Found out I'm pregnant today!! Doctor concerned about an ectopic pregnancy.

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My doctor sent me to the ER today for a sonogram. She is concerned about an ectopic pregnancy. The sonographer said everything looks good but said it is much too early to see anything. He said I just need to have my HCG tested every few days. Today, at 4 weeks, my HCG was 270. They said that was normal. (It was 0 last Tuesday.)

I am now so scared that this is an ectopic pregnancy. How can I tell the difference in a cramp and the pain from an ectopic pregnancy? By the way, I always feel weird twinges on the left side even during ovulation and menstruation.

I have not had any dizziness or vaginal bleeding. Although, I did pass a tiny amount of brown tissue on Wed. and there was a little bit of pink on the toilet paper. (I did the same thing 2 months ago when I was not pregnant.)

Any suggestions? Thanks in advance.

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• Reply: j wang, M.D.: "Re: Found out I'm pregnant today!! Doctor concerned about an ectopic pregnancy."
• Reply: William F. von Almen, II, MD, FACOG: "Re: Found out I'm pregnant today!! Doctor concerned about an ectopic pregnancy."