Question

A 33-year-old woman with a suspected ectopic pregnancy (β-hCG 2,500 IU/L, stable, unruptured ectopic seen on TVUS, reliable follow-up) asks about medical management. What is the best option?

Accepted Answer

Methotrexate if criteria met

Answer

Expectant management

Answer

Immediate laparotomy

Answer

Methotrexate is contraindicated if hCG <5,000

Answer

Delay therapy until rupture risk passes

Practice question

A 33-year-old woman with a suspected ectopic pregnancy (β-hCG 2,500 IU/L, stable, unruptured ectopic seen on TVUS, reliable follow-up) asks about medical management. What is the best option?