Hi B-
I too had started with a low beta back in May that doubled very nicely for almost 2 weeks. I had a u/s scheduled for about 6 and a half weeks, but the night before I was at a concert and started to feel sharp pains on my left side. They were brief, so I just thought it was ligament pain. Then when I got home I couldn't sleep and finally at 3am the pain was so intense that I had DH take me to the ER.
(an aside: my last beta had been 355. At the ER I was now over 3000 and should have been 2x that). Anyway, they did a u/s and the stupid tech thought she saw something in my uterus, then the ER Dr. sent me home telling me that I had constipation. He told me to go to my RE appointment (in 7 hours), but tell them not to do a u/s because I already had one. Well, my RE wasn't stupid and did one and all they found in my uterus was blood. No sac. So they gave me methotrexate. The next day, the worst of my life, I almost died when my ectopic ruptured. Luckily DH took the day off with me. I was rushed to the hospital for emergency surgery. I had to have a transfusion since I had lost so much blood. When the paramedics came to get me (DH called 911) they could barely get a pulse. I was fortunate in many ways that day...to have my DH home and have him with me, noticing when I passed out, to have quick acting 911 response, and to have a wonderful ob/gyn do my surgery.
Anyway, if an ectopic is suspected, there is no reason to wait. A D&C won't solve that problem since they don't clean out the tubes. And even if you do get the metho shot, make sure you go back in a couple of days to make sure your beta starts dropping. I had my shot on a Monday and they wanted me to come back for a beta on Friday. I didn't make it (rupture was on Tuesday).
Oh, I had NO bleeding. A little spotting on my first beta day (my progesterone was low...they gave me supplements and the spotting only lasted 2 days).
Another reference for you. I got my first beta on CD30. My ectopic ruptured CD49...2 and a half weeks later. I tell you all of this not to scare you, but to make you aware. I would never wish that hell on anyone.
I am sorry this is happening to you. I wish you the best. Keep us informed on what you decide to do.
