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I was already bleeding and feeling sick to my stomach when I got the metho. I did start having some intense pain and ended up in the ER. They did another transvaginal ultrasound and the sac had actually grown a little (but not ruptured). My dr said it was not uncommon for it to swell a little after the injection. She also said they often see a rise in hcg levels for up to 48 hours after. I stayed in the hospital overnight, but was released the next day since my hcg levels did go down. I also kept bleeding for about three weeks. I didn't think it was ever going to stop.
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