5th May 2024

A 27-year-old woman, who is 8 weeks pregnant according to her last menstrual period, presents with mild abdominal pain and spotting.

A 27-year-old woman, who is 8 weeks pregnant according to her last menstrual period, presents with mild abdominal pain and spotting. An ultrasound scan reveals an ectopic pregnancy with no foetal cardiac activity, and her serum hCG level is 1800 IU/L. She is haemodynamically stable and has no contraindications to medical management.

What is the most appropriate initial management for this patient?