Question

A 24-year-old with stable, unruptured tubal ectopic pregnancy (mass 2.2 cm) and initial β-hCG 3,500 mIU/mL, no fetal cardiac activity, normal LFTs and renal function. Appropriate management?

Accepted Answer

Single-dose methotrexate protocol

Answer

Expectant management regardless of hCG

Answer

Immediate salpingectomy in all cases

Answer

D&C for treatment

Answer

Start misoprostol alone

Practice question

A 24-year-old with stable, unruptured tubal ectopic pregnancy (mass 2.2 cm) and initial β-hCG 3,500 mIU/mL, no fetal cardiac activity, normal LFTs and renal function. Appropriate management?