Can ectopic pregnancy be detected through a urine test?

Patient's question:

I had a previous ectopic pregnancy and am now pregnant. I'm very worried. Can an ectopic pregnancy be detected through a urine test?

Doctor's answer:

Ectopic pregnancy cannot be detected through a careful urine test. Ectopic pregnancy is also a form of pregnancy, and a urine test will also show positive. However, like normal pregnancy, it is positive, and it is not possible to determine if it is ectopic pregnancy through a urine test. If your test is positive and you want to determine if it is ectopic pregnancy, you need to have an ultrasound and also check hCG. A comprehensive evaluation combining these two values is needed to make a conclusion.

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