(The average rate of speech for English speakers in the United States is about 150 words per minute, by the way.) A speaker's habits also influence how much air pressure is used to produce sound and how s/he uses laryngeal muscles to open and close the vocal folds.
4 Use of methotrexate to treat pregnancy of unknown location.  You may require a second dose of the drug.  You are advised to wait a minimum of 3 months before. trying for a future pregnancy.  You are sometimes more vulnerable to infection (if you. come into contact with someone with flu/common cold. etc).
Signs and Symptoms. Ectopic pregnancy can be difficult to diagnose because symptoms often are like those of a normal early pregnancy. These can include missed periods, breast tenderness, nausea, vomiting, fatigue, or frequent urination (peeing). Often, the first warning signs of an ectopic pregnancy are pain or vaginal bleeding. There might be pain in the pelvis, abdomen, or even the shoulder or neck (if blood from a ruptured ectopic pregnancy builds up and irritates certain nerves). The pain can range from mild and dull to severe and sharp.