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Suspected chronic ectopic pregnancy
Hi Doctor
My normal LMP was on 27 Nov 2025
Sexually active in december
26 Dec 2025 - 2 days light flow (less than normal flow)
4 Feb 2026 - watery brown discharge/spotting
5 Feb 2026 - heavy bleeding with very large clots (1 and half day)
7 Feb 2026 - severe vomiting and under IV
9 March 2026 - normal flow which has not stopped yet
Symptoms from mid-jan : lower abdomen pain on right side, nausea, pain radiating to back and right leg, pain worsening before defecation, constant urge to poop, constipation/diarrhea, extreme fatigue, sometimes dizziness, loss of appetite
UPTs - negative and sometimes very faint positive
Serum beta hcg:
1 Feb- <2.3miu/ml
4 Feb- <0.2miu/ml
13 Feb- <0.2miu/ml
8 march- 0.43 miu/ml
USG:
TVS on 8 Feb- normal uterus, ovaries, endo thickness 5mm with minimal free fluid in POD
USG on 7 March- normal uterus, ovaries, endo thickness 6.3mm, nabothian cysts
I saw case studies where CEP exists with negative serum test. Is it possible in my case with the symptoms?
Answers (14)
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We don't know how high the level of beta HCG had gone during the past three months . If it had gone very high and it is coming down now then you were pregnant. Otherwise get a sonography of the lower abdomen done and consult a Gynaecologist with the report. That is to decide whether you need a D&C or not.
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Beta hcg is negative for pregnancy
Ultrasound is normal
No chances of intrauterine or ectopic pregnancy
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Your beta hcg levels and ur scan reports suggest no ectopic pregnancy
Just relax and dont stress out
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These are not signs of any current ectopic pregnancy.... be it acute or chronic . You might previously have had some early pregnancy which did not take up well and might have bled out .
But now there is no remnant or any other pathology of any kind as per your ultrasound, so rest assured .
Google will only confuse you , please consult a gynaec in person for further evaluation and investigate for any other underlying problem..
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