A 29-year-old woman presents with a missed period and positive pregnancy test. Transvaginal ultrasound at 6 weeks' gestation shows an empty uterus and...

Question

A 29-year-old woman presents with a missed period and positive pregnancy test. Transvaginal ultrasound at 6 weeks' gestation shows an empty uterus and a 2 cm adnexal mass with free fluid in the pelvis. She is haemodynamically stable. What is the most appropriate management?

Accepted Answer

Immediate methotrexate or surgical management for ectopic pregnancy depending on suitability

Answer

Discharge and repeat pregnancy test in 1 month

Answer

Start progesterone to support pregnancy

Answer

Reassure and repeat ultrasound in 12 weeks

Answer

Induce labour

ca-mccqe1 MCQ (SBA): Ectopic pregnancy

A 29-year-old woman presents with a missed period and positive pregnancy test. Transvaginal ultrasound at 6 weeks' gestation shows an empty uterus and a 2 cm adnexal mass with free fluid in the pelvis. She is haemodynamically stable. What is the most appropriate management?