What is the preferred method of management for an ectopic pregnancy?

• A. Methotrexate therapy
• B. Salpingectomy
• C. Expectant management
• D. Laparotomy

Answer: (A)

The preferred method of management for an ectopic pregnancy is methotrexate therapy. This approach is a non-surgical option particularly suited for early ectopic pregnancies where the patient is hemodynamically stable and there is no evidence of rupture. Methotrexate is a folic acid antagonist that inhibits rapidly dividing cells, effectively stopping the growth of the ectopic tissue.

The use of methotrexate is beneficial as it allows for preservation of the fallopian tube and minimizes the risks and complications associated with surgical interventions. It is important for patients to be closely monitored for signs of resolution of the ectopic pregnancy after treatment and to follow up with serial hCG measurements to ensure that the levels are decreasing appropriately.

While other management options like salpingectomy (surgical removal of the affected fallopian tube), expectant management (monitoring the condition), or laparotomy (a more invasive surgical procedure) are relevant in certain situations, they may involve higher risks, longer recovery times, or may not be deemed necessary for early cases. Therefore, methotrexate is preferred for its non-invasive nature and the ability to effectively treat early ectopic pregnancies while maintaining fertility options.