What kind of examination can detect ectopic pregnancy?

Many gynecological experts say that ectopic pregnancy is a serious disease that affects the female body. Severe ectopic pregnancy may even cause heavy bleeding in women and even threaten the lives of both mother and daughter. Therefore, female friends must pay enough attention to ectopic pregnancy. So how can you detect ectopic pregnancy? This is also a problem that many women are concerned about. Let us now introduce it to you in detail.

1. HCG measurement is currently an important method for early diagnosis of ectopic pregnancy.

2. Progesterone determination

The serum P level in ectopic pregnancy is low, but it is relatively stable at 5 to 10 weeks of gestation, and a single measurement has a great diagnostic value. Although there is overlap between normal and abnormal pregnancy serum P levels, making it difficult to determine the absolute critical value between them, a serum P level lower than 10 ng/m1 (radioimmunoassay) often indicates abnormal pregnancy, with an accuracy rate of about 90%.

3. Ultrasound diagnosis

Type B ultrasound examination is particularly commonly used for the diagnosis of ectopic pregnancy, and vaginal ultrasound examination is more accurate than abdominal B-type examination.

4. Diagnostic curettage

When ectopic pregnancy cannot be ruled out, a diagnostic curettage can be performed to obtain the endometrium for pathological examination. However, the endometrial changes in ectopic pregnancy are not characteristic and may be manifested as decidual tissue, highly secretory phase with or without A–S reaction, and various secretory and proliferative phases. Changes in the endometrium are related to whether the patient has vaginal bleeding and the duration of vaginal bleeding. Therefore, the diagnosis of ectopic pregnancy based solely on diagnostic curettage has great limitations.

5. Posterior fornix puncture

Posterior uterine fornix puncture is widely used to assist in the diagnosis of ectopic pregnancy. Blood can often be drawn out and does not coagulate after being placed, and contains small blood clots. If no fluid is removed, the diagnosis of ectopic pregnancy cannot be ruled out.

It should be noted that after an ectopic pregnancy ruptures, the patient will experience severe abdominal pain and massive internal bleeding, and may become pale, have a weak and rapid pulse, and experience shock symptoms such as a drop in blood pressure.

The above introduces how to check for ectopic pregnancy? Gynecologists say that women with ectopic pregnancies will experience severe abdominal pain and heavy bleeding, so once these symptoms occur, you must go to the hospital for treatment in time, otherwise it will bring greater danger. So if you are not sure, it is best to get treatment in time.