Patient's question:
Female, 30 years old, had her period on August 2nd, and it broke again on the 12th. She went to the hospital for a thorough examination and had her blood tested three times in total. The hCG level increased from 177 to 6000, after which she experienced no more bleeding or abdominal pain. Today, she went to another hospital for a thorough check-up, and the hCG level suddenly dropped to 1, but the ultrasound revealed a mass. She wants to know whether it was a miscarriage or an ectopic pregnancy, and how to determine it.Doctor's answer:
In your case, there are some contradictions upon careful examination. Previously, your careful examination of human chorionic gonadotropin (hCG) showed a decrease, which indicates pregnancy. Additionally, there was a mass in the right adnexal area, which can be diagnosed as an ectopic pregnancy. However, today's careful examination shows that hCG is low again, not within the range of pregnancy. This does not align with your previous symptoms. Nevertheless, you should still be prepared for the possibility of an ectopic pregnancy.