Question
Gynaecology and Obstetrics Question on Gynecology
A female presents to you with 6 weeks of amenorrhea complaining of bleeding per vagina and slight abdominal pain. The urine pregnancy test is positive and hCG level is 2800 IU/L. A mass is seen on the left adnexa measuring 3 x 2.5 cm. She is hemodynamically stable. How will you manage this patient?
hCG-Human chorionic gonadotropin
A
Oral methotrexate
B
Single-dose methotrexate injection
C
Serial methotrexate + leucovorin rescue
D
Salpingectomy
Answer
Single-dose methotrexate injection
Explanation
Solution
The correct option is (B): Single-dose methotrexate injection