A 22 years old female underwent suction evacuation for molar pregnancy. Beta HCG levels are persistently high following evacuation. The next line of management is:: (A) Follow up at 1 year, (B) Monitor until HCG becomes 0, (C) Hysterectomy, (D) Methotrexate
Answer is D. Ans. is d, i.e. MethotrexatePersistently raised bhCG levels after H mole evacuation indicate the patient may develop GTN, and is an indication for Prophylactic methotrexate therapy.