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Question

Gynaecology and Obstetrics Question on Role of Hormones in Initiating Reproductive Function

A female patient presents to you with six weeks of amenorrhea, associated with abdominal pain and vaginal bleeding with normal blood pressure. Investigations revealed beta – hCG to be 1400 mIU/mL. An ultrasound scan was done which showed a trilaminar endometrium with normal adnexa. What is the next best step in the management of this patient ?

A

Repeat beta – hCG after 48 hours

B

Repeat ultrasound after 3 days

C

Measurement of progesterone

D

Laparoscopy

Answer

Repeat beta – hCG after 48 hours

Explanation

Solution

The correct option is (A) : Repeat beta – hCG after 48 hours