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Correspondence
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Volume 344:384-385 February 1, 2001 Number 5
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Treatment of Ectopic Pregnancy

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To the Editor: Lipscomb et al. (Nov. 2 issue)1 describe medical treatment for ectopic pregnancy almost as a stand-alone approach, which may leave nongynecologists with the wrong impression. For balanced decision making, several factors should be considered.

If the serum human chorionic gonadotropin level exceeds 4000 mIU per milliliter, the ectopic pregnancy should be treated laparoscopically, as should an ectopic pregnancy with a mass larger than 3.5 to 4.0 cm in diameter.2 At the other extreme, if the human chorionic gonadotropin level is below 2000 mIU per milliliter, the ectopic pregnancy may regress spontaneously.3 Medical treatment may thus erroneously be . . . [Full Text of this Article]

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