The verdict

Left work early to get to the clinic (1.5 hours from work). It takes me 1 hour, door to door (including the train) to get to and from work. It's another 20-30 minutes to drive to the clinic.

During the u/s with Dr. W, it was clear that there was no sac, no baby in the uterus. Nothing was visible around the ovaries, a good sign that the tubes hadn't ruptured and there was no bleeding.

Conclusion: ectopic pregnancy.

The nurse administered Metho.trexate with two intramuscular injections. Here's what Web.MD has to say about the drug. Dr. W explained that they have been treating tubal pregnancies with this low, low dose of chemotherapy for about 20 years. Beats having a rupture or having to have surgery. My hCG will continue to be monitored - Sunday and again next Wednesday.

The bad thing: Can't even drown my sorrow in alcohol, as alcohol, vitamins, aspirin and other pain killers can all create Metho.trexate toxicity. I jokingly asked if I could take Vicadin, and the nurse didn't say no. She did say to call the clinic and/or the on-call doctor if I had abdominal pain, which is a pretty normal side-effect of the drug (or could mean that the tubes burst anyway).

The silver lining: We're trending in the right direction - 1st fresh IVF resulted in a chemical pregnancy and FET resulted in ectopic. Dr. W agreed when Mr. Jem asked Dr. W. if this meant we were more likely to have a viable, healthy pregnancy next time.

Actually, the real silver lining is having Mr. Jem by my side to make me laugh and to cheer me up.

Jem