Last night I had severe stomach pain, could it be ectopic pregnancy?

Patient's question:

Last night, I had severe stomach pain (currently undergoing treatment for a late-stage ectopic pregnancy). I went to the hospital for a thorough examination. The doctor performed a needle aspiration and extracted 3 ML of blood, saying it was blood accumulated in the pelvis. He advised hospitalization, stating that otherwise, it could lead to severe bleeding and endanger my life! After our persistence, we were finally admitted for observation overnight. We received intravenous fluids from 12 a.m. until 8 a.m. the next morning!
B-HCG on August 29 was 494.9 uIU/ml, on September 14 was 87.49 uIU/ml, and on September 20 was 43.33 uIU/ml.
Medical History and Treatment Effects:
Patient: Female, 31 years old, with a history of pregnancy. July

Doctor's answer:

There is still evidence of bleeding in the pelvic cavity, which is also a common issue that may recur during conservative treatment for ectopic pregnancy. There is indeed a risk of significant bleeding, so it is recommended to wait until the afternoon blood HCG test results are available. If the blood levels decrease, it is safer to be hospitalized for close observation. If the levels drop, close observation at home is also necessary, and it is important to rest in bed as much as possible. If abdominal pain or vaginal bleeding recurs, it is still advisable to seek immediate follow-up. Wishing you good health.
In addition, during the treatment for ectopic pregnancy, in addition to medication, the patient's dietary condition and psychological state are also particularly important. The patient must always maintain a positive mood and eat a balanced diet.

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