How long can an ectopic pregnancy take to detect 15 signals indicating that you are pregnant

Ectopic pregnancy is a common condition and an abnormal pregnancy reaction. We should pay attention to its manifestations and go to the hospital for examination and treatment for the first time after discovering ectopic pregnancy.

How long can ectopic pregnancy be detected

How long ectopic pregnancy can be detected varies from person to person. Generally, 35-40 days after pregnancy, a gestational sac will be seen in the uterine cavity during B-ultrasound examination. If there is no gestational sac in the uterine cavity or it is not in the uterine cavity, it is considered an ectopic pregnancy. The patient has obvious symptoms such as pain, vaginal bleeding, falls, etc. At this point, you can check the blood HCG and make a clear judgment based on the test results. Generally, ectopic pregnancy can rupture over 40 days of pregnancy, and patients may experience lower abdominal pain and vaginal bleeding. It is important to be vigilant about ectopic pregnancy.

15 signals suggest that you are pregnant

Symptoms of ectopic pregnancy

1. Menopausal period: Except for interstitial pregnancy and menopause, most menopause lasts for 6-8 weeks, and symptoms such as abdominal pain and vaginal bleeding generally occur after menopause. But about 20% of patients complain about not having a history of menopause.

2. Abdominal pain: The most important symptom for treating patients. Abdominal pain is caused by dilation, rupture of the fallopian tube, and blood stimulation of the peritoneum. The patient suddenly feels pain from tearing their lower abdomen, often accompanied by nausea and vomiting.

3. Vaginal bleeding: After embryonic death, there is often irregular vaginal bleeding, dark brown in color, with a small amount, usually not exceeding the menstrual flow, but not completely dripping.

4. Syncope and shock: Due to acute abdominal bleeding, it can cause reduced blood volume and severe abdominal pain, mild syncope, and severe shock.

5. Other symptoms: Patients with ectopic pregnancy may also experience symptoms such as nausea, vomiting, and frequent urination. Some patients may experience shock due to massive bleeding, pale complexion, and decreased blood pressure.

Types of ectopic pregnancy

1. Tubal pregnancy: Tubal pregnancy accounts for about 95% of ectopic pregnancy, with ampullary pregnancy being the most common, accounting for about 78%, followed by isthmus, fimbria, and interstitial pregnancy. The typical symptoms of tubal pregnancy are postmenopausal abdominal pain and vaginal bleeding. Patients may also have abdominal lumps, even fainting and shock.

2. Ovarian pregnancy: Ovarian pregnancy refers to the implantation and development of fertilized eggs in the ovary. The incidence rate is 1:7000-1:50000. The clinical manifestations of ovarian pregnancy are very similar to those of tubal pregnancy, with the main symptoms being menopause, abdominal pain, and vaginal bleeding.

3. Abdominal pregnancy: Abdominal pregnancy refers to the abdominal cavity of an embryo or fetus located outside the fallopian tubes, ovaries, and wide ligaments. The patient has early menopausal pregnancy reactions, unexplained anemia symptoms in early pregnancy, accompanied by abdominal pain and vaginal bleeding. Then the vaginal bleeding stops and the abdomen gradually increases. During fetal movement, pregnant women often experience abdominal pain, which gradually worsens as the fetus grows.

4. Cervical pregnancy: The implantation and development of fertilized eggs in the cervical canal is called cervical pregnancy. The main symptoms are painless vaginal bleeding or blood secretions, and the amount of bleeding generally ranges from small to large, and can also be intermittent vaginal bleeding.

Method of ectopic pregnancy examination

1. Early diagnosis of ectopic pregnancy with hCG in urine or blood is very important. During ectopic pregnancy, the hCG levels in the patient's body are lower than those in intrauterine pregnancy. Continuously measuring blood hCG, if the doubling time is greater than 7 days, the likelihood of ectopic pregnancy is greater; The possibility of ectopic pregnancy with a doubling time of less than 1.4 is very low.

2. Progesterone determination: The determination of serum progesterone is helpful in determining the development of normal pregnant embryos. During ectopic pregnancy, serum progesterone levels are low, mostly between 10-25ng/ml. If the serum progesterone value 25ng/ml, the probability of ectopic pregnancy is less than 1.5%; If its value is less than 5ng/ml, intrauterine miscarriage or ectopic pregnancy should be considered.

3. B super diagnosis: The gestational sac was not detected in the uterine cavity. If abnormal hypoechoic areas are detected near the uterus and embryo and primitive cardiac pulsation are observed, it can be diagnosed as ectopic pregnancy. If there is a mixed echo area near the uterus, there is a free area in the uterine rectal fossa. Although there is no embryo or fetal heartbeat, ectopic pregnancy should also be highly suspected.

Combining blood hCG with ultrasound examination is of great help in the diagnosis of ectopic pregnancy. When hCG>2000IU/L is present in the blood and no intrauterine pregnancy sac is detected by vaginal ultrasound, the diagnosis of ectopic pregnancy is basically established.

4. Laparoscopic examination: The gold standard for diagnosing ectopic pregnancy during laparoscopic examination, and after diagnosis, simultaneous endoscopic surgery can be performed. But about 3% -4% of patients are misdiagnosed as pregnancy due to small gestational sacs or due to tubal dilation and color changes.

5. Vaginal posterior fornix puncture: suitable for patients suspected of abdominal bleeding. Abdominal bleeding is most likely to accumulate in the rectum uterine depression. Even if the amount of bleeding is not significant, blood can be extracted through puncture through the posterior fornix of the vagina. When an old ectopic pregnancy occurs, small or non coagulated old blood can be extracted. When there is no internal bleeding, less internal bleeding, high hematoma, or adhesions in the rectum and uterus, blood may not be able to be extracted. Therefore, a negative puncture of the posterior fornix of the vagina cannot rule out tubal pregnancy.