European Journal of Biomedical and Pharmaceutical Sciences

PERSISTENT RISE OF BHCG AFTER SURGICAL TREATMENT OF ECTOPIC PREGNANCY

Ali Nakash*, Neeraja Jampana

ABSTRACT

Keycontent  Bhcg measurements after treatment of ectopic pregnancy is justified to rule out persistent trophoblastic activity.  Management of persistent rise of Hcg after surgical treatment of ectopic remains a clinical challenge and leads to pressure on resources. The aim should be to exclude persistent ectopic and non pregnancy sources of Bhcg and to minimise morbidity and mortality associated with it.  The mechanisms which underlie this persistent rise of Bhcg are poorly understood.  Appropriate counselling, investigations and multidisciplinary approach should be offered. Learning objectives  To gain knowledge of the various causes of persistent rise of Hcg measurements after treatment of ectopic pregnancy, especially after surgical management.  To learn how to tailor the treatment regimen to the individual woman’s situation. Ethical issues  Mismanagement of ectopic pregnancy.  Inappropriate use of methotrexate for treatment of presumed persistent ectopic pregnancy.  Maintaining patient choice in relation to the management of ectopic and persistent ectopic pregnancy.

Keywords: ectopic pregnancy/rise in Bhcg after treatment/ Bhcg.