What tests should be done for ectopic pregnancy?

Nowadays, many pregnant women will go to the hospital for an ectopic pregnancy test, but in fact most women do this test just because they are worried about ectopic pregnancy, so they follow blindly, but do not really understand how to check for ectopic pregnancy. So if women are really responsible for their own bodies, they must first understand some knowledge about ectopic pregnancy. Then here are some specific tests that should be done for ectopic pregnancy.

(A) Pregnancy test: When the embryo is alive or the trophoblast cells are viable, the syncytial cells secrete hCG and the pregnancy test may be positive. Since the hCG level in patients with ectopic pregnancy is lower than that in normal pregnancy, the positive rate of the general hCG determination method is low, and the more sensitive β-hCG should be used.

Detection is done by radioimmunoassay or monoclonal antibody enzyme-labeled method.

(B) When ultrasound diagnoses early tubal pregnancy, B-ultrasound images show an enlarged uterus, but an empty uterine cavity and a low-echo area next to the uterus. This image is not the sonographic feature of tubal pregnancy, and the possibility of early intrauterine pregnancy with corpus luteum of pregnancy needs to be excluded.

Ultrasound detection of the gestational sac and fetal heartbeat is very important for diagnosing ectopic pregnancy. If the pregnancy is located outside the uterus, it can be diagnosed as an ectopic pregnancy; if the gestational sac is located inside the uterus, ectopic pregnancy can usually be ruled out.

B-ultrasound has important clinical significance for early diagnosis of interstitial pregnancy, as it can show protrusion of one uterine horn, local thickening of the muscle layer, and an obvious gestational sac inside.

(III) Diagnostic curettage for endometrial pathology examination is only suitable for patients with heavy vaginal bleeding, with the purpose of excluding intrauterine pregnancy. Uterine discharge should be routinely sent for pathological examination. If villi are seen in the section, it can be diagnosed as intrauterine pregnancy. If only decidua is seen without villi, although ectopic pregnancy should be considered, it cannot be confirmed.

The above is some small knowledge about the examination of ectopic pregnancy. Through the above introduction, I believe you should now know what examination items should be checked for ectopic pregnancy, and have a more comprehensive understanding of ectopic pregnancy. Therefore, you don’t have to worry about whether it is an ectopic pregnancy after you become pregnant, because no matter whether it is an ectopic pregnancy or not, as long as you adjust it well, you can have a healthy baby.