Patient's question:
On October 4th, I found out I was pregnant with a blood HCG level of 193. Since October 7th, I have been bleeding (menstrual amount) and passing large clots. There was abdominal pain, and the blood flow has been decreasing ever since. On the eighth day, the bleeding stopped. Today, I had a transvaginal ultrasound. The doctor said they didn’t see anything, but there was a large cyst on the left side. A blood HCG test showed a level of 143. What kind of help do you need: Please, my HCG is declining—is this ectopic pregnancy? Or am I having a miscarriage? My left abdomen is often in sharp pain—is it related to the cyst or ectopic pregnancy? I’m very worried. Ectopic pregnancy can be life-threatening.Doctor's answer:
You have symptoms of irregular vaginal bleeding and abdominal pain. Your blood HCG has slightly decreased, and there is a need to consider the possibility of ectopic pregnancy or miscarriage. It is recommended to perform blood HCG and ultrasound re-examinations every 2-3 days. If the blood HCG continues to decline, it is likely to be ectopic pregnancy. If the blood HCG decreases, it indicates that miscarriage has occurred. If there is a recurrence of acute abdominal pain or symptoms such as cold sweat, dizziness, and fatigue during this period, you should seek emergency treatment at the hospital promptly. In addition to treating ectopic pregnancy, it is recommended that patients pay attention to their diet in daily life and maintain a cheerful mood at all times to enhance their physical fitness and slow down the recovery process.