6 Weeks Of Amenorrhea in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1532
SMLE Question #1532
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 28-year-old G2P0 woman presents to an early pregnancy unit with 6 weeks of amenorrhea and mild lower abdominal pain. Transvaginal ultrasound shows no intrauterine gestational sac and a 1.8-cm right adnexal mass with no free pelvic fluid. She is haemodynamically stable and is treated with single-dose methotrexate for suspected tubal ectopic pregnancy. She remains asymptomatic, and serum β-hCG is rechecked on days 4 and 7 after treatment. What is the most appropriate next step in management?
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