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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Test Ectopic Pregnancy Despite Having Negative UPT?

I am 100% sure that I am dealing with a abdominal pregnancy but no doctor can help me where I live in Nassau because my urine and blood test is reading negative and the ultrasound technician missed it but u can see it on the picture ultrasound. What do I do?
Thu, 17 Aug 2017
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General & Family Physician 's  Response
Hi,
Thanks for the query. I undrrstand your concern.
Ectopic pregnancy can be diagnosed by -
-Per vàginal examination in case of weak pregnancy test... when size of uterus is smaller than expected size.&there is mass/tenderness in tubal area.
-Blood hcg testing done at 2 days gap... 2 or 3 samples show very slow rise in hcg levels (where as it doubles every two days in normal pregnancy)
- Transvaginal USG scan would note tubal mass
with gestational sac in case it is a tubal pregnancy.
*In your case. if you are doubtful... repeat the urine/ blood test after a week ( blood test is possible nearing date of expected period & urine pregnancy test is best done after 8 days delay in period. In USG scan pregnancy is visible after 5 weeks of gestation. .
Thanks.
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How To Test Ectopic Pregnancy Despite Having Negative UPT?

Hi, Thanks for the query. I undrrstand your concern. Ectopic pregnancy can be diagnosed by - -Per vàginal examination in case of weak pregnancy test... when size of uterus is smaller than expected size.&there is mass/tenderness in tubal area. -Blood hcg testing done at 2 days gap... 2 or 3 samples show very slow rise in hcg levels (where as it doubles every two days in normal pregnancy) - Transvaginal USG scan would note tubal mass with gestational sac in case it is a tubal pregnancy. *In your case. if you are doubtful... repeat the urine/ blood test after a week ( blood test is possible nearing date of expected period & urine pregnancy test is best done after 8 days delay in period. In USG scan pregnancy is visible after 5 weeks of gestation. . Thanks.