<prompt> In which of the following conditions a medical treatment of ectopic pregnancy contraindicated?Sac size is 3 cm50 mL free fluid in pelvisPresence of foetal hea activityPrevious ectopic pregnancy  <response>: Medical management methotrexate is the treatment of choice for an ectopic pregnancy whenever the required criteria are fulfilled- Patient should be hemodynamically stable unruptured tubal ectopic pregnancy. Foetal cardiac activity absent presence of cardiac activity is a relative contraindication. b-hCG levels 5,000 mIUmL levels 5,000 micro IUmL is a relative contraindication. Gestational sac diameter 4 cm. Free fluid in POD 100 mL. 