Is the presence of a gestational sac inside the uterine cavity an ectopic pregnancy?

Patient's question:

A few days ago, I again experienced symptoms of pregnancy because I have been preparing for it and felt that I should be pregnant again. This morning, when I carefully checked, I found a gestational sac in the lower segment of the uterus. Is this an ectopic pregnancy?

Doctor's answer:

Ectopic pregnancy, also known as tubal pregnancy, refers to the implantation of a fertilized egg outside the uterine cavity. The main symptoms include a small amount of vaginal bleeding, abdominal pain, etc. In severe cases, it may even lead to fainting and shock. If pregnancy is observed in the uterine cavity after 40 days of menopause, a re-examination of the pregnancy sac can be performed every week. If pregnancy is observed in the uterine cavity, the possibility of ectopic pregnancy can be ruled out. Both intrauterine pregnancy and ectopic pregnancy are characterized by significantly elevated levels of hCG and progesterone, with hCG doubling. If you don't see pregnancy in the uterus but see a mass on the fallopian tube or ovary that is growing rapidly, and if you have abdominal pain and are pregnant, this should be considered an ectopic pregnancy.

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