How can ectopic pregnancy be confirmed?

Patient's question:

Last menstrual period was on November 28, 2010. Pregnancy was confirmed. During the 40th and 60th days, abdominal ultrasound did not show a gestational sac. On the morning of February 6, 2011, bleeding had already started. By noon on the 7th, a clump of black material was expelled. Vaginal ultrasound showed a miscarriage, with the bleeding being quite thorough, and it was said that a D&C was not necessary. On January 14, 2011, the blood test value was 6472.3 mIU/ml. Today, the blood HCG test result was 3860 MIU/ml. Could it be a natural miscarriage or an ectopic pregnancy? Could it be a natural miscarriage or an ectopic pregnancy?

Doctor's answer:

This situation should have been miscarried cleanly. The reason why the gestational sac was not visible before might be due to the fact that the gestational sac had already developed slowly at that time. Currently, it is believed to be a normal miscarriage, not an ectopic pregnancy. The decline of HCG requires a certain period of time and is a gradual decline, not a sudden drop. Patients with ectopic pregnancy can use dietary therapy as supplementary treatment while understanding professional treatment. In daily diet, appropriate eating habits should be maintained to prevent stimulating foods.

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