Patient's question:
On July 22, I had an abortion without anesthesia. My first menstrual period started on September 5. On October 24, I used a pregnancy test kit and got a faint positive result. On October 25, an ultrasound examination showed the uterus to be anteriorly positioned, with dimensions of 6.95.45.4 cm, an irregular shape, and uneven muscle wall echoes. A 2.21.7 cm descending hypoechogenic area was observed on the anterior wall, slightly protruding. CDFI revealed no blood supply above it. The inner wall was 1.2 cm thick. A heterogeneous mass measuring approximately 3.13.5 cm was detected on the right side of the uterus, with clear boundaries and a liquid-filled area inside. CDFI showed no blood supply above it. In the left adnexal region, a deep 0.6 cm liquid-filled area was observed in the uterosacral pouch.Laboratory and examination results: Serum human chorionic gonadotropin test result 240.
Doctor's answer:
According to your ultrasound examination, there is a small uterine fibroid, which is unrelated to pregnancy. The decrease in HCG levels confirms that you are definitely pregnant, and the possibility of an ectopic pregnancy is relatively higher. It is recommended that you seek timely treatment at a regular hospital. Currently, you can still undergo conservative treatment for ectopic pregnancy, and this treatment generally does not affect future fertility. Ectopic pregnancy is a gynecological condition that is prone to occur. During medication, women need to pay attention to their own care, especially in terms of hygiene. It is advised that patients pay close attention to maintaining clean external genitalia.