Hello,

Thank you for posting a query.

I can understand your concern. I am giving your answers one by one. Just stay calm.

1.     Your pregnancy tests using urine is negative. It excludes the chance of pregnancy. “Pregnancy” means any type of pregnancy – intrauterine / ectopic. Because, irrespective of the site of pregnancy, Beta- HCG level will increase which will give a positive pregnancy test result. So, there is very low chance of ectopic pregnancy.


For confirmation you should do a beta HCG level in blood. If its level is low then you are confirmed that you have no pregnancy. Look, I know, that there is very low chance of pregnancy, but it is a protocol.

2.     Your genital areas were covered with clothes. That means there was no chance of entry of sperm in the vagina. So, there is very low chance of pregnancy.

3.     No. The pain you are experiencing is not due to ectopic pregnancy. It is due to something else. It may be due to your period that is due.

Look, your menstrual history suggests an irregularity. I think you should be investigated for that thing specially. There is a very high chance of polycystic ovarian syndrome. So, go for an ultrasound scan to detect any abnormality.

Right now, you need to consult with a gynecologist for clinical examination and for ordering the required investigations. A progesterone challenge is necessary to induce period in the absence of pregnancy. If that fails, dilatation and curettage should be considered.

Lastly, consult with a gynecologist immediately.


Hope this information suffices. Let me know, if you have any more question.

Regards.

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Hello,

Thank you for writing back.

Look, i donot know, who told you about ectopic pregnancy. I just wanted to tell you that in case of ectopic pregnancy there will be secretion of a hormone - human chorionic gonadotrophin hormon ( HCG) as like of normal pregnancy.

The pregnancy tests detects this HCG hormone in urine. Now, tell me do you think you have ectopic pregnancy in spite of having a negative pregnancy test ? Do not listen to common people. Try to believe doctors.

There are many causes of ectopic pregnancy like anatomical abnormality, idiopathic, OCP use,and many more. But i think, you do not need to think about that.

Just do an ultrasound scan and go to the gynecologist for further management.

Regarding the pelvis ultrasound, the genital organs like ovaries, fallopian tubes, uterus are present in pelvis. If you do not do Ultrasound scan of pelvis, then how could we know about the conditions of these organs?

So, follow your treating doctor, that is the only way.

Regards.

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Hello,

Thank you for writing back.

I think, you did not read my previous answer properly. I have already suspected this disease and told you that in your first question.

And your ultrasound scan supports my suspicion.

Now, i am giving the answers of your questions one by one.

The pain you are experiencing may be caused by your due period. It is not very important.I think you should focus on the disease proper.

Look, polycystic ovarian syndrome is a disease condition where the main problem is in hormonal balance. It is a serious disease. You have to be treated meticulously. Otherwise, it may lead to infertility.

Yes, the ultrasound scan has ruled out the chance of ectopic pregnancy.

Look, in PCOS, the main symptom is irregularity in period. This is irregular menstruation not a missed period.

Consult with a gynecologist for clinical examination, for ordering investigations and also for further management.

Regards.

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