ABSTRACT
As discussed in previous chapters, we have seen how high-resolution transvaginal ultrasonography (TVS) and rapid assays of serum human chorionic gonadotrophin (hCG) allow an early diagnosis of pregnancy location to be made in most cases. This has led to more ectopic pregnancies being detected in asymptomatic women. We have heard that in some units over 90% of ectopic pregnancies are visualized on TVS.1 We know that surgical management is not always appropriate for these women. Both expectant and medical management have been shown to be safe and effective in selected cases of ectopic pregnancy.2,3 Having already described in the previous chapter how a ‘watch and wait’ policy can work for some ectopic pregnancies, this chapter aims to give an overview of the use of medical management in the treatment of tubal ectopic pregnancies.
