How can you tell if it's an ectopic pregnancy?

Patient's question:

On December 16, 2012, I had an induced abortion.
On January 25, 2013, I got my period. My last menstrual period was on February 16.
Around March 4, I had sexual intercourse.
Around March 6, I took emergency contraception.
Around March 18, I had brownish discharge, which I thought was my period coming. I had mild abdominal pain, similar to my usual menstrual cramps but not severe.
By around March 23, my period had ended.
But by March 29, I started having more brownish discharge, which seemed like dirty stuff, with the sensation of uterine lining coming out.
How can I know if it's an ectopic pregnancy?

Doctor's answer:

Echo inhomogeneity on the anterior wall of the uterus, adenomyosis should be considered first, progesterone 25.6 nmol/L, total β-HCG 729 mIU/ml. Given this, the likelihood of a recurrent ectopic pregnancy is quite high. The HCG level has not increased significantly, and besides transvaginal ultrasound, no gestational sac was found within the uterus. There is a cystic area near the right ovary. In addition to timely treatment for ectopic pregnancy, the patient also needs to pay attention to dietary aspects, such as proper diet and maintaining a cheerful mood. At the same time, the patient should also pay attention to choosing a regular hospital for treatment, so as to obtain a good therapeutic effect.

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