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Eptopic pregnancy: how to identify

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Hi doctor, recently 3month ago i had an eptopic pregnacy and am a little concerded as i have just found out i am pregnat i called my doctor and she sent me for 2 blood test and this is to confrim the location of the baby she did not ask to see me is this normal? also what is the chances of it happening again? i also dont have any symptons yet of being pregnant only a little tied and now and agin sore boobs but i dont realy feel pregant is this all normal im so concered and carnt seem to relax i just want all the normal thing that doctors do when they onfirm dates and have a chat with u please help.

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replied October 10th, 2006
Pregnancy Answer A1600
A positive pregnancy test confirms a pregnancy but cannot precisely locate it. Pregnancy tests detect the hormone hCG. The hCG levels in cases of ectopic pregnancy are lower than in normal pregnancies, so a false-negative results is possible. To avoid a false-negative test, you should use the more specific, blood-based pregnancy test (beta). In cases of ectopic pregnancy, not only are the hCG-levels lower than normal, but also the hCG-level increases more slowly than during a normal pregnancy. In a normal pregnancy, the hCG-level doubles every 24 hours in the first weeks of pregnancy. In the case of an ectopic pregnancy, the increasing of hCG-levels are less than 66% over 48 hours. The location of an ectopic pregnancy can be determined with an ultrasound, but not always. Normal (uterine) pregnancies can be confirmed with ultrasound in the 5th week of pregnancy. Tubal ectopic pregnancies can’t be seen with an ultrasound before the 7th week of pregnancy . Therefore, in some cases, a laparoscopy will be requested to find the embryo. Chances of having a repeated ectopic pregnancy are 15%.
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