I have a lot of abdiman pain and pain on my left side my hCG level is coming down. I am still having pain on my left side. how long with it take for this pregnancy to end. its about 3 weeks since I had the methotrexate injection still in alot of pain on my left side I am taking Lenoltec No.3 for pain killer. plz I need some advice. Conclusion(s): Methotrexate should not be used to treat ectopic pregnancy when initial β-hCG is 4000 IU/L. Caution should also be exercised in using methotrexate for ectopic pregnancy when the patient presents with bleeding or pain even without tenderness. Summary. Pelvic pain is found among people who take Methotrexate, especially for people who are 50-59 old , have been taking the drug for 1 month, also take medication Folic Acid, and have Pain. Methods. This was a retrospective review of 60 cases of ectopic pregnancy treated with single dose methotrexate in Nizwa hospital, Oman. Demographic data, clinical presentation, treatment progress, outcome, side effects and future fertility follow up were analysed using a computer database. Methotrexate is used to treat a number of different conditions. Take one dose each week, on the same day of the week. Two strengths of tablet are available - 2.5 mg and 10 mg. Only 10 patients reported mild pelvic pain, and four others reported dizziness or nausea during or after the procedure. Malignant cells were not found in any of the cases at cytologic examination. We did not observe any cases of infection after the procedure. Conclusion: Ultrasonography-guided transabdominal aspiration of cyst fluid and subsequent methotrexate injection appears to be an. Rheumatoid Arthritis Pelvic Pain Joint disease is a debilitating disease characterized by the infection of the joints. Individuals experience great pains and stiffness and so they can even become incapable of getting around and of performing the simplest movements. Continued Diagnosis. If your doctor thinks you have an ectopic pregnancy, she will probably perform some tests, including a pregnancy test and a pelvic exam. Early diagnosis of ectopic pregnancy can provide women an alternative to surgical therapy. Nonsurgical treatment using methotrexate is cost-effective, restores subsequent fertility, and decreases the morbidity and mortality intrinsic to traditional surgical procedures. Signs and symptoms of ectopic pregnancy include increased hCG, vaginal bleeding (in varying amounts), sudden lower abdominal pain, pelvic pain, a tender cervix, an adnexal mass, or adnexal tenderness.