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Medical abortion update on newer evidence-based regimens of mifepristone and misoprostol compares their effectiveness and side effects to FDA-approved regimen. Patient counseling points are included.

Advanced tubal pregnancy,a rare complication misinterpreted twice on ultrasound imaging and discovered at hysterectomy, is described.

With no reliable screening tests available, ob/gyns have tried to use their clinical judgment and the patient's medical history to detect the disease in its early stages. Recent studies have found, however, that a specific set of persistent signs and symptoms may signal emerging disease and warrant follow-up diagnostic testing.

With no clear-cut set of signs and symptoms to advertise its presence, experts suggest diagnosis may require MRI, transvaginal U/S, and/or needle biopsy. Among your treatment options: hysterectomy, GnRH agonists, and the levonorgestrel IUD.