Question

A stable patient with suspected tubal ectopic pregnancy has β-hCG 3,500 IU/L, no fetal cardiac activity, and no contraindications. She desires fertility and close follow-up is feasible. Best management?

Accepted Answer

Single-dose methotrexate 50 mg/m² with day 4 & 7 hCG monitoring

Answer

Urgent salpingectomy

Answer

Expectant management without follow-up

Answer

Immediate laparotomy due to hCG >2,000 IU/L

Answer

Dilation and curettage to remove ectopic tissue

Practice question

A stable patient with suspected tubal ectopic pregnancy has β-hCG 3,500 IU/L, no fetal cardiac activity, and no contraindications. She desires fertility and close follow-up is feasible. Best management?