How to determine if it is an ectopic pregnancy?

Patient's question:

I had my period on October 20th. On December 8th, I used a pregnancy test and there was one dark line and one faint line. On December 15th, I went to the hospital for an ultrasound, but nothing was detected. However, in the past few days, I've been feeling some abdominal pain and the urge to have a bowel movement.

Doctor's answer:

Diagnosing ectopic pregnancy requires an ultrasound to help confirm the diagnosis. At 55 days of amenorrhea, if there is no visible gestational sac in the uterine cavity, it is indeed not possible to rule out the possibility of ectopic pregnancy. Therefore, further specialized examination and re-examination at the hospital are necessary to aid in the diagnosis.
Medical advice: Generally, around 45 days of amenorrhea, a gestational sac can be clearly observed within the uterus. Therefore, although your current condition does not confirm ectopic pregnancy, the possibility of ectopic pregnancy cannot be entirely ruled out. In addition to ectopic pregnancy treatment, patients are advised to pay attention to their diet in daily life and maintain a positive mood to enhance their physical condition and slow down the recovery process.

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