Can ectopic pregnancy be detected with a urine test?

Patient's question:

My friend is pregnant with a doubt, it is ectopic. I want to ask the doctor if using a test paper to test urine can detect ectopic pregnancy?

Doctor's answer:

An abnormal pregnancy process where implantation and development occur outside the uterus is called an ectopic pregnancy. The most common type is fallopian tube pregnancy. If the fallopian tube ruptures, it may lead to acute severe abdominal and vaginal bleeding, followed by shock. According to your description, using early pregnancy test strips to test urine cannot detect it. Early pregnancy test strips can only determine if pregnancy is possible. Before the fallopian tube ruptures in an ectopic pregnancy, there are usually no symptoms, making it difficult to detect. Hospitals generally use urine tests to confirm ectopic pregnancy. Blood tests can measure progesterone and hCG levels in the body to confirm pregnancy. The hCG level can predict ectopic pregnancy. Alternatively, around 42 days after a missed period, an ultrasound examination of the gestational sac can help rule out the possibility of ectopic pregnancy.

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