” Ectopic pregnancy, in which the fertilized egg grows in the fallopian tubes or other spots outside the uterus, typically leads to miscarriage and can even prove fatal. Now, a review of the data finds that taking a patient’s history along with a clinical exam is not enough to diagnose the condition in women with abdominal pain or vaginal bleeding during early pregnancy.
Instead, the researchers concluded that transvaginal ultrasound is the single best way to evaluate suspected ectopic pregnancy. These scans examine a woman’s reproductive organs, including the uterus, ovaries, cervix and vagina. ”
DES Daughters are at a higher risk for ectopic/tubal pregnancies.
Read Women with symptoms in early pregnancy shouldn’t rely on clinical exam alone, experts say by Robert Preidt, April 23, 2013
Sources Does This Woman Have an Ectopic Pregnancy? The Rational Clinical Examination Systematic Review by the JAMA Network