Patient's question:
I had my period on July 30, and on August 30, I tested positive weakly. On September 9, I had my period for the sixth day, which had already ended with a slightly smaller amount than usual. On September 14, I had an ultrasound which showed no gestational sac in the uterus or externally, but HCG was 1284 and progesterone was 3.15. Previously, I had some abdominal pain, and in the past two days, I've felt a heavy sensation. I visited two hospitals, and one said it might be ectopic pregnancy and suggested hospitalization, while the other said it was more likely to be a miscarriage. On September 22, my HCG was 790, and an ultrasound showed a fluid-filled area in the right ovary, measuring 3432MM, with a pelvic fluid-filled area of 15MM in diameter. Is there a problem? Have I already had a miscarriage? On September 14, the ultrasound did not show an ovarian cyst, but today it did. Is there a problem? Should I undergo further examinations? Is it ectopic pregnancy or a miscarriage? Pelvic effusion.Doctor's answer:
Progesterone 3.15 indicates that the embryo has stopped growing and developing. The cervical membrane rupture on September 9th suggests a miscarriage. Whether it was an intrauterine or ectopic pregnancy cannot be confirmed. Because if a miscarriage occurs in the very early stages of pregnancy when the gestational sac has not yet developed to the point where it can be examined through ultrasound, it can be difficult to diagnose through blood tests and ultrasound. The decline in HCG levels is relatively slow. For severe cases of ectopic pregnancy, it is recommended to seek medical attention immediately and follow the doctor's advice for prompt treatment. Do not blindly trust advertisements or herbal remedies for treatment, as this may worsen the condition. The above advice is for reference only. I hope the above answer helps you. Thank you.