What is the situation of abdominal pain in the later stage of ectopic pregnancy?

Patient's question:

Last night, I had severe stomach pain (currently undergoing treatment for a late-stage ectopic pregnancy). I went to the hospital for a thorough examination. The doctor performed a needle aspiration and drew 3 ML of blood, saying it was blood accumulation in the pelvis. He advised hospitalization, stating that otherwise, it could lead to severe bleeding and potentially. After our persistence, we were finally admitted for observation overnight, starting from 12 a.m. and continuing until 8 a.m. the next morning.
History of Treatment and Effects:
Patient: Female, 31 years old, with fertility advice.
Last menstrual period: July 27.
August 29: Went to the hospital due to right lower abdominal pain, positive urinalysis, and B-HCG of 494.9 uIU/mL.
September 14: Ultrasound confirmed ectopic pregnancy, with B-HCG of 87.

Doctor's answer:

According to your situation, the blood HCG is continuously declining, which is considered to be a miscarriage type of ectopic pregnancy. I wonder if you have had an ultrasound to understand the lesion? Although it is a miscarriage type, the symptoms may persist, or the symptoms may still be breaking through, including continuously decreasing. If the ultrasound shows that the lesion of ectopic pregnancy is continuously decreasing, then it is still safer to actively treat it. Ectopic pregnancy is a gynecological disease that is prone to occur. During treatment, women need to pay attention to their own care, especially in terms of care. It is recommended that patients pay more attention to the hygiene of the vulva, with a light diet as the foundation. Finally, I wish the female patients a speedy recovery.

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