Question

A hemodynamically stable patient with suspected tubal ectopic pregnancy has β-hCG 3,500 mIU/mL, a 2.5-cm adnexal mass, and no fetal cardiac activity. She desires future fertility and has no contraindications. Best management?

Accepted Answer

Single-dose methotrexate protocol

Answer

Diagnostic laparoscopy now

Answer

Expectant management until pain resolves

Answer

D&C to confirm diagnosis before treatment

Answer

Immediate bilateral salpingectomy

Practice question

A hemodynamically stable patient with suspected tubal ectopic pregnancy has β-hCG 3,500 mIU/mL, a 2.5-cm adnexal mass, and no fetal cardiac activity. She desires future fertility and has no contraindications. Best management?