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Doctor insights on: How Many Weeks Gestation Is The Typical Ectopic When It Is Diagnosed

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How many weeks gestation is the typical ectopic when it is diagnosed?

How many weeks gestation is the typical ectopic when it is diagnosed?

Depends: But usually around 6 weeks or so. As the fetus grows in the fallopian tube, it will get too big for the tube to stretch and cause pain. Occasionally bleeding can occur. The pain is usually what leads to the diagnosis. ...Read more

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Dr. John Landi
4 doctors shared insights

Pregnancy (Definition)

When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more


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If no fetal pole is seen at 7 weeks, and we are certain the date is accurate, is there still a possibility that it can develop in the coming weeks?

If no fetal pole is seen at 7 weeks, and we are certain the date is accurate, is there still a possibility that it can develop in the coming weeks?

Depends: It depends on how sure you are. You should see a fetal pole by US by seven weeks. Probably best to see your doctor and check serial lab work. May need to repeat the ultrasound depending on the clinicl scenario. Hope this helps. ...Read more

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How many weeks off can a vaginal ultrasound be? Is it done by approximate weeks or is it a for sure measurement of weeks?

How many weeks off can a vaginal ultrasound be? Is it done by approximate weeks or is it a for sure measurement of weeks?

Life is not exact: Let's say you get an ultrasound, around 8-11 weeks of pregnancy. You are given a number, but that number is an estimate (no test can give you the exact day a natural pregnancy started). The exact day is somewhere from 5-7 days before "the ultrasound estimated day" to 5-7 days after it. (Let's say I have coins in my pocket, and am asked "How much?" I'll guess 2 dollars, but I may have $1.50-$2.50.) ...Read more

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What is the earliest number of week s pregnant when a baby can survive being born early in the neonatal iuc?

What is the earliest number of week s pregnant when a baby can survive being born early in the neonatal iuc?

23 to 24 weeks: Infants can frequently survive at this age, but many of them have severe morbidities such as cerebral palsy, chronic lung disease, failure to thrive (grow) and future school problems. ...Read more

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Is it normal for my PMS symptoms to be the same as early signs of pregnancy?

Is it normal for my PMS symptoms to be the same as early signs of pregnancy?

Can be similar: Symptoms of pms and early pregnancy can be similar. If you've had unprotected sex, pregnancy is possible. If you miss your period, a home pregnancy test will provide an answer. ...Read more

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Is it possible for a pregnancy to occurr around the same time a corpus luteal cyst was newly diagnosed?

Is it possible for a pregnancy to occurr around the same time a corpus  luteal cyst was newly diagnosed?

Exactly: How it happens. Ovulation is the releasing of the egg from an ovarian follicle (cyst) After that occurs, the corpus luteum forms. If you had intercourse at that time you have a 15 percent chance at conception ...Read more

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If hCG levels have a very wide normal variation, than how is it that doctors determine that a level of 634 is typical 2-3 weeks after conception?

If hCG levels have a very wide normal variation, than how is it that doctors determine that a level of 634 is typical 2-3 weeks after conception?

Normal distribution : That value falls within the range (even though it is wide) for that estimated gestational age range. It's similar to saying that a typical birthweight for a full-term newborn is 7lbs, even though we know that the normal full-term birth weights may range from ~5-11 pounds. "normal" or "typical" in the medical sense usially includes ~80-90% of the population. ...Read more

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Is it normal for the baby not to appear on an ultrasound in early pregnancy?

Is it normal for the baby not to appear on an ultrasound in early pregnancy?

Yes: A transvaginal ultrasound can usually identify a gestational sac by 5 menstrual weeks of pregnancy (3 weeks after conception), and by 6 weeks should be able to identify a fetus. If one is clearly past that gestational age failure to see a pregnancy may indicate a problem. It is helpful to coordinate with an HCG blood level. Your doctor can explain further during the ultrasound. ...Read more

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What is the lowest number of days it is possible after ConceptioN, to see a gestational sac with cells attached to the wall,on a sonogram/ultrasound?

What is the lowest number of days it is possible after ConceptioN, to see a gestational sac with cells attached to the wall,on a sonogram/ultrasound?

Once betaHCG >1000: Blood levels of betaHCG are better and often more reliable than last menstrual period (LMP) or suspected "conception day" and best correlated with the sonographic findings of current transvaginal ultrasound. Once the betaHCG levels pass 1000mIU/ml, most skilled sonographer may detect a small intrauterine gestational sac , as a first sonographic finding. ...Read more

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How accurate is a pregnancy ultrasound at 14 weeks. How many days/weeks could it be off.

How accurate is a pregnancy ultrasound at 14 weeks. How many days/weeks could it be off.

Us at 14 weeks: Not bad. Can be off by about 7-10 days at 14 weeks. I assume is was a Crown-Rump Length (CRL) measurement? ...Read more

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What is the risk of miscarriage after the heartbeat is seen on a 6 week ultrasound?

What is the risk of miscarriage after the heartbeat is seen on a 6 week ultrasound?

10-20%.: After your physician can identify limb buds and movements of the embryo your risk will decrease to less than 10%. It will be decreased even further (<1-5%) if your embryo grows well at the end of the first trimester (14 weeks). Take Folic Acid 1-5 mg daily and best of luck! ...Read more

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I'm confused, so when ultrasound determines how far along in pregnancy a woman is, does it tell how old is the baby instead of how long since lmp?

I'm confused, so when ultrasound determines how far along in pregnancy a woman is, does it tell how old is the baby instead of how long since lmp?

LMP plus 2 wks: An ultrasound measures the size of the baby, of course. The report is given as 'menstrual weeks', which adds 2 wks to the length of time the baby has been developing. A full term pregnancy is considered to be 40 weeks, but the baby is actually developing for 38 wks. Hope that helps. ...Read more

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Can the routine fetal anatomy ultrasound be performed earlier than the standard 18-20 weeks? Is 15-16 weeks way too early to have this done?

Can the routine fetal anatomy ultrasound be performed earlier than the standard 18-20 weeks?  Is 15-16 weeks way too early to have this done?

Generally : Some people try to push the envelope on this and you can certainly look at that time and rule in an abnormality but it would be harder to rule out an abnormality. Best time is between 19-21 weeks for anatomy. ...Read more

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When you look at a fetal ultrasound it has two dates on it one is the ga (gestational age) an the other ma is what? Would really like to know thanks

When you look at a fetal ultrasound it has two dates on it one is the ga (gestational age) an the other ma is what? Would really like to know thanks

Maternal age: Gestational age is based on ultrasound measurements of the head, abdomen and femur. Maternal age is based on your last menstrual period. These two ages should be within 10-12 days of each other during the 2nd trimester screening ultrasound. ...Read more

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How many weeks gestation is the typical ectopic when it is diagnosed?

Depends: But usually around 6 weeks or so. As the fetus grows in the fallopian tube, it will get too big for the tube to stretch and cause pain. Occasionally bleeding can occur. The pain is usually what leads to the diagnosis. ...Read more

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Diagnose w/ectopic pregnancy at 6 weeks.levels @ 6,000 hcg. Why cant an ultrasound show an abnormality/sac in Fallopian tube at this stage?

Diagnose w/ectopic pregnancy at 6 weeks.levels @ 6,000 hcg. Why cant an ultrasound show an abnormality/sac in Fallopian tube at this stage?

-It'sWhat'sNotThere-: Because an ectopic can occur in lots of places other than just the fallopian tube. And the number of weeks and HCG levels, while helpful in general,don't always ad-up as hoped or expected. And because ultrasound may not be real sensitive at six weeks, and requires skill. I'm impressed that an ectopic is still in consideration. Most important is what's not seen at this point: anything in the uterus ...Read more

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Can ectopic pregnancy occur the same time with an gestational empty sac at 9weeks?

Can ectopic pregnancy occur the same time with an gestational empty sac at 9weeks?

Yes but rare: It is possible to have an ectopic pregnancy at the same time as a pregnancy in the uterus, whether the pregnancy in the uterus is healthy or not. This is called a heterotopic pregnancy, and is rare (about 1 in 4000 pregnancies) but is more common with fertility treatment where you release more than one egg. Symptoms may be pain or abnormal bleeding - talk to your doctor asap if experiencing pain. ...Read more

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Re transfer 2 embryo during IVF and I am 6 week prgnt but in u/s re see one gestational sacs and no ectopic.Do body reabsorb embryo or anything risky?

Re transfer 2 embryo during IVF and I am 6 week prgnt but in u/s re see one gestational sacs and no ectopic.Do body reabsorb embryo or anything risky?

This is ok: This is actually a pretty common thing that happens. This is why often re will transfer 2 embryos. Yes the body does resorb one and there is zero risk to the remaining healthy pregnancy. I hope it all goes well forward with one nice embryo and baby. Good luck! ...Read more

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Lmp 12/1/13. On 1/8 had ultrasound and saw no gestational sac hCG was at 2600, 1/10 hgc 5700. Dr ruled out ectopic pg. But why wasnt sac visable?

Lmp 12/1/13. On 1/8 had ultrasound and saw no gestational sac hCG was at 2600, 1/10 hgc 5700. Dr ruled out ectopic pg. But why wasnt sac visable?

Keep follow up: Your doctor will need to interpret very specific cases as we do not have enough information. The next step is to determine if you have a viable pregnancy or not. ...Read more

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Beta HCG 3700, doubling normally, w5d5 pregnant by LMP, and no gestational SAC seen on Vaginal US. This means Ectopic ?

Beta HCG 3700, doubling normally, w5d5 pregnant by LMP, and no gestational SAC seen on Vaginal US. This means Ectopic ?

Maybe: It might be an ectopic, intra uterine or molar pregnancy. If no gestational sac is seen by the 8th week of pregnancy by ultrasound and the hCG is still rising then a search for the pregnancy site is definitely warranted. ...Read more

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6w3d preg from LMP,report says gestational sac present, yolk sac absent, maybe psuedo sac? What does this mean? Scan 2mo for ectopic pregnancy.

6w3d preg from LMP,report says gestational sac present, yolk sac absent, maybe psuedo sac? What does this mean? Scan 2mo for ectopic pregnancy.

Not sure: it means it is not a normal pregnancy. it sounds like they are not sure if it is a type of miscarriage or an ectopic pregnancy. you will need close follow up to make sure. any severe pain would go to the ER just in case ...Read more

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Im 6 wk 2days pregnant IVF. My gestational sac is empty and my doctor wants to do a laparoscopy to see if it an ectopic pregnancy. Is it to soon?

Im 6 wk 2days pregnant IVF. My gestational sac is empty and my doctor wants to do a laparoscopy to see if it an ectopic pregnancy. Is it to soon?

Yes!: An empty gestational sac means that you have an intrauterine pregnancy, but it may be too early to tell if it is viable. The problem with IVF is the possibility of twins one which could be tubal. However, it is vital that he check with HCG levels and ultrasounds before subjecting you to a surgery that could definitely end the pregnancy. If you are not having any pain or bleeding. ...Read more

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If a Gestational sac is in the uterus is it possible to be an ectopic pregnancy? Or is a tubal pregnancy ruled out.

If a Gestational sac is in the uterus is it possible to be an ectopic pregnancy? Or is a tubal pregnancy ruled out.

Unlikely but possibl: Heterotopic pregnancies (one "inside" one "outside") are uncommon but can happen. They are more common with assisted reproduction vs. natural, but can happen either way. The risk is not statistically higher than 1 in 100 and is usually much lower. Keep an eye on things but it's not likely for ectopic. Good wishes. ...Read more

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Hcg 20000 mar 5, hCG 27500 mar 11, vaginal us found only small gestation sac at eight week in uterus. Doc suspicious for ectopic?

Assuming the HCG..: ..Levels are accurate, your do not have a viable pregnancy.. The sono confirms this. I would do an endometrial biopsy to see if your pregnancy is intrauterine, and consider Methotrexate therapy as treatment for an ectopic if present. I would expect some pain and bleeding if you have an ectopic. ...Read more

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I am 29 & this my 2nd pregnancy. The first one was ectopic. The sonographic report says anteverted uterus bulky. Gestational age 4.5 weeks. Worry?

I am 29 & this my 2nd pregnancy. The first one was ectopic. The sonographic report says anteverted uterus bulky. Gestational age 4.5 weeks. Worry?

Diagnosing ectopic: That ultrasound report is not very helpful. It's usually impossible to see a gestational sac at 4.5 weeks. Making the diagnosis of ectopic may require serial blood tests to watch the HCG hormone levels rise, and repeat ultrasounds. As a guideline, when your HCG level reaches about 1200, you should be able to see a tiny gestational sac in the uterus. Good luck! ...Read more

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I am 6 weeks pregnant and an ultrasound showed a gestational sac and yolk sac, but no embryo, does this mean I could still have an ectopic pregnancy?

I am 6 weeks pregnant and an ultrasound showed a gestational sac and yolk sac, but no embryo, does this mean I could still have an ectopic pregnancy?

Very unlikely: I presume the gestational sac and yolk sac are located in the uterus, in this case, the chance of a concomitant tubal pregnancy is extremely small, almost negligible. Hopefully, you do not have any bleeding or cramping, in which case, the ultrasound may be repeated in 7-10 days to determine viability (presence of a fetal pole with heart beat). Best Wishes ...Read more

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Unspecified ectopic pregnancy W/O intrauterine preg. Told a gestational sac and yolk sac was seen between the left ovary and uterus. What that mean?

Unspecified ectopic pregnancy W/O intrauterine preg.  Told a gestational sac and yolk sac was seen between the left ovary and uterus. What that mean?

Tubal pregnancy: If the expanation is accurate, it means that a pregnancy could exist in your tube (left). This would be an "ectopic" pregnancy, and needs to be removed, or your tube may rupture and cause a surgical emergency. Consult your health care professional without delay. ...Read more

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Misssed period mid-July; nausea and vomiting until last Friday: heavy Bleeding commence cont. with huge clots and vaginal tissue; still bleeding (pv) now; blood test bHCG level at 4000 today. Sonogram shows no uterine gestation. Is this ectopic ?

Misssed period mid-July;  nausea and vomiting until last Friday: heavy Bleeding commence cont. with huge clots and vaginal tissue; still bleeding (pv) now; blood test bHCG level at 4000 today. Sonogram shows no uterine gestation. Is this ectopic ?

Maybe: Would need to see another level or two to confirm if dropping. If its an ectopic the level will often plateau, whereas if you passed most of the pregnancy already the level will drop. If you haven't seen a gynecologist, you need to and if bleeding severe, an ER visit may be needed. Molar pregnancy is also possible. ...Read more

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Did having 3 previous c-sections cause me to get an ectopic pregnancy ?

Did  having 3 previous c-sections cause me to get an ectopic pregnancy ?

Probably not.: Although cesarean sections have many adverse implications for future reproduction, increasing the risk of ectopic pregnancies is not one of them. The adhesions caused by cesarean section typically do not involve the tubes, rather the bladder. When the tubes are affected, infertility can occur, as can ectopics. I am not aware of any good data to prove a link with ectopics, though. ...Read more

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Could having previous c-sections cause me now to have a ectopic pregnancy ?

Could having  previous c-sections cause me now to have a ectopic pregnancy ?

Minimal risk factor: Any pelvic surgery can increase the risk of an ectopic if any tubal damage is involved or if there are multiple adhesions (scar tissue). Like anyone else, if you have an early pregnancy and experience any pain with or without bleeding, check with your doc asap. You can also ask your doc how your tubes looked at c-section, (for peace of mind). Prior ectopic is a larger risk factor. ...Read more

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I had an ectopic pregnancy, but my hCG haven't gone to 0, it is still in 7, what should I do?

I had an ectopic pregnancy, but my hCG haven't gone to 0, it is still in 7, what should I do?

Continue GYN care!: Serial beta hcgs until undetectable is the recommendation after early pregnancy failure. Persistence or resurgence of beta HCG may indicate gestational trophoblastic neoplasia that can be fertility/life-threatening. Ongoing gynecological care is essential! ...Read more

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If your period starts, does that mean you don't have an ectopic pregnancy?

No: Vaginal bleeding is one of the common presenting complaints in patients with an ectopic pregnancy. Although this type of bleeding does not represent menstruation (a period) it is often not easy to distinguish from a period, particularly for women with irregular menses. For this reason, any bleeding that occurs early in pregnancy should be evaluated by a physician. ...Read more

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