Ok... I got diagnosed with an ectopic pregnancy and had one dose of methotrexate 9 days ago. I bled for 4 days and then it stopped completely. Unfortunately my levels haven't changed at all and I'm scheduled for laproscopic surgery in 2 days. I was walking around a store tonight and started having intense pain and then I went to the bathroom and I have bright red bleeding with small clots being passed and it's very heavy. Pain has decreased but I'm wondering: Is this normal following methotrexate or a symptom that the tube has ruptured and requires an ER? I have been taking my BP and it's stayed stable. Thank you.