Is a ectopic pregnancy test negative on a urine test?

Patient's question:

Under what circumstances is a urine test positive? Is a urine test negative in ectopic pregnancy? What should be done in ectopic pregnancy?

Doctor's answer:

The early stages of ectopic pregnancy are the same as those of intrauterine pregnancy, with no specific clinical manifestations. The levels of hCG in urine and blood can be very similar, so a positive urine test and a declining blood test cannot be used to carefully determine whether it is intrauterine or ectopic pregnancy. Only after 40 days can one observe whether a gestational sac can be seen within the uterine cavity, or by detecting the dynamic changes in hCG levels, one can determine whether the gestational sac is normal intrauterine early pregnancy.

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