How to distinguish between intrauterine pregnancy and ectopic pregnancy?

Patient's question:

The last menstrual period was on December 28, often delayed by 10-15 days, accompanied by menstrual cramps. A week ago, I used a pregnancy test and it was negative. On March 10, it showed a weak positive. Ultrasound revealed no gestational sac in the adnexal area. There was no severe pain in the lower abdomen, only occasional pain that subsided, with no further bleeding.

Doctor's answer:

If in this case, a gestational sac is not detected in the uterine cavity, it is likely to be an ectopic pregnancy, because one of the diagnostic criteria for ectopic pregnancy includes the absence of a gestational sac in the uterine cavity. Currently, with the decline in HCG levels, the possibility of ectopic pregnancy is considered very high. It is recommended to repeat a B examination. If an abnormal mass is found in the adnexal region, ectopic pregnancy can be diagnosed.
The daily treatment for ectopic pregnancy patients primarily involves symptomatic treatment. Patients can take many oral medications, supplemented by various vitamins, and should pay attention to their diet, eating light, thin, and soft foods. We hope that ectopic pregnancy patients can recover as soon as possible! Thank you!

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