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What is All are true about ectopic pregnancy EXCEPT - and explain in detail?
Ans. (c) A negative pregnancy test excludes the diagnosis Ref.: D.C. Dutta 8th ed. / 212, Williams obst. 21st ed.l 892 * Ectopic pregnancy: Pregnancy that occurs outside the endometrial lining of uterus. * Risk factors for ectopic pregnancy include previous ectopic pregnancies and conditions like tubal surgery, tubercular infection that disrupt the normal anatomy of the Fallopian tubes. * Previous salpingitis/tubal disease is the most common cause of ectopic pregnancy. * Among contraceptives, use of progestasert is the most common cause of ectopic pregnancy. * The major health risk of ectopic pregnancy is rupture leading to internal bleeding. * It can be diagnosed by Beta HCG level. It doesn't rise as fast as it rises in uterine pregnancy. * It can also be diagnosed by pregnancy testy but a negative pregnancy test doesn't rule out the diagnosis of ectopic pregnancy. * On transvaginal scan presence of an adnexal mass and the absence of an intrauterine pregnancy increases the likelihood of an ectopic pregnancy. * Methotrexate is considered as drug of choice for ectopic pregnancy.