 [ Symptoms ] i have heavy bleeding and spotting at times is there a possibility that i might have ectopic pregnancy [ Disease ] if pregnancy is the concern then the best way to find out is to get a blood serum beta hcg test done this is a confirmatory test for pregnancy as the urine pregnancy kits may show false positive results if the levels of hcg are more than 1 or raised then pregnancy is confirmed if the level is less than 1 then pregnancy is completely ruled out if the test is positive then you should undergo an ultrasound pelvis to locate the pregnancy for its site which could be intrauterine or possibly in the tubes ectopic if the usg shows extrauterine pregnancy then you would require a laparoscopic salpingectomy to remove the damaged tube along with the ectopic if the pregnancy is intrauterine then you may decide upon continuing the pregnancy if the test is negative then the possible cause remains uti urinary tract infection or a possible pid pelvic inflammatory disease or endometriosis also stress per se can cause derangement of hormonal balance and can cause heavy bleeding inspite of being on continuous progesterone pills this can be controlled with antifibrinolytics in the absence of pregnancy for further follow up consult an obstetrician and gynaecologist online   > <link>