How to determine if you have an ectopic pregnancy?

Patient's question:

On October 2nd, my period only lasted for one day, and it hasn't come in November yet. I had a careful pregnancy test, and it has been 42 days so far. The blood test showed progesterone at 2.68 and β-HCG at 1183.26. The doctor said it could be a possible ectopic pregnancy and asked me to come back in a few days for further diagnosis. If it is an ectopic pregnancy, can I still have children after surgery? Because my first child was born via C-section, and it has been 2 years and 3 months already. I'm very worried!

Doctor's answer:

Under normal circumstances, the fertilized egg will migrate from the fallopian tube to the uterine cavity, then settle in and gradually develop into a fetus. However, due to various reasons, the fertilized egg may encounter an issue during migration and fail to reach the uterus, instead lingering elsewhere. This condition is known as an ectopic pregnancy, also referred to as tubal pregnancy in medical terminology. Over 90% of ectopic pregnancies occur in the fallopian tube. Such a fertilized egg not only cannot develop into a normal fetus but also poses a dangerous risk like a time bomb. Surgical treatment is divided into two types: one is the removal of the affected fallopian tube; the other is a conservative surgery that preserves the affected fallopian tube.

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