Before administering methotrexate, your doctor will order a blood test to check your hCG levels and organ function. Then, the medication is given as a one-dose injection. Methotrexate targets the cells of your pregnancy and stops them from growing. Within 4-6 weeks, the body absorbs the pregnancy. There are side effects to using methotrexate, which may include abdominal pain, vaginal bleeding or spotting, nausea, vomiting, diarrhea and dizziness.
After initial treatment, your doctor will check your hCG levels on days four and seven. If your levels don’t decrease enough, they may recommend another dose. Your doctor will require follow-up appointments and blood tests until they find no traces of hCG in your blood, because the risk of fallopian tube rupture doesn’t go away until the end of treatment.
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