Complete Molar Pregnancy Confirmed in Obstetrics & Gynecology — Case | Gynecologic Oncology | SMLE Q#538

SMLE Question #538

Obstetrics & Gynecology Gynecologic Oncology
Last updated: February 2026
A 27-year-old G1P0 woman had suction dilation and curettage 4 weeks ago for a complete molar pregnancy confirmed on histopathology. She is using reliable contraception and has weekly serum β-hCG surveillance. Her β-hCG was 35,000 IU/L after evacuation and is 34,500 IU/L 4 weeks later. She is asymptomatic, and pelvic ultrasound shows no intrauterine pregnancy. What is the most appropriate next step in management?

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