A member asked:

Rephrasing earlier question: got methotrexate shot 4 days ago for ectopic. now experiencing dark spotting frm vaginal w/no pain.normal?

A doctor has provided 1 answer
Dr. Carline Louis-Jacques answered

Specializes in Obstetrics and Gynecology

Ectopic pregnancy: Bleeding & pelvic pain can start within the 1st week of starting methotrexate or MTX. The pain may occur when the ectopic starts to separate from wherever it is attached. The pain and bleeding shouldn't be severe but see your doctor if they are.

Answered 8/14/2015

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