Patient's question:
Here is the English translation of the provided content, with line breaks preserved as instructed:"1/31 last menstrual period, 2/21 vaginal bleeding had already started, thought it was menstruation, but it never stopped. On 3/11, I did a thorough check: progesterone level was 0.22, HCG was 156, ultrasound showed nothing. On 3/13, another check showed progesterone 0.66, HCG around 230. On 3/14, a vaginal color ultrasound was done, but no gestational sac was seen! This is today's report, questioning an ectopic pregnancy. What is going on?"
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Doctor's answer:
Did you have a heavy menstrual flow this time on January 31st? Based on your progesterone levels, the possibility of an ectopic pregnancy is still relatively small, it seems like a biochemical pregnancy. Currently, there is pelvic fluid accumulation, and you can have a posterior fornix aspiration. If the fluid extracted is yellow, it should be pelvic fluid accumulation and a biochemical pregnancy. If the extracted fluid is blood, it might be a miscarriage due to an ectopic pregnancy. The recurrence of ectopic pregnancy poses a serious threat to women's health. Patients need to pay attention in daily life to maintain external genital cleanliness and avoid sexual activity.