What is the treatment of choice of unruptured tubal pregnancy with serum p-hCG titre 2000 lU/ml
Multiple dose methotrexate very effective for an unruptured ectopic but half of these patients will never need fewer doses.Single dose is associated with a higher likelihood of rupture.Two dose protocol shows promise but is to be evaluated fuher (refer pgno:163 sheila textbook of obstetrics 2 nd edition)
Single dose of methotrexate
Variable dose of methotrexate
Expectant management
Laparoscopic salpingostomy
General obstetrics