Question

A 28-year-old hemodynamically stable patient with suspected tubal ectopic pregnancy has β-hCG 2,500 mIU/mL, adnexal mass 2.0 cm, no fetal cardiac activity, and reliable follow-up. What is the best management?

Accepted Answer

Single-dose methotrexate protocol

Answer

Expectant management only

Answer

Immediate laparoscopic salpingectomy

Answer

Uterine curettage

Answer

High-dose progesterone therapy

Practice question

A 28-year-old hemodynamically stable patient with suspected tubal ectopic pregnancy has β-hCG 2,500 mIU/mL, adnexal mass 2.0 cm, no fetal cardiac activity, and reliable follow-up. What is the best management?