My hcg levels dropped and now increasing after methotrexate shot. 3152 miu/ml before injection. 48hrs after shot it was 3052. 72hrs after 3108. nopain?

Expected: If you are referring to methotrexate treatment of ectopic pregnancies, then the levels that you are describing fall within what would be expected.

Rising HCG: I would wait a few more days as the methotrexate may take a week before you see a descent drop in level. If no drop by then, I would start by checking an US to look for retained molar tissue.