To determine such a pathology, the following activities are carried out:
1. Examination by a gynecologist on a chair, palpation in the lower abdomen. The doctor may suspect a pathology according to such signs during examination and palpation - soreness, abdominal tension. In the place where the fetal egg is attached, a seal in the form of a tumor is felt. The uterus is enlarged, but does not correspond in size to the expected gestational age.
2. Ultrasound examination. With the help of this diagnosis, it is possible to determine where the fetal egg is fixed. Also, the procedure will show the presence of blood in the abdominal cavity, rupture of the fallopian tube. It is better to conduct a vaginal ultrasound.
3. Blood test for human chorionic gonadotropin. In the normal course of gestation, these figures double daily. And with ectopic gestation, the level of hCG does not correspond to the timing.
4. Diagnostic laparoscopy. It is a microsurgical intervention, with the help of which an examination of the uterine cavity is performed. During this procedure, the location of the fertilized egg is determined, if necessary, it is immediately removed.
If there is a suspicion of internal bleeding, a diagnostic procedure such as puncture of the posterior vaginal fornix is prescribed. The fact that there was a rupture of the fallopian tube is evidenced by dark blood, in which clots are present.