Patient's question:
Last menstrual period was on October 5th. Since October 30th, there has been a very small amount of brownish discharge, which has persisted with decreasing volume but without stopping. On November 11th, a transvaginal ultrasound was normal, with an endometrial thickness of 1.2 cm. On November 14th, β-HCG (human chorionic gonadotropin) was measured at 97.07, and on November 17th, HCG was 87. A transvaginal ultrasound revealed a 1 cm mass on the right side, confirming a right tubal ectopic pregnancy. I had an IUD inserted in 2001, which has been in place for 20 years. I had my first pregnancy in 2000, which was a cesarean delivery. Currently, I am not taking medication because the HCG level is relatively low, and the doctor advised close monitoring with follow-up if any issues arise. This ectopic pregnancy may naturally lead to fetal demise. In my case, is there currently any danger?Doctor's answer:
Ectopic pregnancy miscarriage is possible for the natural growth and development to stop, and eventually be absorbed and disappear, but the possibility is relatively small. Advice: Don't be nervous. It may have already stopped growing. As long as it doesn't grow, it can gradually atrophy and be absorbed. I personally recommend taking mifepristone orally, two tablets on an empty stomach every day, and having blood tests for HCG every other day. As long as it keeps declining, there is no need to worry. Additionally, during the treatment of ectopic pregnancy, the patient's dietary condition and care are also very important. The patient must pay attention to rest and can engage in appropriate activities to avoid unnecessary harm. I hope the above answer can help you. Thank you.