How to exclude ectopic pregnancy in the early stage?

Patient's question:

Previously, I saw many people online suffering from acute abdominal pain and vaginal bleeding due to ectopic pregnancy. I am also trying to conceive recently. Doctor, how can ectopic pregnancy be ruled out in the early stages?

Doctor's answer:

Ectopic pregnancy is generally primarily diagnosed through a careful ultrasound examination. Typically, the earliest detection can be made around five weeks of pregnancy. Through a careful ultrasound examination, the gestational sac can be observed. If the gestational sac is visible at this stage, the possibility of ectopic pregnancy can be ruled out. Additionally, combining blood hCG and progesterone tests should help confirm the diagnosis. If there are abnormal vaginal bleeding or abdominal pain after conception, this possibility should not be ruled out, and it is necessary to seek further medical examination at the hospital as soon as possible.

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