An ectopic pregnancy can be diagnosed a few different ways. If symptoms of a ectopic pregnancy has been recorded a doctor will first perform a pelvic test to find tenderness, pain, or a mass in the abdomen. Then a blood test eleven days after conception where hcG levels are checked. There are two types of hCG tests, one being qualitative and the other quantitative. A qualitative hCG test checks if hCG is present in the blood, while a quantitative hCG test measures the amount of hCG actually present in the blood. According to americanpregnancy.org, an hCG level of less than five milliliters is considered negative for pregnancy, and anything above twenty-five milliliters is considered positive for pregnancy. At three weeks hcG levels should be at about five to fifty milliliters and then continue to increase until about thirteen to sixteen weeks, when levels will start to go down again. Doctors can diagnosis an ectopic pregnancy if these hcG levels are too low. The doctor might also check progesterone levels because like hcG levels, a low one…show more content… During the ultrasound, the sonographer examines and pays special attention to the fallopian tubes and uterus. He or she will check to see if an embryo is implanted anywhere else outside the uterus, and if this is the case, an ectopic pregnancy is confirmed. But in some cases, the embryo dies after implantation and is too small for the sonographer to find. If this is the case, the sonographer will see if a fallopian tube is swollen or see if blood clots as well as tissue is left from the embryo. Lastly another way to diagnosis an ectopic pregnancy is through a procedure called culdocentesis, where a needle is inserted into the space at the top of the vagina, in front of the rectum and behind the uterus. If blood is present in this area it indicates bleeding from a ruptured fallopian tube, which would be the cause of an ectopic