How to judge ectopic pregnancy?

Patient's question:

Hello, I had my period on 9/25, and then had sex with my husband on 10/10 and 10/22. But now, it's 11/2 and I haven't gotten my period yet. The hospital did a thorough check and said I'm not pregnant. They also did a vaginal ultrasound.

Doctor's answer:

You had your period on September 25th, so having intercourse on October 10th would be during the fertile window, making it easy to conceive. Since your period hasn't arrived yet, it's possible you could be pregnant. The fertilized egg takes about 22 days to develop. However, an ultrasound can only detect a gestational sac 45 days after conception, so it cannot confirm an ectopic pregnancy or how you became pregnant. It's recommended to take a first-morning urine sample for a pregnancy test, which can diagnose pregnancy as early as 14 days after conception. If you're not pregnant, it may indicate irregular periods. If you are pregnant, you can confirm whether it's an intrauterine or ectopic pregnancy around the 45-day mark. Wishing you good health!

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