MTX for EP | |
---|---|
Indications | • Haemodynamically stable patients |
• Minimal or no symptoms | |
• Serum hCG is < 5000 IU/L | |
• Ectopic mass < 3.5 cm | |
• No embryonic cardiac activity | |
• Confirmed diagnosis of ectopic pregnancy | |
• Able to comply with the follow-up | |
Contraindications | • Hemodynamically unstable |
• Suspected ruptured EP | |
• Heterotopic pregnancy | |
• Pregnancy of unknown location | |
• Breastfeeding | |
• Chronic liver disease | |
• Renal disease | |
• Active peptic ulcer or colitis | |
• Active pulmonary disease | |
• Immunodeficiency | |
• Haematological disease | |
• Sensitivity to MTX | |
• Unable to comply with visits and follow-up |