Question

A 36-year-old woman presents with first-trimester bleeding. Her β‑hCG is 1,200 mIU/mL and the ultrasound findings are indeterminate. What is the next step in management?

Accepted Answer

Repeat β‑hCG in 48 hours and repeat ultrasound

Answer

Immediate methotrexate

Answer

Curettage now

Answer

No follow-up needed

Answer

Start progesterone empirically

Practice question

A 36-year-old woman presents with first-trimester bleeding. Her β‑hCG is 1,200 mIU/mL and the ultrasound findings are indeterminate. What is the next step in management?