Pregnancy Test Positive But Your Symptom is Pelvic Pain?
Women used to get treated by surgery, and maintaining that count on ectopic pregnancies was fairly easy. The first challenge is to have an accurate diagnosis, and again, ectopic pregnancies can be elusive and have just an empty uterus, or worse, some fluid in the uterus that is mistaken for a tubal pregnancy. Now at least a third of these can be safely treated by medication dosages in your doctor's office, and so estimating one's actual risk is hard. Recently however it has come to light that inadvertent exposure of a healthy developing pregnancy to the medicine methotrexate that is used to treat ectopic pregnancy can lead to birth defects. Early and prompt attention to the possible diagnosis is important, but confirmation is important too so these inadvertent treatments do not occur. But gynos will also say early treatment is important to be able to be treated with the medicine. We use blood tests, and ultrasounds and pelvic examinations to determine the diagnosis, but it is well recognized, based on a review of the literature in Fertility and Sterility in November of 2012, that errors in diagnosis still occur because the way we make our diagnosis is not perfect. Ultrasound may have an error rate as high as 1% for the very early pregnancy, prior to 49 days pregnant. Especially if your hormone count is under than an HCG level of 1500 IU. In fact they have coined a new term which is "Pregnancy of Unknown Location" meaning you are pregnant, but the tests are done too early to see exactly how and where that pregnancy is developing. Progesterone values will likely be low in ectopic pregnancies and some doctors use this test to help make that early diagnosis. But learning where the pregnancy is is very important in terms of getting that tubal pregnancy treated. And remember treatment of tubal pregnancies is also important to avoid the known complications of a tubal pregnancy such as future infertility avoiding chronic pelvic pain, another ectopic pregnancy and treatment related side effects or complications.