How to identify an ectopic pregnancy?

Hello,

Welcome to icliniq.com.

I have checked the reports (attachment removed to protect patient identity).

Though the follicles in the left lower side are those of an ovarian follicle, I am afraid it cannot be commented upon accurately with serum beta-hCG (human chorionic gonadotropin) levels. You have not mentioned if it was a transvaginal or an abdominal scan.

Hello,

Welcome back to icliniq.com.

The fallopian tube, as can be seen, attached to the ovary appears to be empty. The fluid pocket can be a follicle from the other ovary because there is no decidual reaction that can be seen around it. Had it been an ectopic, a decidual reaction should have been present. However, the best way to rule out ectopic pregnancy would be to undertake a serum beta-hCG test. If the hCG levels are less than five ng/dL, then you are not pregnant at all, and the fluid pouch is probably another follicle from another ovary. If it is more than five ng/dL and the uterus is empty, then this is definitely an ectopic pregnancy. Another best way would be to opt for a targeted scan, which can specifically target fallopian tubes, and ectopic can be ruled out, but a serum beta-hCG test would be a must. The result shall be conclusive. So, please do not forget to get that done. From my end, do get further investigations done as ectopic cannot be just something one can neglect.