Patient's question:
An ectopic pregnancy with a 9x7x8 mm mass in the left adnexa. HCG was 1034. After taking Mifepristone for four days, a follow-up examination revealed the mass had grown to 19x18x17 mm, and HCG had increased to 1026. What could be the reason?Doctor's answer:
Embryos with normal growth and development have hCG levels that double every other day. Therefore, the increase is rapid. Mifepristone exerts some anti-progestin effects, which means it can eliminate the embryo. Subsequently, the excretion levels of hCG will rise. However, it is not guaranteed that the embryo will be killed immediately after taking the medication, so the embryo will continue to grow. As a result, you may observe that the embryo appears larger. The current rise in hCG levels indicates that the embryo has already started to reverse its growth. It is important to carefully monitor the situation and not to be impatient, as treating ectopic pregnancy is relatively slow. In addition to medication for ectopic pregnancy, patients also need to pay attention to proper care, such as maintaining a balanced diet and keeping a positive mood. At the same time, patients should also be mindful of choosing a reputable hospital for treatment to ensure a good therapeutic outcome.