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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Rule Out Ectopic Pregnancy?

Hello, I m 40 yrs old G5P4 w/ hx of tubiligation 6 yrs ago and endometrial ablation 1 yr ago. I began having my periods aging regularly after being sexually active on a regular basis for the past 5 months. I m currently 6 days late with a negative home pregnancy test today. I m concerned about ectopic, etc. Should I wait a few days and repeat? I feel PMS sxs though and vaginal ache. Could I be pregnant?
Wed, 27 Jan 2016
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OBGYN,  's  Response
Hello dear,
I understand your concern.
In my opinion the chances of ectopic pregnancy in your case are less likely.
Because the urine pregnancy test shows weak positive in case of ectopic pregnancy.
Also there might be pain abdomen with spotting.
The transvaginal ultrasound(TVS) is most accurate in diagnosing the ectopic pregnancy.
As the test is negative I suggest you to repeat the urine pregnancy test after a week.
If even then the pregnancy test is negative there is no chance of pregnancy and you can wait for spontaneous onset of periods.
As you got premenstrual symptoms the periods might come and the delay might be due to some hormonal imbalance.
But anyway confirmation is done by repeat urine pregnancy test.
Hope this helps.
Best regards....Dr.Srilatha
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How To Rule Out Ectopic Pregnancy?

Hello dear, I understand your concern. In my opinion the chances of ectopic pregnancy in your case are less likely. Because the urine pregnancy test shows weak positive in case of ectopic pregnancy. Also there might be pain abdomen with spotting. The transvaginal ultrasound(TVS) is most accurate in diagnosing the ectopic pregnancy. As the test is negative I suggest you to repeat the urine pregnancy test after a week. If even then the pregnancy test is negative there is no chance of pregnancy and you can wait for spontaneous onset of periods. As you got premenstrual symptoms the periods might come and the delay might be due to some hormonal imbalance. But anyway confirmation is done by repeat urine pregnancy test. Hope this helps. Best regards....Dr.Srilatha