Patient's question:
Hello, I had my period on July 1st, and by August 6th, I started experiencing very minimal vaginal bleeding. I have been getting blood tests for HCG at the hospital, and the results are as follows: August 17th was 103.01, August 19th was 101.32, August 25th was 104.57, August 29th was 182.83, August 31st was 152.72, and September 5th was 101.56. The doctor said the fetus has died.History of treatment and effectiveness:
On August 30th, I had an ultrasound:
Uterus: Anterior position, size and shape normal, smooth capsule, uniform muscle layer echoes, clear endometrial line on the left, no obvious endometrial thickening. No gestational sac-like structures were seen in the uterine cavity.
Adnexa: A cystic structure was seen in the left adnexal region, approximately 23MM20MM, with thin and smooth walls, poor internal echo. The right adnexal region appeared to have high echoes, approximately 20MM
Doctor's answer:
Based on the ultrasound findings and HCG levels, there is a possibility of ectopic pregnancy. However, both adnexal masses are small, and the internal echo is poor. The right one may be more consistent with the sonographic appearance of an ectopic pregnancy mass.Advice: In this case, it is recommended to closely monitor the decline in HCG levels and pay attention to any abdominal pain or vaginal bleeding. For added safety, taking several days of mifepristone orally to terminate the pregnancy can be considered. Alternatively, oral Chinese medicine can be used to terminate the pregnancy and reduce the masses. If the follow-up doctor does not recommend medication, it is best to wait and see for ectopic pregnancy patients.