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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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Hello.
Based on the details you provided, the possibility of an ongoing pregnancy or ectopic pregnancy is extremely unlikely.
Your serum beta-hCG values are consistently negative (
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Pls connect for online consultation and advice
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You are not having chronic ectopic pregnancy please rest assured.
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Dr. Kinnari Amin
Gynecologist
14 yrs exp
Ahmedabad
Beta hcg is negative for pregnancy
Ultrasound is normal
No chances of intrauterine or ectopic pregnancy
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Dr. Thrupthi Reddy
Infertility Specialist
7 yrs exp
Bangalore
Your beta hcg levels and ur scan reports suggest no ectopic pregnancy
Just relax and dont stress out
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Dr. Sanhita Soubhari Sharma
Gynecologist
7 yrs exp
Mathura
You need to calm down first and stop thinking about ectopic. We dont know about past but according to ur USG, u dont hv ectopic.
Connect for detailed discussion
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Dr. Neha Vashisth
Obstetrician
14 yrs exp
Jaipur
Connect
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Dr. Pratibha P S
Gynecologist
10 yrs exp
Bangalore
its not ectopic
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Dr. Vijaya Gupta
Gynecologist
23 yrs exp
Chandigarh
No
U can stop imaging a pregnancy
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Dr. Prateeksha B S
Obstetrician
7 yrs exp
Bangalore
Connect
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Dr. Parru Singh
Gynecologist/Obstetrician
9 yrs exp
Lucknow
Connect
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Dr. Mrinalini Chowdhury
Gynecologist
13 yrs exp
Kolkata
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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