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    Any pregnancy that is outside the uterine cavity is Ectopic Pregnancy. The presentation can be highly variable, leading to delayed diagnosis in some cases. However, as nowadays , ultrasound is done in most pregnancies early and due to its high resolution and availability of TVS, many cses are diagnosed early. Both medical and Surgical management are available for ectopic pregnancies. However, medical management is safe only when the Gestational sac is less than 3.5 cm, no visible heart beat in pregnancy and low beta hCG values. Medical management is done with in. methotrexate most commonly and is monitored by sequential levels of beta h CG. Surgical options like laproscopic removal of tube (salpingectomy) or repair of tube (salpingostomy) are very safe options also, as compared to open surgeries (laprotomy).