Patient's question:
At five weeks of pregnancy, the blood hCG was 111 and progesterone was 24. At six weeks, hCG was 90 and progesterone was 9. The ultrasound did not show anything inside or outside the uterus. The doctor said I might have had a biochemical pregnancy. Today, I started bleeding—it's thick but I haven't seen anything. I also have some abdominal pain! If it's a biochemical pregnancy, does it always mean something will be expelled?Doctor's answer:
Hello, according to the situation you mentioned, biochemical pregnancy is similar to a normal menstrual period without the expulsion of a gestational sac. If the gestational sac is expelled, it would be classified as a natural miscarriage, not a biochemical pregnancy. Biochemical pregnancy may be caused by poor quality of the fertilized egg or failure to implant. Generally, biochemical pregnancy does not require treatment, and you just need to monitor the situation. You should rest, maintain emotional stability, and keep the perineal area clean and hygienic.