Question

Describe medical management for ectopic pregnancy.

a) Surgical removal of the ectopic pregnancy
b) Administration of methotrexate (MTX)
c) Intrauterine aspiration
d) Observation without intervention

Answer 1

Medical management for ectopic pregnancy involves surgical removal, administration of methotrexate, intrauterine aspiration, or observation without intervention.

Step-by-step explanation:

Medical management for ectopic pregnancy can include:

1. Surgical removal of the ectopic pregnancy: If the ectopic pregnancy is causing severe symptoms or if the fallopian tube is ruptured, surgery may be necessary to remove the pregnancy and repair any damage.
2. Administration of methotrexate (MTX): Methotrexate is a medication that can be given to stop the growth of the ectopic pregnancy. It works by inhibiting the metabolism of folic acid, which is needed for the embryo's development. This option is usually chosen if the ectopic pregnancy is detected early and the fallopian tube is not yet ruptured.
3. Intrauterine aspiration: This procedure involves removing the ectopic pregnancy by using a thin tube inserted into the uterus through the cervix. It may be an option for certain cases.
4. Observation without intervention: In some cases, if the ectopic pregnancy is small and the person is not experiencing severe symptoms or complications, a doctor may choose to closely monitor the situation without intervening immediately.