Is there an ectopic pregnancy if there is a gestational sac discharge?

Patient's question:

On February 18th, a careful check of hCG showed 779.46, and the ultrasound indicated an endometrial thickness of 14mm with uneven echoes. The IUD position had moved downward. On February 19th, at home, a lump of flesh was discharged from the vagina. On March 2nd, a careful check of hCG showed 373.98, and the ultrasound is as follows.

Doctor's answer:

Based on the results of two careful examinations and the presence of early pregnancy-like substances in the vagina on the 19th, the possibility of ectopic pregnancy is currently considered extremely small. Today's careful examination showed a significant rise in blood values, so the likelihood of ectopic pregnancy is unlikely. It is more likely to be an intrauterine miscarriage. It is recommended to re-examine blood tests and color Doppler ultrasound in one week. If it drops to the normal range, then there should be no major issues. In addition to timely treatment for ectopic pregnancy, friends with the condition should maintain a positive attitude in facing the disease. Only in this way can they improve their immunity and the belief in combating the disease. At the same time, they should pay more attention to their dietary care, primarily focusing on light foods to avoid the impact of cold foods.

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