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If you have a negative pregnancy test, would be very unlikely to be an ectopic, but there are rare situations when this can happen. As well as a positive pregnancy test, typical symptoms for an ectopic pregnancy include: â¢ Pain, which is usually one-sided but may be more generalised. â¢ Bleeding - this is usually not very heavy and may be just a brown loss.
By Mayo Clinic Staff. If your doctor suspects an ectopic pregnancy, he or she might do a pelvic exam to check for pain, tenderness, or a mass in the fallopian tube or ovary. A physical exam alone usually isn't enough to diagnose an ectopic pregnancy, however. The diagnosis is typically confirmed with blood tests and imaging studies, such as an ultrasound. With a standard ultrasound, high-frequency sound waves are directed at the tissues in the abdominal area.