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Medical treatment of ectopic pregnancy

Medical treatment of ectopic pregnancy

Methotrexate is a drug that can be used in the treatment of ectopic pregnancy, since it stops the advancement of pregnancy. However, methotrexate is usually only used when a series of circumstances exist:

  • Patient with no or mild symptoms.
  • hCG less than 3000-5000 mIU/ml, although it can be used with higher values.
  • No fetal heart activity.
  • Diameter of the gestational sac less than 4cm.

However, there are times when hCG levels do not drop as expected after methotrexate treatment, so surgery may be necessary.

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By (gynecologist), (embryologist), (embryologist) and (psychologist).
Last Update: 03/02/2022