I want to know if it's possible to have an ectopic pregnancy without being pregnant.

Patient's question:

Female, Room 229, had extremely small amounts of vaginal peeling on the 13th of the month. On the 29th, a urine test showed no pregnancy, and an ultrasound also showed no pregnancy. The doctor said the endometrium was thick and pregnancy could not be ruled out. Another hCG test was done with a value of 1.69. The reference value is 1.1. The doctor said to wait and see carefully. Today, I bought a pregnancy test kit myself and it showed negative. What should I do? The doctor also said ectopic pregnancy could not be ruled out. What kind of help do you need: I want to know if I am pregnant, excluding ectopic pregnancy.

Doctor's answer:

Need to have another blood HCG test, or perform a transvaginal ultrasound. Transvaginal ultrasound is much more accurate for diagnosing ectopic pregnancy. The diagnosis of ectopic pregnancy is not easy and requires dynamic and careful observation. If the menstrual delay is less than 40 days and no gestational sac is seen in the uterus, the HCG value is low, and there are masses in the adnexal area, it indicates a high possibility of ectopic pregnancy. Ectopic pregnancy is a serious condition, and it is recommended that the patient start treatment immediately, hoping that the patient can receive symptomatic treatment according to the doctor's advice. At the same time, pay attention to dietary issues, avoid spicy and irritating foods, and avoid worsening the condition. The above answer is hoped to help you, thank you.

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