A 30y/o female presented to OPD with chief complaints of amenorrhea for 10 weeks

A 30y/o female presented to OPD with chief complaints of amenorrhea for 10 weeks, pain abdomen 2 days and bleed P/V. Urine pregnancy test came positive, but USG revealed an empty uterus. Pt is hemodynamically stable. What is the medical line of management of this condition?

Wait and watch

Methotrexate and mifepristone.

Oral contraceptive pills

Medical termination of pregnancy.

Case of unruptured ectopic pregnancy.

Medical management is the treatment of choice in this case with methotrexate.

But this shows a classical triad of ruptured ectopic preg so i think mtp is option

but pt is stable and not in shock… so it can’t be a case of ruptured ectopic…

It is not necessary that patient of Ruptured Ectopic is always unstable…Patient can be stable in that case we have to go for salpingectomy via laparoscopy or laparotomy…if unstable then by laparotomy

yes bleeding PV suggests rupture. Thanks for clearing it.

I don’t think MTP and laparatomy with salpingectomy is the same in this case. (Technically MTP doesn’t include surgery)

Methotrexate is the medical management in this.