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| Side Effects and Risks of Methotrexate |  Unfortunately, there is limited information on child-bearing after taking such drug as Methotrexate. This medication works on dividing cells and a woman’s eggs and they don’t divide until they are fertilized, therefore, future pregnancies should not be affected. Nevertheless, to be extremely safe, women should avoid getting pregnant by using birth control for at least three months after receiving Methotrexate.
When woman takes Methotrexate in early pregnancy it safely and effectively induces abortion in 90-97% of cases. Women who have chosen a medical abortion reported that it felt more private and natural than a surgical procedure. Sometimes the medication does not induce termination of the pregnancy; in this case a surgical suction abortion will be performed at no additional charge. Medical abortion with Methotrexate (MTX) is an option up to six weeks measured since last menstrual period (LMP).
Possible side-effects of Methotrexate:
- nausea;
- vomiting;
- diarrhea;
- abdominal cramping;
- sores in the mouth;
- headache;
- dizziness;
- insomnia;
- vaginal bleeding.
Risks
There is a risk that vaginal bleeding during the miscarriage caused by MTX may be heavy. In some cases it could require a surgical abortion and very rarely, a blood transfusion. If a girl under age 18 has some complications, their confidentiality cannot be guaranteed because their parents may need to give permission for care if complications happen.
Studies show that MTX abortion has a failure rate of 1-10%. If spontaneous abortion has not induced by 6 weeks after injection, a surgical abortion is required.
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