Ectopic pregnancies are those which do not take place in the uterus. Ectopic pregnancies are also called tubal pregnancies as most of them take place in the fallopian tubes.
But, they can happen anywhere like cervix or the mouth of uterus, or between fallopian tube and the wall of uterus, or anywhere outside the uterus.Generally low hCG levels or even slow rising hCG levels are a sign of ectopic pregnancy. But to diagnose ectopic pregnancy or tubal pregnancy, this is not enough. Ultrasound is needed to assess it correctly.
Even if it is only one single level rise in the hCG, there is not much thing to worry or panic about because in the early days of pregnancy, those things are common and possible. Two level measures are needed for the confirmation of ectopic pregnancy.
Also, in the mid to late first trimester, hCG levels may have slow doubling time. That means they do not double as it is in the normal course. So, even if a pregnant woman has two levels rise and if they do not double every two to three days, it cannot be a case of ectopic pregnancy because slow rise of HCG can occur even in the normal pregnancies. However, if there is bleeding, it may suggest that the pregnancy is not normal. But there is more likelihood of miscarriage rather than it being an ectopic pregnancy. So, the doctor will be the best person to assess the condition and take further course of treatment.
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