Investigation of Ectopic Pregnancy - Flowchart
Investigation of Ectopic Pregnancy - Flowchart Investigation of Ectopic Pregnancy Investigation of Ectopic Pregnancy
«Flowchart»

Suspicion of ectopic pregnancy with mild symptoms

Suspicion of ectopic pregnancy with mild symptoms

Suspicion of ectopic pregnancy with mild symptoms

Serum or urine hCG

Serum or urine hCG

Serum or urine hCG

!!CirclePlus!!

!!CirclePlus!!

!!CirclePlus!!

!!CircleMinus!!

!!CircleMinus!!

!!CircleMinus!!

No pregnancy

No pregnancy

No pregnancy

End

End

End

Vaginal ultrasonography

Vaginal ultrasonography

Vaginal ultrasonography

Ectopic pregnancy

Ectopic pregnancy

Ectopic pregnancy

Unclear location of pregnancy

Unclear location of pregnancy

Unclear location of pregnancy

Intrauterine pregnancy

Intrauterine pregnancy

Intrauterine pregnancy

Normal pregnancy

Normal pregnancy

Normal pregnancy

Abnormal pregnancy

Abnormal pregnancy

Abnormal pregnancy

Laparoscopy

Laparoscopy

Laparoscopy

MTX

MTX

MTX

NOTE! The guidance must always be reconsidered if the symptoms worsen.

NOTE! The guidance must always be reconsidered if the symptoms worsen.

NOTE! The guidance must always be reconsidered if the symptoms worsen.

hCG = human chorionic gonadotrophin
MTX = methotrexate

hCG = human chorionic gonadotrophin
MTX = methotrexate

hCG = human chorionic gonadotrophin
MTX = methotrexate


Serum hCG

Serum hCG

Serum hCG

<2000 IU/l

<2000 IU/l

< <2000 IU/l <

2000–5000 IU/l

2000–5000 IU/l

2000–5000 IU/l

>5000 IU/l

>5000 IU/l

>5000 IU/l

Ultrasonograpy and serum hCG every 2–3 days

Ultrasonograpy and serum hCG every 2–3 days

Ultrasonograpy and serum hCG every 2–3 days

Ectopic pregnancy

Ectopic pregnancy

Ectopic pregnancy

>5000 IU/l

>5000 IU/l

>5000 IU/l

Intrauterine pregnancy

Intrauterine pregnancy

Intrauterine pregnancy

Withering pregnancy

Withering pregnancy

Withering pregnancy

Other disease?

Other disease?

Other disease?

Serum hCG

Serum hCG

Serum hCG

>5000 IU/l

>5000 IU/l

>5000 IU/l

<5000 IU/l

<5000 IU/l

< <5000 IU/l <