A member asked:

Bleeding & cramps after 2nd shot of mtx. still docs cannot find evidence of ectopic. misdiagnosed? i was 5 wks, hgc @ 2000 when diagnosed.

A doctor has provided 1 answer
Dr. Jeff Livingston answered

Specializes in Obstetrics and Gynecology

Careful follow up: This sounds like a complex case. Methotrexate is given under careful circumstances and criteria. The BHCG levels should be followed closely on day 4 day 7 and then once per week looking for a 15% drop between day 4-7. It is important that this be done. Schedule follow up with the treating physician to go over the plan and results.

Answered 8/17/2015

2.4k views

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