Question

A 33-year-old woman at 8 weeks’ gestation presents with vaginal bleeding and lower abdominal pain. Transvaginal ultrasound shows an empty uterus and an adnexal mass consistent with an ectopic pregnancy. She is haemodynamically stable. What is the most appropriate management option to discuss?

Accepted Answer

Medical management with Methotrexate if criteria are met

Answer

Expectant management only in all ectopic pregnancies

Answer

Immediate total hysterectomy

Answer

Discharge with reassurance

Answer

Delay any intervention until 20 weeks’ gestation

Practice question

A 33-year-old woman at 8 weeks’ gestation presents with vaginal bleeding and lower abdominal pain. Transvaginal ultrasound shows an empty uterus and an adnexal mass consistent with an ectopic pregnancy. She is haemodynamically stable. What is the most appropriate management option to discuss?