PUL GYN 7
This document is a guideline for the management of pregnancy of uncertain location (PUL) provided by the Department of Obstetrics & Gynaecology at the University of Ruhuna. It explains that PUL occurs when a woman has a positive pregnancy test but no intrauterine or extrauterine pregnancy can be seen with a transvaginal ultrasound. The document outlines the management approach for PUL, including the use of serum hCG measurements and TVUSS to determine the location of the pregnancy. It also provides recommendations for further actions based on the changes in serum hCG levels. The document advises against using serum progesterone measurements for diagnosing viable intrauterine pregnancy or ectopic pregnancy in cases of PUL. The reference for this guideline is the NICE guideline on ectopic pregnancy and miscarriage.