Question

A hemodynamically stable 29-year-old with a β-hCG 3,800 mIU/mL and an adnexal mass 2.8 cm without fetal cardiac activity is diagnosed with ectopic pregnancy. She can follow up reliably and has no contraindications. Best treatment?

Accepted Answer

Single-dose methotrexate regimen

Answer

Immediate laparoscopic salpingectomy

Answer

Expectant management without therapy

Answer

Two-dose methotrexate only

Answer

Uterine curettage

Practice question

A hemodynamically stable 29-year-old with a β-hCG 3,800 mIU/mL and an adnexal mass 2.8 cm without fetal cardiac activity is diagnosed with ectopic pregnancy. She can follow up reliably and has no contraindications. Best treatment?