Patient's question:
Last menstrual period was on June 28th. On June 30th evening, after taking a bath, my period stopped. On July 10th, I had sexual intercourse. On July 11th afternoon, I took an emergency contraceptive pill, levonorgestrel tablets. On July 30th, I had spotting for two days and it stopped. Since August 3rd, I have been having very minimal spotting. On August 18th, a urine test showed a weak positive result, while a blood test showed β-hCG 115.94. A pelvic ultrasound showed no obvious gestational sac in the uterus, but a non-echoic area was observed in the left adnexal region, measuring 3.92.9 cm. On August 20th, a blood test showed hCG 112.23. The doctor said it's only possible to wait and see and cannot make a definitive diagnosis, as it could be an ectopic pregnancy.Previous treatment and effectiveness: No history of allergies or hereditary diseases.
What kind of help do you need: What should I do now? Is it a natural miscarriage or an ectopic pregnancy? I'm very upset.
Doctor's answer:
According to your careful examination, if you don't have symptoms like abdominal pain, the possibility of a miscarriage is higher. If you have discomfort in the lower abdomen, the possibility of an ectopic pregnancy is higher. Based on other symptoms, it cannot be completely confirmed whether it is an intrauterine pregnancy or an ectopic pregnancy.Recommendation: Currently, careful observation is needed. It is also possible to adopt a conservative treatment approach for ectopic pregnancy, which is a safer measure. Regardless, it is best to be hospitalized for close observation.
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 condition and speed up recovery.