Hi, I had methotrexate injection on 1st June after confirmed pregnancy in right tube. I’ve been bleeding ever since, sometimes like a normal period and sometimes heavier (never any clots) my hcg levels been a bit up and down since then, last Tuesday it was 190 so I’m back this Tuesday. Just wondering when it will ever end 
I’m in the same boat as you if it helps. Had first injection on 29th May with levels at highest up to 5800. Second injection on 5th June. I’m now down to 98 but not going for next bloods for a fortnight as that’s how they’ve set up my reviews. I’m still bleeding too but I understand that I may bleed until levels are at 0?
Thank you for replying 
awful isn’t it. I had another scan 1 week ago and they could no longer see anything in the tube so don’t know why I’m still bleeding? Hopefully when you go back your levels are done to 0! X
Dear Zoe_b15,
I am so sorry to hear of your ectopic pregnancy and loss,
It is not unusual for women to bleed after treatment for ectopic pregnancy. This first bleed after treatment is a response to falling hormone levels and involves shedding of the uterine lining and is not classed as a period. The length of the bleeding can vary from woman to woman and some women do report spotting and bleeding for up to around six weeks after an ectopic pregnancy.
While this is usually nothing to worry about, if you find that the bleeding increases so that you are soaking more than a pad in an hour or have offensive smelling discharge or body temperature of more than 37°C, please do get medical attention.
I am afraid it is difficult to predict how long it will take for your hormone levels reach non-pregnant levels. As we are all individual, our bodies respond differently to the drug and it depends on factors like how high levels reached and our unique physiology. What I can say is that it can take a number of weeks and, while it can take some time, it is not as invasive a procedure as surgery. Also, in terms of chances of future successful pregnancies, studies do not show a significant difference between treatment routes, whether surgical, medical using methotrexate or expectant management (allowing time for the body to resolve the pregnancy itself).
Sending much love,
Karen x
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