Question

A 30-year-old at 7 weeks has a stable ectopic pregnancy (β-hCG 3,500 IU/L), no fetal cardiac activity, haemodynamically stable, normal LFTs/renal function. She prefers medical management. Best option?

Accepted Answer

Single-dose methotrexate protocol

Answer

Laparoscopic salpingectomy

Answer

Expectant management regardless of β-hCG

Answer

Misoprostol 800 μg vaginally

Answer

Methotrexate contraindicated if β-hCG <5,000 IU/L

Practice question

A 30-year-old at 7 weeks has a stable ectopic pregnancy (β-hCG 3,500 IU/L), no fetal cardiac activity, haemodynamically stable, normal LFTs/renal function. She prefers medical management. Best option?