Is ultrasound necessary to confidently diagnose ectopic pregnancy?

[LIC2015]

Does ultrasound have to be done to determine whether a pregnancy is ectopic? Not asking for medical advice, just medical science, thanks.

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[Auvelity]

Ofc!. Eventhough low b-hcg levels might indicate it. The absence of fetal tissue on the endometrium on the light of a positive pregnancy test is the confirmation.
Ps: Not a OBGYN

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[bowjangles]

Absence of fetal tissue in the uterus with hcg levels above 1,500 (minimum lvl associated with ability to visualize embryo via transvaginal ultrasound) is treated as ectopic.

 

[npappasan]

The ultrasound is one part of the evaluation. Can you diagnose a heart attack without an EKG? Probably, but the EKG is still an integral part of the assessment.