We have had 4 losses this year, with the last loss being an ectopic the first week of July. I got the methotrexate shot and two weeks later my levels dropped to 0. I started taking my massive doses of folic acid as soon as my levels dropped. I asked my doctor for a three month prescription for the mini pill so that we would be protected during the waiting period after methotrexate and wouldn't be at a higher risk for complications from the methotrexate.