How likely is the possibility of ectopic pregnancy?

Patient's question:

The last menstrual period was on March 13th. After coitus on April 1st, emergency contraception was taken on the same day. On April 15th, an early pregnancy test was positive. On April 19th, a transvaginal ultrasound was performed at the hospital, showing no intrauterine pregnancy and no abnormalities in the ovaries. What is the possibility of an ectopic pregnancy?

Doctor's answer:

The early pregnancy test strips have a relatively high accuracy. According to the last menstrual period, it has been 37 days since today, and the vaginal ultrasound is usually performed 4-5 weeks after the menstrual stop. Currently, there is a possibility of ectopic pregnancy, but it is not ruled out that the gestational sac is too small to be visible. If it is ectopic pregnancy, it is not caused by uterine fibroids. The fibroids are very small and do not require treatment. Only annual follow-up ultrasound is needed to check if they grow. It is recommended to have a follow-up ultrasound after one week. Currently, surgical treatment for uterine fibroids is not necessary, just follow-up is needed.
Additionally, during the treatment of ectopic pregnancy, the patient's dietary condition and care are also very crucial. The patient must pay close attention to their diet and eat more light foods to avoid unnecessary harm.

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