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How to identify an ectopic pregnancy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have attached my report. Can you please have a look and let me know is it a cyst or an ectopic pregnancy?
Answered by Dr. Sameer Kumar

Education:

MBBS

Professional Bio:

Dr. Sameer Kumar is a highly qualified Obstetrician and Gynecologist and Infertility specialist with more than two decades of clinical experience. He has completed his postgraduate training in Obstetrics and Gynecology and also specializes in infertility management. Dr. Kumar is dedicated to women’s health, offering expert care in pregnancy, reproductive health, and fertility treatments. His patient-centered approach combines medical expertise with compassionate support to ensure the best outcomes for his patients. Note: If you don't want go opt for IVF and spend lakhs, then you must contact me as i specialize in medical infertility treatment for both male and female. Results have been really encouraging and statistics speak for itself, about 2000 couples helped and avoided IVF.

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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.

Patient's Query

Hello doctor,

Thank you for the reply.

It was a transvaginal scan. The sonographer did say it was a cyst but looks so much like a sac. I am scared. I was five weeks and five days from my LMP at the time of the scan. The blob on the left, as we look at it, was dismissed as a 50/50 chance. Could I ask your opinion on the sacs? The sonographer said two sacs and one pseudo or fluid pouch. What are your thoughts?

Answered by Dr. Sameer Kumar

Education:

MBBS

Professional Bio:

Dr. Sameer Kumar is a highly qualified Obstetrician and Gynecologist and Infertility specialist with more than two decades of clinical experience. He has completed his postgraduate training in Obstetrics and Gynecology and also specializes in infertility management. Dr. Kumar is dedicated to women’s health, offering expert care in pregnancy, reproductive health, and fertility treatments. His patient-centered approach combines medical expertise with compassionate support to ensure the best outcomes for his patients. Note: If you don't want go opt for IVF and spend lakhs, then you must contact me as i specialize in medical infertility treatment for both male and female. Results have been really encouraging and statistics speak for itself, about 2000 couples helped and avoided IVF.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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.

Medically reviewed by iCliniq medical review team
Published At December 28, 2017
Reviewed At February 6, 2024

Education:

MBBS

Professional Bio:

Dr. Sameer Kumar is a highly qualified Obstetrician and Gynecologist and Infertility specialist with more than two decades of clinical experience. He has completed his postgraduate training in Obstetrics and Gynecology and also specializes in infertility management. Dr. Kumar is dedicated to women’s health, offering expert care in pregnancy, reproductive health, and fertility treatments. His patient-centered approach combines medical expertise with compassionate support to ensure the best outcomes for his patients. Note: If you don't want go opt for IVF and spend lakhs, then you must contact me as i specialize in medical infertility treatment for both male and female. Results have been really encouraging and statistics speak for itself, about 2000 couples helped and avoided IVF.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Concerned about ectopic pregnancy?

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Dr. Sameer Kumar
Dr. Sameer Kumar

Obstetrics and Gynecology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Sameer Kumar is a highly qualified Obstetrician and Gynecologist and Infertility specialist with more than two decades of clinical experience. He has completed his postgraduate training in Obstetrics and Gynecology and also specializes in infertility management. Dr. Kumar is dedicated to women’s health, offering expert care in pregnancy, reproductive health, and fertility treatments. His patient-centered approach combines medical expertise with compassionate support to ensure the best outcomes for his patients. Note: If you don't want go opt for IVF and spend lakhs, then you must contact me as i specialize in medical infertility treatment for both male and female. Results have been really encouraging and statistics speak for itself, about 2000 couples helped and avoided IVF.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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ectopic pregnancytransvaginal scanfollicular cysttransvaginal sonographybeta hcg (human chorionic gonadotropin)

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