Signs and Tests

A pelvic examination may reveal uterine adnexal (Fallopian tube or ovary region) tenderness.

• There is usually a positive pregnancy test.
  • Urine HCG (qualitative) tests may be falsely negative in up to 17.5% of them.
  • In contrast, serum HCG (quantitative) tests have only a 2% incidence of false negative results.
• A hematocrit test may be normal or decreased.
• The white blood count may be normal or increased.
• A culdocentesis may be performed to determine if free blood is present in the abdomen.
• An ultrasound (transvaginal ultrasound or pregnancy ultrasound) illustrates an empty uterus. Products of conception may be evident elsewhere.
• A laparoscopy and or a laparotomy may be necessary for adequate diagnosis.
• A D and C may be indicated to rule out a nonviable intrauterine pregnancy.

This disease may also alter the results of the following tests:

• serum progesterone (found to be less than 15 ng/ml in 80% of women with ectopic pregnancies and greater than 15 ng/ml in 90% of women with normal intrauterine pregnancies)

Ency. home > Disease > E > Ectopic pregnancy

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