The dear Doctor! Help or assist advice or council! My wife today have put in hospital with...

[Alexander]

The dear Doctor! Help or assist advice or council! My wife today have put in hospital with suspicion on an extrauterine pregnancy or a salpingocuesis. No morbid sensations are present, but days 7 at it or her small allocation from a vagina (as at the beginning monthly) and already have almost ended. The breast has increased about 3 weeks ago. About the previous menses 3 4 weeks ago has ended. The doctor in female consultation has probed it or her and has told or said that something is not pleasant to her and has sent in hospital. A question in that - why that in this hospital (iz-for holidays?) whether can quickly define or determine correct suspicion...
Speak that after holidays they will make US and analyses of urine, a blood. Tell or say, whether these or it some days can be very important for the further succession of events? e. M.. It is necessary it or her from there quickly to take away and bring there where it is possible and to make on holidays all analyses?
And more - what basic attributes of an extrauterine pregnancy or a salpingocuesis?
Thanks in advance!

[Todua I.V.]

In diagnostics of an extrauterine pregnancy or a salpingocuesis by a priority the establishment of the pregnancy is. Whether it is proved, what you of the spouse is pregnant? e. Whether the test for pregnancy, or US showing presence of a fetal egg in a uterus is made?
If the test negative or ehograf shows presence of endometrial pregnancy intsindent, how to be spoken, is settled or exhausted.
But, we shall admit or allow, that the test is positive, and a uterus on the screen at ehografista "empty"... Here also there is a question on hospital observation as there can be a given pregnancy still "is too young", that it or her to see, or it can pregnancy interrupted, or, at last, it, really, an extrauterine pregnancy or a salpingocuesis.
The dosage plasmatic horiogonina each 48 hours is necessary. Comparison of concentration plasmatic HG allows to do or make the forecast: At double increase - pregnancy most likely is normal, at decrease - the interrupted pregnancy, at stagnation (lag) - strong suspicion on an extrauterine pregnancy or a salpingocuesis.
Here the algorithm is those at suspicion on an extrauterine pregnancy or a salpingocuesis.
If in your hospital have not made even the test or dough not pregnancy and the termination or ending of holidays, that, really wait, I advise to find something more suitable, it is desirable the center where it is possible to make endoscopic research, if necessary.

[Alexander]

Thanks for the answer! The test for pregnancy is made - he is positive. But the US before the termination or ending of holidays cannot do or make - have a rest! The question - if an extrauterine pregnancy or a salpingocuesis proves to be true - whether there are chances to leave a pipe? Kto-somebody in Moscow does or makes such operation and what percent or interest of that that in the further in this pipe will not occur or happen too most?
Heard different opinions.

[Pasenjuk A.M.]

If it is extrauterine japodtverzhadetsja chance to leave uterine pipe is, address in TSPSiR in paid services, or (likely even it will be better because so there is an emergency help + an emergency laparoscopy + good laboratory)) in 31 GKB on ul Lobachevsky. To give what that a guarantee, that extrauterine beermennost not repeat can nobody.