Pregnancy at 45 days with a positive result, could there be an ectopic pregnancy?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried it might affect fertility, and I'm also extremely sensitive to cold and coldness. Could a positive pregnancy test at 45 days indicate an ectopic pregnancy?

Doctor's answer:

It can be preliminarily determined using hCG, or an ultrasound of the vagina can be performed to check if there is a gestational sac in the uterine cavity. There is no specific limit on the number of days of missed periods. In ectopic pregnancy, blood hCG levels may be lower than those of normal intrauterine pregnancy. If the hCG increases by more than 66% every two days, it can be diagnosed as intrauterine pregnancy. The occurrence of gynecological diseases not only affects a woman's body but can also lead to gynecological diseases. Therefore, it is best to go to the gynecology department of a hospital for a vaginal examination, identify the cause, and then receive symptomatic treatment. It is also important to drink more water and pay attention to personal hygiene.

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