How do you know if you have an ectopic pregnancy?

Patient's question:

All are 28 days, and there has never been a delay. During this period, I had sex with my husband and took a pregnancy test, which was positive. In the past week, I've had brown discharge, which I've never had before. On February 6th, I went to the hospital for an ultrasound, but it couldn't detect anything. I also had an HCG test at the hospital, which was also positive. The book says that an ultrasound can detect pregnancy after 45 days of menstruation, and mine has been over 40 days, but it still couldn't detect anything. The doctor couldn't explain it either. At first, I doubted that I wasn't pregnant but had a gynecological disease. Later, I doubted that it might be an ectopic pregnancy. Now I'm very confused. Please help me.

Doctor's answer:

Your situation requires a thorough medical examination at the hospital to rule out ectopic pregnancy. Generally, the first ultrasound examination is performed at the hospital around 50 days after menstruation. If the menstrual cycle is regular, a gestational sac, ancient heart tube, and fetal bud can be observed. In your case, it is recommended to have a follow-up examination at the hospital after one week to rule out the possibility of ectopic pregnancy. In addition to timely treatment for ectopic pregnancy, patients should maintain a positive attitude in facing the disease. Only in this way can the patient's immunity be reduced and the belief to fight the disease be strengthened. At the same time, it is important to pay attention to dietary care, with light food as the basis, and avoid cold food to prevent it from driving away ectopic pregnancy.

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