would an ectopic pregnancy show in a blood test?
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A pelvic exam can help your doctor identify areas of pain, tenderness, or a mass in the fallopian tube or ovary. However, your doctor can't diagnose an ectopic pregnancy by examining you. You'll need blood tests and an ultrasound.
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An ectopic pregnancy after 5 weeks can usually be diagnosed and treated with a laparoscope. But laparoscopy is not often used to diagnose a very early ectopic pregnancy, because ultrasound and blood pregnancy tests are very accurate.
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— Ectopic pregnancy is diagnosed if the ultrasound detects a fetal heart beat or an embryo that is outside of the uterus. Since ectopic pregnancies may not be detected by ultrasound, the hCG level is also measured.
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A negative pregnancy test does not absolutely rule out pregnancy or ectopic pregnancy; it may simply be too early to detect hCG in the mother's urine or blood.
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You may not notice any symptoms at first. However, some women who have an ectopic pregnancy have the usual early signs or symptoms of pregnancy — a missed period, breast tenderness and nausea. If you take a pregnancy test, the result will be positive.
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How it's diagnosed. A pregnancy that's ectopic is usually diagnosed at about four to six weeks into pregnancy, typically through an ultrasound and blood tests to check the level of the hormone human chorionic gonadotropin (hCG). A lower-than-normal increase in hGC levels may indicate an ectopic pregnancy.
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Diagnosis of ectopic pregnancy Your GP will ask about your symptoms and medical history, and examine you. They'll offer you a pregnancy test. If your pregnancy test is negative, it's unlikely that your symptoms are being caused by an ectopic pregnancy.
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Levels of this hormone increase during pregnancy. This blood test may be repeated every few days until ultrasound testing can confirm or rule out an ectopic pregnancy — usually about five to six weeks after conception.
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Often, the first warning signs of an ectopic pregnancy are light vaginal bleeding and pelvic pain. If blood leaks from the fallopian tube, you may feel shoulder pain or an urge to have a bowel movement.
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Most of the time, an ectopic pregnancy happens within the first few weeks of pregnancy. You might not even know that you're pregnant and may not notice any problems. Early signs of an ectopic pregnancy include: Light vaginal bleeding and pelvic pain.
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When is an ectopic pregnancy diagnosed? An ectopic pregnancy may be found at any time between five weeks and 14 weeks of pregnancy (NHS 2018, NICE 2018). However, it's most likely to be found at about six weeks of pregnancy, as most women experience symptoms about two weeks after they miss a period .
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Roshan says. "If you do a pregnancy test before you miss your period, the result may be negative with a urine test but positive with a blood test." Early pregnancy tests aren't usually necessary, but they can make a difference for women at higher risk for miscarriage or ectopic pregnancy.
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How are they diagnosed? Trans-vaginal ultrasound examination is the best way to diagnose an ectopic pregnancy. An intra-uterine pregnancy can usually be seen by 5-6 weeks gestation or when the HCG level is >1500 IU/l.
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However, the fact that you may experience normal pregnancy symptoms, such as nausea, painful breasts or a swollen abdomen but no bleeding or pain, does not completely rule out an ectopic pregnancy, although this is rare. A true period should be normal flow and duration for you.
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The most common symptoms of ectopic pregnancy are pelvic or abdominal pain, amenorrhoea, missed period or abnormal period and vaginal bleeding. A positive diagnosis of a urinary tract infection or gastroenteritis does not exclude an ectopic pregnancy.
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Trans-vaginal ultrasound examination is the best way to diagnose an ectopic pregnancy. An intra-uterine pregnancy can usually be seen by 5-6 weeks gestation or when the HCG level is >1500 IU/l. If it is not in the uterus, it may be ectopic.
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In some cases, implantation can be complete and your tiny embryo could be secreting hCG (also called “the pregnancy hormone”) by 9 DPO. In these cases, an early pregnancy test could be positive. But even if you get a 9 DPO BFP, you wouldn't be able to rule out an ectopic pregnancy. You could also get a false negative.