What is the probability of ectopic pregnancy in the first pregnancy?

Patient's question:

I've been pregnant for half a month, but the ultrasound cannot detect the test paper showing pregnancy. Recently, I've been experiencing frequent stomach and back pain. This morning, I had vaginal bleeding, which was very light, like watermelon juice. What is the probability of an ectopic pregnancy with the first pregnancy?

Doctor's answer:

Ectopic pregnancy is common in cases of chronic gynecological inflammation, such as pelvic inflammatory disease and adnexitis. Regarding the situation you mentioned, if it is your first pregnancy and you generally have no gynecological inflammation, the likelihood of ectopic pregnancy is very low. A small amount of vaginal bleeding is often seen in cases of threatened miscarriage. It is recommended that you rest in bed and receive treatment to prevent miscarriage. Ectopic pregnancy is a condition that is difficult to alleviate. Friends who are patients should maintain a positive attitude and face it with optimism. Only in this way can they boost their confidence in fighting ectopic pregnancy and believe that they can recover.

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