Patient's question:
On March 19th, I had a 35-day menstrual delay and went to the hospital for a blood test. The HCG result was 493.5 mIU/mL, showing an upward trend. I frequently experienced abdominal pain and lower back pain. On the 44th day of my menstrual delay, I had vaginal bleeding containing dark foreign matter, which was not large. The hospital ultrasound did not detect a gestational sac, and the endometrial thickness was 0.6 cm. The left side had uneven echoes. The re-examined HCG result was pending, and I was waiting for news at home. The vaginal bleeding became frequent, and I had no abdominal pain but severe pain in the lower back. On March 39th, the HCG result was 128 mIU/mL, showing a significant decline. The vaginal bleeding continued.Previous treatment history and effectiveness:
Two induced abortions.
What kind of help do you need:
I am very anxious and unsure whether it is an ectopic pregnancy or an intrauterine miscarriage.
Doctor's answer:
Based on your situation, the possibility of threatened miscarriage is high. Your symptoms are quite similar, but your hCG levels have decreased. It is recommended to check your progesterone level to see how it is. If it is very low, it may lead to a miscarriage, and then you can have a D&C procedure and medication. Persistent vaginal bleeding may cause pelvic inflammatory disease. 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 hygiene. It is recommended that patients pay close attention to maintaining clean external genitalia and changing underwear frequently. Finally, we wish female patients a speedy recovery.