Is it possible to rule out ectopic pregnancy based on progesterone value? Authoritative experts say so!

As we all know, under normal circumstances, the fertilized egg needs to implant in the woman's uterus, but if the fertilized egg fails to enter the uterus successfully, it is called an ectopic pregnancy. The harm of ectopic pregnancy is very serious. There are many reasons that lead to ectopic pregnancy. For example, some people have fallopian tube inflammation, or because of uterine fibroids and other reasons, women need to rule out ectopic pregnancy in time after pregnancy. Can progesterone rule out ectopic pregnancy?

First, how does progesterone rule out ectopic pregnancy?

Generally speaking, a progesterone value higher than 20 NG/ML can rule out ectopic pregnancy. However, progesterone testing alone cannot be used as a basis for excluding ectopic pregnancy. This indicator only provides an indirect judgment indicator. In the early stages of conception, when B-ultrasound cannot provide accurate detection, we can use progesterone testing to rule out ectopic pregnancy. If the progesterone level is lower than 20NG/ML, it should attract our attention. Wait a week or two and go to the hospital for an ultrasound examination. If a gestational sac is seen in the uterus and there is no obvious cystic object outside the uterus, the possibility of ectopic pregnancy can be ruled out.

In fact, the most effective way to rule out ectopic pregnancy is B-ultrasound examination. When pregnancy is discovered, vaginal bleeding or abdominal pain occurs. In order to confirm that the embryo is in the uterus and to exclude ectopic pregnancy, B-ultrasound is required for identification. If you want to rule out ectopic pregnancy, you need to do a B-ultrasound. If a gestational sac is found in the uterus, it is a normal pregnancy, not an ectopic pregnancy. However, there is a disadvantage of B-ultrasound testing, that is, the pregnancy has just started and the time is too short for B-ultrasound to detect it. Generally, you should go to the hospital for an ultrasound around 45 days into your pregnancy to find out whether it is an ectopic pregnancy. If there has been no other discomfort before, you can observe for a while and wait until the B-ultrasound is done, and then rule out ectopic pregnancy based on the location of the gestational sac.

Second, can high progesterone rule out ectopic pregnancy?

Typical symptoms of ectopic pregnancy are amenorrhea, abdominal pain, and irregular vaginal bleeding. The symptoms of threatened miscarriage are very similar to those of ectopic pregnancy. Generally, differential diagnosis is made through B-ultrasound examination, urine HCG value, blood HCG test, and progesterone test. The difference is that intrauterine pregnancy is visible. The HCG value is higher in the early stages of threatened abortion. Your current examination results do not show any mass in the adnexal area, so it cannot be diagnosed as an ectopic pregnancy for the time being. If the embryo is poorly developed from the beginning and has been arrested for a long time, the HCG level will also be very low.

How much progesterone is needed to rule out an ectopic pregnancy? Generally speaking, a progesterone value higher than 20 NG/ML can rule out ectopic pregnancy. However, progesterone testing alone cannot be used as a basis for excluding ectopic pregnancy. This indicator only provides an indirect judgment indicator. In the early stages of conception, when B-ultrasound cannot provide accurate detection, we can use progesterone testing to rule out ectopic pregnancy. If the progesterone level is lower than 20NG/ML, it should attract our attention. Wait a week or two and go to the hospital for an ultrasound examination. If a gestational sac is seen in the uterus and there is no obvious cystic object outside the uterus, the possibility of ectopic pregnancy can be ruled out.

Third, progesterone can rule out ectopic pregnancy

If progesterone level <5ng/ml, it indicates an abnormal embryo; if progesterone level <10ng/ml, the fetus needs to be preserved; and if progesterone level >20ng/ml, ectopic pregnancy can be ruled out. Before 7 weeks of pregnancy: 18-32 ng/ml (average 24/ng/ml)

One type of HCG test is ZZY. When it is light pink, the HCG blood level is about 100. It is clearer when it is slightly darker. The HCG blood level is about 200. When it is half of the control line, it is 600 to 700. When it is the same as the control, it will definitely be over a thousand. David develops color slowly, while Blue Dream develops color quickly. David is slightly darker than Blue Dream. Once HCG drops in the early stages, there is no hope of preserving the pregnancy. The HCG level for ectopic pregnancy is between 300-600, and usually does not exceed 620. The fetus is most likely to stop growing during the 7th to 8th week of pregnancy, so be careful to protect it. If the HCG value is greater than 260 on the 15th day after PL, most people will have a normal pregnancy. If it is less than 260, it will be a biochemical pregnancy.

B-HCG values corresponding to the number of days of pregnancy

5.8-71.2 mIU/ml at 3 weeks of pregnancy

4 weeks of pregnancy 9.5-750mIU/ml

5 weeks of pregnancy 217-7138mIU/ml

6 weeks of pregnancy 158-31795mIU/ml

7 weeks of pregnancy 3697-163563 mIU/mL

8 weeks of pregnancy 32065-149571mIU/mL

9 weeks of pregnancy 63803-151410mIU/ml

10 weeks of pregnancy 46509-186977mIU/ml

11-12 weeks of pregnancy 27832-210612mIU/ml

13-14 weeks of pregnancy 13950-62530mIU/ml

15 weeks of pregnancy 12039-70971mIU/ml