How to diagnose ectopic pregnancy symptoms

Ectopic pregnancy, also known as ectopic pregnancy, is a condition in which the sperm and egg combine and grow outside the uterus. Early symptoms of ectopic pregnancy include vaginal bleeding, abdominal pain, etc., but ectopic pregnancy is difficult to diagnose. If you find early symptoms of ectopic pregnancy, you must go to the hospital for a detailed examination. So how do you determine an ectopic pregnancy? Let’s find out together.

1. Pregnancy test

When the test tube embryo is alive in the body or the trophoblasts are active, hCG will be excreted and the pregnancy test will show a positive result. However, the hCG level in patients with ectopic pregnancy is relatively low compared with that in normal pregnancy. Therefore, the detection rate of conventional hCG determination method is low, and it is necessary to use more sensitive β-hCg radioimmunoassay or monoclonal antibody enzyme labeling method.

2. Posterior fornix puncture

The uterine duodenal pouch is an area in the abdomen where blood easily accumulates. Even if the bleeding is not much, it can be sucked out through posterior fornix puncture. When confirming the diagnosis, use a short needle (No. 18) to pierce the uteroduodenal pouch from the posterior fornix of the vagina. If the extracted blood does not coagulate and is dark red, it is a positive result, indicating that there is blood accumulation in the abdomen.

3. Ultrasound diagnosis

In the early stage of tubal pregnancy, B-ultrasound shows that the uterus is enlarged, but the uterine cavity is stuffy and there is a low echo area beside the uterus. This type of image is not sonographically characteristic of tubal pregnancy, and the possibility of early intrauterine pregnancy with gestational progesterone may need to be eliminated. The use of ultrasound to detect the gestational sac and fetal heartbeat is very important in the diagnosis of ectopic pregnancy. If the pregnancy is outside the uterus, it is an ectopic pregnancy; if the gestational sac is located in the uterine cavity, it is basically not an ectopic pregnancy. B-ultrasound initially diagnosed intrauterine pregnancy has important clinical manifestations, which can show that one side of the uterine angle is prominent, the local myometrium is thickened, and there is an obvious gestational sac inside.

4. Pathological examination of uterine wall

Diagnostic curettage is only used in patients with heavy vaginal bleeding to remove intrauterine pregnancy. The intrauterine exudate should be pathologically examined. If there is fluff in the slices, it is an intrauterine pregnancy. If only decidua is seen without fluff, although it should be considered as an ectopic pregnancy, it cannot be used as a definitive result.

The above is the relevant content about how to diagnose ectopic pregnancy. Studies have found that choosing a time when both parties are in good spirits and health to get pregnant can effectively prevent the occurrence of ectopic pregnancy. If you have not yet considered becoming a parent, you need to use good contraceptive methods to prevent the occurrence of ectopic pregnancy from the source.