Patient's question:
There is nausea and other suspected early pregnancy symptoms, but there is a very small amount of bleeding during each menstrual period. Previously, the amount was larger, but now it is very small. There has been persistent abdominal bloating and a sensation of heaviness. The abdomen has become somewhat larger now. I am quite concerned. Could I be pregnant? Could it be an ectopic pregnancy? Does ectopic pregnancy cause menstruation? I want to know if it could be an ectopic pregnancy. Can an early pregnancy test detect it? Is it accurate? If it is an ectopic pregnancy, what should I do? Is surgery required?Doctor's answer:
The main manifestations of ectopic pregnancy:1. Missed period: Delayed by several to dozens of days, often occurring without being noticed.
2. Abdominal pain: Lower abdominal (sinking pain), with a sense of needing to defecate, sometimes severe pain accompanied by profuse cold sweat.
3. Vaginal bleeding: Usually a small amount of spotting.
4. Other symptoms may include nausea, vomiting, frequent urination. Ectopic pregnancy is also a form of pregnancy, so the test will be positive. However, whether it is intrauterine or ectopic must be checked with an ultrasound for a clear diagnosis. If ultrasound cannot diagnose it, a urine HCG test should be conducted.