mujhe 1hfte se nind nhi ari h rat ko sr me kia kru
@debosmitabanerjee7440
@debosmitabanerjee7440 Год назад
Sir, if anyone has beta hcg level 33 and doctor suspected ectopic pregnancy , will the surgery needed or methotrexate will be benificial
@urathpavankumar9719
@urathpavankumar9719 Год назад
Hii sir 10 days avuthundhi miss avi hcg 2580.00 pregnancy vunatta lenatta sir please reply
@hinduparvtv
@hinduparvtv 9 месяцев назад
Sir meri tubal prgancy k time hcg 2600 hundred tha jb methoexetrate injection dia toh 4 day pr level 1600 tha... Nd 7 day pr hcg 1545 h.... Sir is it working? Nd kitne days me resolve hoyeg plz anwer it
@sneha8413
@sneha8413 3 месяца назад
Ap recover ho gae...as I am also going with same situation
@akankshajain8090
@akankshajain8090 Год назад
Sir beta hcg has gone down to 3.77 after taking 2 doses of methotraxate but ectopic mass still there.. i am worried ..
@wasimakhtar6487
@wasimakhtar6487 Год назад
What happened next, could you please update me
@ayushiasthana4770
@ayushiasthana4770 2 года назад
Sir I had my methotrexate injection dose 14 days back on day 4 my hcg had dropped to 3 points on day 7 it had dropped to more than 200 points. I felt ok with some abdominal pain. After 14 days i m having periods like pain is it ok?? By when can I expect my normal period after the dose?
@saim_BD
@saim_BD Год назад
How does you use mam? Single or double My sis single dose injection done.. After 2days b-hcg level dropped 52...
@reenasharma8110
@reenasharma8110 2 года назад
plz mjhe advice di mere eak tube repture hu gya ectopic pregancy k waja s mjhe ab dar lg raha h 2bara esa na hu is k lye m kiya upay kro
@poojamaddheshiyamaddheshiy7377
@poojamaddheshiyamaddheshiy7377 8 месяцев назад
ek baar ectopic hone ke baad dubara bhi ho jata h risk n le doctor ki salah se baby plan kijiye
@aniqasaad8218
@aniqasaad8218 2 года назад
Is m bleeding Hoti hai
@sbramr8354
@sbramr8354 2 года назад
Sir mere beta hcj 436. 30 mlu/ml aai h kya m pregnant hu kya pregnancy test negative h
@reenasharma8110
@reenasharma8110 2 года назад
sir mere beta hcg 5000thi ectopic pregancy thi to dr surgery ko bola h pain hai ur bleeding b hai to kiya mera injection s baby remove nh hu ga kiya jaldi btae my 1st baby tha after laproscopy k bd 8year infertility thi
@ZebaAbbas
@ZebaAbbas 2 месяца назад
Do bar injection lgne k bad bhi beta hcg badh hi rha h jb k tube m 3 mm ki pragnancy bta rhe h dr kya kre koi suggestion de
@ZebaAbbas
@ZebaAbbas 2 месяца назад
Plz rply zarur kre
@purpleasyou5091
@purpleasyou5091 Год назад
Why dr monitor weight before injection
@Dr-789
@Dr-789 Год назад
To calculate dose of methotrexate .
@purpleasyou5091
@purpleasyou5091 10 месяцев назад
@@Dr-789 after how many days of dose of methotrexate, we can try for baby
@ahad-od1so
@ahad-od1so Год назад
Can we take methotrexate after miscarriage in normal pregnancy for lower HCG level..my level on 17 Feb was 822 and on 22 Feb it is 313 ..I want to lower my HCG .. please guide me
@gloriaappiah6319
@gloriaappiah6319 3 месяца назад
It's happening to me
@cooanu86
@cooanu86 Год назад
I had ectopic in July month, it got dissolved through injection, after 3 doses alternative days i got my period in 25July, after that 18th aug i had a light period, even same in sep now. When will I get my period normal
@knowledgeablelife1566
@knowledgeablelife1566 3 месяца назад
after injections it is blooding happen ?
@cooanu86
@cooanu86 3 месяца назад
@@knowledgeablelife1566 it started after injection, took 4 months to get back my period normal. I got pregnant again and baby heartbeat beat dint appear even after 2 months so got a abortion
@TheMrmomomomo
@TheMrmomomomo 2 года назад
greetings my wife took misoprostal (abortion pill). 4 tabs for three times orally. then she got ectopic. after betaHCG 1280 units and mass of 2.4cm in the tube. she got injected with methotrexate. what can be possible outcome with the above parameters and whats the best we can do to avoid tubal rupture. having three kids already. what is the best management for health and life of my wife now. she got methotrexate 2-7-22
@rushikesh9959
@rushikesh9959 Год назад
Sir mere wife ka aaj hi injection diya hain २८०० tha hcg kaisa process huva tha apka please explain
@evercharm9864
@evercharm9864 Год назад
Did injection work??
@TheMrmomomomo
@TheMrmomomomo Год назад
in our case injection didn't work. tube ruptured and had to undergo surgery with general anesthesia. but all went well. no complications.
@evercharm9864
@evercharm9864 Год назад
@@TheMrmomomomo after getting injection didn’t bhcg level decrease?? I get injected one mtx injection. After getting injection my bhcg level decrease 317 to 113 point.
@unknownstranger1936
@unknownstranger1936 Год назад
Continuously 3 saal medicine leme k bd mujhe concieve hua....right ectopic hua.... laproscopy hui....but tubes bach gyi.....fer dobara....8 months k bd naturally concieve hua....left ectopic ho gya.....mtx treatment liya....kya mujhe ab ivf try krna chayea...ya naturallly normal pregnancy ho akti h??
@MagiSoni
@MagiSoni 11 месяцев назад
Ho jay ga kud e
@surajshahdeo1062
@surajshahdeo1062 2 года назад
Sir ... Methotrexate lene k baad beeta hcg 6 mlu tk gir gya usk ek safte k baad period bhi aaye but abhii bhii hlka hlka abdominal pain hote rhta ruk ruk kr.....kya ye Normal hai...
@parikshittank8049
@parikshittank8049 2 года назад
Period pain jaisa ho sakta hai
@Rishuvaibhavi
@Rishuvaibhavi Год назад
Hai.. sir can u help me After injection of methotrexate when bleeeding will start and how many days Becoz 2days back doctor gave me inj ..but still there is no bleeding ..i feel like only contraction pain plz suggest me sir ..am requesting
@annuahlawat460
@annuahlawat460 Год назад
Hii update plz...i also hv same issues
@dinaauliana8169
@dinaauliana8169 Год назад
How many dose of your injection?
@user-zb7nt4mk1t
@user-zb7nt4mk1t 18 дней назад
When did u started bleeding ?​@@annuahlawat460
@rojinthomas6545
@rojinthomas6545 8 месяцев назад
Hey Doc.Nice clear video. My wife is in the situation where there is no decrease even on Day7(HCG @ 3000). What would you recommend? A 2nd dose or surgery before rupture?
@jiyajibu
@jiyajibu Год назад
Sir mera ectopic pregnancy thi injection lagaye but ab mujhe period aaye or usme bahut dard ho raha hai kya ye normal hai ya nahi please bta dijiye
@rushikesh9959
@rushikesh9959 Год назад
How u now mere wife ko bhi injection diya hain aaj
@warraichsahiba3262
@warraichsahiba3262 Год назад
Kitni daer baad period ay mujy 18 hours ho chuky hain but bleeding nai hui plz btayn k apko kitni dayr baad hui
@jiyajibu
@jiyajibu Год назад
@@warraichsahiba3262 vo kuch din baad aa jayega usi time nahi aate 3 4 din bad aate hai
@shubhangibannagare3757
@shubhangibannagare3757 7 месяцев назад
Sir methotrexate lene k bad 4 day me bleeding hoti h kya
@parikshittank8049
@parikshittank8049 7 месяцев назад
Yes
@shubhangibannagare3757
@shubhangibannagare3757 7 месяцев назад
@@parikshittank8049 ye normal hai?
@parikshittank8049
@parikshittank8049 7 месяцев назад
@@shubhangibannagare3757 yes
@baba_ki_mehr
@baba_ki_mehr Год назад
Sir .... Muje ectopic pregnancy m Methotrexate injection 15 July 2023 diya gya tb 2-3 days bleeding hui fir uske bad s spotting ho rahi h aaj 27 july ho gayi ....sir kya y normal h ??? Pls rly
@preetirainswal3815
@preetirainswal3815 10 месяцев назад
Next period kb aaye aapke ... actually muje bhi abhi ectopic hui h
@NehaVivekSoam
@NehaVivekSoam 3 месяца назад
​@@preetirainswal3815apko periods kb aye after second dose mujhe bhi ectopic thi
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