You don't - see MD! No woman can know if she has an ectopic pregnancy by history or symptoms. Even the physician cannot know if an early pregnancy is ectopic by history and physical examination alone. One has to rely on high-quality transvaginal ultrasound and serum beta HCG levels to clinch this potentially life-threatening diagnosis.
An ultrasound. An ultrasound.
Bleeding. A positive pregnancy test associated with bleeding and or pain are the most common presentations. The diagnosis is usually made by ultrasound. In very early cases it can be suspected by an abnormally rising bhcg hormone test.
Usually not. An ectopic pregnancy with a living conception will produce the same hormones that an intrauterine pregnancy does, and noticing this is part of the diagnosis. If death occurs, the levels will drop off. If an ectopic pregnancy has affected you or a loved one, you have my sympathy -- my hope is you will be able, if you wish, to go on to have a healthy child.
Ectopic pregnancy. You can have pelvic pain or right or left lower quadrant pain, which can present as an acute abdoemn at times. You may have irregular bleeding as well.
Not easily. Most pregnancies within the fallopian tubes cause severe pain and are treated emergently. Pregnancies in abdominal cavity attached to outside of uterus or other structures are seen with ultrasound or other techniques (ct, mri). These generally require specialty OB care.
If you have an ectopic pregnancy, would the hpt be positive before your missed period? Or would it take a while to have a positive result?
Possibly. The pregnancy test is very sensitive, so even with an ectopic you would expect a reasonable pregnancy test to be positive.
Ectopic pregnancy. You need to have serial HCG testing followed closely with pelvic ultrasound which will usually show an empty uterus with a positive pregancy test. Ectopic pregnancy is usually symptomatic with pain and vaginal bleeding.
Ectopic. If you were told you are at risk for an ectopic, see your doc for a HCG levgel and a transvaginal sono. The pain happens when the tube is about to rupture. Call the OB gyn!
Yes. If you have missed a period than ectopic pregnancy is a possibility. The pain of the condition may only start when the fallopian tube is "stretched" enough to be symptomatic prior to rupture.
Certainly. Ectopic pregnancy goes unnoticed in the initial stages of the first trimester. The fetus has no place to grow if it is lodged in the fellopian tube instead of uterus. Unless an ultrasound is done in early pregnancy it may go undiagnosed until it ruptures.
Then. Then you need to go immediately to an emergency department. Ectopic pregnancies are extremely serious and can be fatal. Please go immediately to the emergency department for an evaluation.
Positive test? Are you certain that you are pregnant - meaning skipped periods and a positive test? If so, get evaluated asap, like today. If not, do a home pregnancy test, and if positive get evaluated.