Both conservative surgery and medical therapy may be viewed as appropriate first-line
therapies in many early unrupturedectopic pregnancies.Multiple-dose MTX treatment has a lower
failure rate than single-dose MTX.Single-dose MTX is sufficient to treat persistent trophoblastic tissue after salpingostomyand ectopic pregnancies associated with low initial hCG values..Postoperative, prophylactic, single-dose systemic MTX may reduce the incidence of persistent ectopic pregnancy after salpingostomy.
•Medical therapy appears more cost-effective than surgery except when the initial hCG level is high and/or
embryonic cardiac activity is observed.
Power point lecture for undergraduate and postgraduate medical student