1st April 2022

Mary is a 38-year-old who attends the Early Pregnancy Assessment Unit for a transvaginal ultrasound scan

Mary is a 38-year-old who attends the Early Pregnancy Assessment Unit for a transvaginal ultrasound scan (TUVS) 6 weeks after missing her period and a positive pregnancy test. She has had 2 consecutive early miscarriages and is being monitored by the Unit. There are no signs of an intrauterine or extrauterine pregnancy on scan, and she is diagnosed with a pregnancy of unknown location (PUL). She is asymptomatic. What is the appropriate next step?

Select the SINGLE most appropriate option from the list below. Select ONE option only.