Patient's question:
I've been pregnant for 40 days. Around the 30th day of pregnancy, I started experiencing stomach pain, although it wasn't particularly severe and there was no bleeding. I had a medication-induced abortion three months ago and now I'm suspecting it might be an ectopic pregnancy. How can I determine if it is an ectopic pregnancy?Doctor's answer:
1. Amenorrhea Except for ectopic pregnancy with prolonged amenorrhea in the interstitial part of the fallopian tube, most cases have amenorrhea of 6~8 weeks. About 20%~30% of patients have no history of amenorrhea, or menstruation is only delayed by two or three days.2. Abdominal Pain The incidence rate is 95%, often sudden, sharp or intermittent pain on one side of the lower abdomen, accompanied by nausea and vomiting.
3. Nausea and Vomiting Patients with ectopic pregnancy may also experience nausea and vomiting symptoms. Without careful analysis of the condition, it is easy to mistake them for indigestion or a gastrointestinal emergency.
4. Vaginal Bleeding After the embryo dies, irregular vaginal bleeding is common, with dark red, small amounts, generally not exceeding the amount of menstruation. In a few cases, vaginal bleeding may be more significant, similar to menstruation, and may be accompanied by the discharge of decidua fragments.