Patient's question:
On April 4th, after sexual intercourse, I took oral levonorgestrel tablets for contraception. My period arrived on March 12th, and on April 15th, I experienced dark red bleeding with blood clots, which I thought was my period. As of May 6th, I am still experiencing light bleeding. I went to the hospital for a thorough examination. The HCG test result was over 360, and the ultrasound results were: the uterus is in an anterior position, normal size, clear endometrial cavity of 0.8 cm, uneven echo of the uterine wall, a mixed echo of 5.12.8 cm in the right adnexal area with irregular shape and unclear boundaries, no blood flow inside, and another 4.54.4 cm anechoic area with relatively regular shape and clear boundaries. The left ovary was not visible, and no significant mass was found in the left adnexal area. The pelvic effusion was 4.9 cm thick. CDFI showed no abnormalities.Previous treatment and outcomes: I used pregnancy test strips twice, once negative and once positive.
What kind of help do you need: Hello, is this an ectopic pregnancy?
Doctor's answer:
Since your blood HCG level is below normal, it must be pregnancy. Currently, a detailed ultrasound examination shows no gestational sac in the uterus, but a mass is observed in the adnexal area and fluid accumulation in the pelvis. The possibility of ectopic pregnancy is high. It is recommended that you be admitted to the hospital for surgical treatment as soon as possible to avoid life-threatening internal bleeding. Ectopic pregnancy is a gynecological disease that is prone to occur. During treatment, women need to pay attention to their own care, especially in terms of nursing. It is advised that patients avoid sexual activity during treatment and pay attention to hygiene. Finally, we wish the female patient a speedy recovery.