Patient's question:
The last menstrual period was on July 14th. On August 22nd, spotting had already started. On September 1st, the blood hCG value was 310. On September 5th, the blood hCG value was 491. The ultrasound showed a 1.91.4 cm mass in the right ovary and 2.8 cm of pelvic fluid. On September 7th, the blood hCG value was 181. On September 9th, the hCG value was 222. On September 11th, the hCG value was 194. The ultrasound showed a 2.62.0 cm mass in the right ovary and 2.1 cm of pelvic fluid. On September 14th, the blood hCG value was 180. The ultrasound showed a 2.81.5 cm mass in the right ovary with no pelvic fluid. Spotting stopped yesterday, but there is a bit of blood when using the toilet.History of Treatment and Effects:
Since discovering the ectopic pregnancy, no treatment has been administered.
Desired Help:
Hello, in such a situation, besides necessary conservative treatment, what should I do? Please kindly advise the dedicated doctor.
Doctor's answer:
Hello, based on the situation you described, it is inferred that you have been experiencing amenorrhea for several months now. The HCG test shows no significant rise, and the adnexal mass is not large, so it is still necessary to adopt conservative treatment.Medical Advice: It is recommended to be hospitalized promptly for close observation and conservative treatment. During the treatment, focus on monitoring the changes in HCG data. Also, pay attention to rest and avoid strenuous exercise. If the adnexal mass decreases or a recurrent ectopic pregnancy rupture occurs, surgical treatment can be performed in a timely manner.
Ectopic pregnancy is a gynecological disease that is prone to occur. During medication, women need to pay attention to their self-care, especially in terms of hygiene. It is advised that patients pay close attention to vaginal hygiene and maintain a light diet. Wishing female patients a speedy recovery!