Patient's question:
Menstruation came last month on the 12th, and on the 15th of this month, brownish discharge began, very minimal. On the 17th, blood HCG was 610, but no gestational sac was found in the uterus or adnexa, suspecting ectopic pregnancy. Conservative treatment was given for three days, with one tablet of mifepristone taken orally in the morning and evening. Two days later, blood HCG was measured at 1600. However, there is now slightly bright red bleeding—how are there signs of improvement?Doctor's answer:
The clinical manifestations of ectopic pregnancy first include a history of missed periods. In the early stages, there are no obvious abnormalities. If the ectopic pregnancy cyst ruptures, early symptoms may only include a small amount of vaginal bleeding that flows continuously, accompanied by mild abdominal pain. If ectopic pregnancy occurs in the late stage, it may cause severe abdominal pain, intra-abdominal bleeding, leading to shock and potentially endangering life. For patients, if the ectopic pregnancy condition is severe, immediate symptomatic treatment and appropriate medication should be administered. Otherwise, it may lead to a recurrence of ectopic pregnancy. Additionally, patients need to maintain a positive mood to avoid worsening the condition. I hope the answers to the above questions can help everyone. Thank you.