Am I having an ectopic pregnancy or a miscarriage? How should I handle it better?

Patient's question:

Around January 10th, I had my period. During this time, I had intercourse on February 9th, and again experienced bleeding. The bleeding was light in amount and dark in color, which I initially thought was my period. Sometimes my left abdomen would ache. By March 17th, I had continuous vaginal bleeding. I went to the hospital for a thorough examination, including tests. The results were: I am very sad, I am afraid it is an ectopic pregnancy or a miscarriage. Previous treatment history and effectiveness: Ultrasound examination showed no gestational sac, blood test HCG 2000. The doctor was uncertain if it was a miscarriage or ectopic pregnancy. What kind of help do you need: I am currently experiencing red bleeding with a large amount, and abdominal pain.

Doctor's answer:

How is the blood volume? There is a lot of menstrual blood, and there may be meat-like tissue flowing out. Counting from the day with heavy bleeding, it has been more than 19 days. If so, it is more likely to be an ectopic pregnancy. Because after a natural miscarriage, HCG turns negative around 19 days, or at least it is very low. It is recommended to re-examine blood HCG in the near future. If it drops significantly or turns negative, it proves it is a miscarriage. If it does not drop or drops very little, it proves it is an ectopic pregnancy. Ectopic pregnancy is a gynecological disease that is prone to occur. During medication, women need to pay attention to their own care, especially in terms of nursing.

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