expectant Mx - criteria
< 35mm unruptured asymptomatic no heartbeat hCG < 1000
medical Mx - criteria
< 35mm unruptured hCG < 1500 no signif pain no heartbeat able to attend followup
surgical Mx - criteria
>35mm ruptured pain hearbeat visible hCG >5000
expectant Mx
close monitoring 48hrs
if hCG rise again or symptoms develop, intervention is performed
medical Mx
methotrexate
surgical Mx
salpingectomy
salpingotomy