Re: Tubal Pregnancy--management

From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)
Sat Jan 19 11:54:01 2008


At Sat, 19 Jan 2008, art fougner, md wrote: >
>A word of caution for those who would give MTX in a stable patient
>simply because their HCG comfort zone has been exceeded - Multiple
>Pregnancy. Levels of HCG may be significantly elevated prior to first
>visualization on sonar. Having recently seen this situation, I urge all
>to keep this in mind, prior to interrupting an early twin intrauterine
>pregnancy.
>
>Of course, that's just my opinion. I could be wrong.
>
>Art
>

Excellent point Art, moreover if you give MTX to an early intrauterine pregnancy you better hope it aborts.

--
                                 Take care, John




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