The incidence of ectopic pregnancy world wide has risen dramatically in recent years . Recent advances in diagnosis technology , namely highly sensitive and rapid hCG assays , and transvaginal sonography have revolutionized the diagnosis and management of ectopic pregnancy . These advances in diagnosis and management are certainly important in the face of rising incidence of ectopic pregnancy. Earlier and more rapid diagnosis has led to falling morbidity and mortality, with low rates of tubal rupture from ectopic pregnancy . The focus therefore shifting towards preservation of future fertility potential, as more of these abnormal pregnancies are detected earlier and treated conservatively, before the onset of tubal bleeding or rupture . These techniques now also help clinicians to choose between the surgical and nonsurgical treatment option .