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Please feel free to email us at if you have any questions or comments!Unfortunately, we will be unable to answer medical related questions. The diagnosis is done by conducting history and physical examination, laboratory evaluation and ultrasonography.1. History and Physical Examination:It is important for the doctor to gather information regarding the last menstrual cycle.
So please give all details regarding the onset of last menstrual cycle, the flow, duration and frequency. The use of any contraceptives and history of irregular menstrual cycles have to be told at the very outset.Many women have vaginal bleeding during the first week of pregnancy making diagnosis really tough. Since the chances of miscarriage and ectopic pregnancy are high, the diagnosis should be done thoroughly and carefully.
So don’t hide any information.SponsoredThe physical and historical examination can also reveal whether the woman had tubal manipulation and tubal disease, tubal ligation, inflammatory disease and ectopic pregnancy in the past.
Also these physical tests reveal whether the woman used intrauterine devices for contraception and underwent fertility therapies.

Nowadays chemical assays and ultrasonography helps to detect pregnancy even before the symptoms like nausea starts.2.
Human chorionic Gonadotropin is one such hormone, it is a glycoprotein bearing similarities in structure with Follicle Stimulating Hormone (FSH), Luteinizing Hormone (LH) and Thyrotropin. Urine devices are often used to detect hyper glycosylated HCG, which is a key molecule in early pregnancy. Dimeric HCG and the alpha and beta units are produced by the pituitary glands of non-pregnant woman. Though the level of dimeric HCG is higher in post-menopausal women, it is below the sensitivity mark of the most sensitive clinical assays used to monitor pregnancy.
5% HCG can be detected in women eight days after conception and about 98% on the eleventh day.The levels of HCG also determine whether the woman has ectopic pregnancy.
If the rise and decline of HCG values in women is slow for those who had ectopic pregnancy or had spontaneous abortion.
If the HCG levels are very high there are chances that the woman has molar pregnancy, chromosome abnormality and multiple gestations.Measuring Serum Progesterone is important to detect chances of any early abnormal pregnancy.

A dipstick ELISA is effective in determining the level of progesterone.Early Pregnancy Factor is an immunosuppressive protein that has been isolated just after conception and it helps to indicate fertilization. It can be detected 36-48 hours post fertilization and the levels shoot up in the first trimester. Ultrasonography:The discovery of transvaginal ultrasonography (TVUS) has made pregnancy detection even easier and effective. It is the best method to detect intrauterine pregnancy and gestational age that usually happens during the first trimester.
You are not exactly pregnant at this time, since the conception only occurs two weeks after the last menstrual cycle. So it is important to give details of the last menstrual cycle to calculate the expected due date.

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