What is the treatment of choice of unruptured tubal pregnancy with serum p-hCG titre 2000 lU/ml
Single dose of methotrexate
Variable dose of methotrexate
Expectant management
Laparoscopic salpingostomy
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)
General obstetrics