Is high progesterone levels a sign that ectopic pregnancy can be ruled out?

Patient's question:

Just found out that the progesterone level tested at the hospital after blood draw was 190.80 units nmol/L, and the dissolved human chorionic gonadotropin (Di1-THCG) was 2635 IU. So, I'm asking if high progesterone levels can rule out ectopic pregnancy?

Doctor's answer:

The typical symptoms of ectopic pregnancy are amenorrhea, abdominal pain, and irregular vaginal bleeding. The symptoms of threatened miscarriage are very similar to ectopic pregnancy. The diagnosis is confirmed through ultrasound examination, urine HCG levels, blood HCG tests, and progesterone tests. The difference lies in the intrauterine early pregnancy. At the initial stage of threatened miscarriage, the HCG value is higher. Your current test results show no swelling in the adnexal region, so ectopic pregnancy cannot be confirmed at this time. If the embryo initially fails to develop and has already stopped growing for a long time, the HCG level will also be low.

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