Patient's question:
Ectopic pregnancy with bleeding for about 20 days. Currently not taking medication, HCG first test was 250, second test was 260, third test was 231. No abdominal pain. Ultrasound revealed one cystic mass in each adnexal area: left size approximately 48mm:37mm with poor internal division and echo transmission, right size 29mm:25mm with clear boundaries and relatively regular shape, good echo transmission. The Pouch of Douglas showed a free fluid area with a transverse diameter of about 15mm. However, the skin broke yesterday and it was black. What could be the reason?Doctor's answer:
Patients with ectopic pregnancy may experience vaginal leakage, broken skin, abdominal pain, and a slow rise in blood hCG. If there is a rupture, it may lead to severe abdominal pain, heavy bleeding, and even life-threatening complications. Your current blood hCG level is not high, and the vaginal bleeding is related to the hormonal levels of ectopic pregnancy. You should have blood tests for hCG performed periodically, and undergo a thorough ultrasound examination, including the size of the pregnancy. If the blood hCG level continues to decline, it is important to seek medical treatment promptly, either through medication or surgery, for ectopic pregnancy. For severe cases of ectopic pregnancy, it is recommended to seek medical attention immediately and follow the doctor's advice for timely treatment. Avoid blindly relying on advertisements for medication, as this may worsen the condition.