A 29-year-old woman presents at 7 weeks gestation with lower abdominal pain and light vaginal bleeding. Her β-hCG level is 3000 IU/L, and transvaginal...

Question

A 29-year-old woman presents at 7 weeks gestation with lower abdominal pain and light vaginal bleeding. Her β-hCG level is 3000 IU/L, and transvaginal ultrasound shows no intrauterine pregnancy and a 2.5 cm adnexal mass with minimal free fluid. She is haemodynamically stable. According to SOGC guidance, which management is most appropriate?

Accepted Answer

Single-dose methotrexate therapy with close monitoring

Answer

Expectant management with no follow-up

Answer

Immediate laparotomy for salpingectomy

Answer

Dilation and curettage only

Answer

Reassurance that this is a normal early pregnancy

ca-mccqe1 MCQ (SBA): Ectopic pregnancy