Ectopic pregnancy is an increasing health risk for women throughout the world. The modern diagnostic technology allows earlier detection of ectopic pregnancy. With early diagnosis there is a trend towards more conservative approach in the management. Although medical management with methotrexate has been used successfully in the USA for a decade, the experience in the UK is limited. A recent postal survey (1) has shown that less than 4% of hospitals in the UK are routinely using medical treatment for ectopic pregnancy. We report our experience in managing unruptured ectopic pregnancy with methotrexate.

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