A 22 years old female underwent suction evacuation for molar pregnancy. Beta HCG levels are persistently high following evacuation. The next line of management is:
Ans. is d, i.e. MethotrexatePersistently raised bhCG levels after H mole evacuation indicate the patient may develop GTN, and is an indication for Prophylactic methotrexate therapy.
Follow up at 1 year
Monitor until HCG becomes 0
Hysterectomy
Methotrexate
Gestational Trophoblastic Disease