Patient's question:
The doctor personally discovered an ectopic pregnancy at the hospital on December 23rd with an hCG level of 1000. The abdominal ultrasound showed a mass measuring 31×28mm adjacent to the left ovary, and the bleeding was significantly less than a normal menstrual period.The next day, on the 25th, I went to another hospital for further examination. The hCG level was 758, and another abdominal ultrasound revealed a size of 31×36×35. The doctor recommended hospitalization and prescribed medication for anti-inflammation and treatment planning. I decided on aggressive treatment. On the 27th, I received an embryo-destroying injection. Two days later, the hCG level dropped to 685, and after another two days, it further decreased to 350, then to 105. A vaginal ultrasound showed the mass was larger than the abdominal ultrasound, measuring 48×38×57.
By January 5th, another hCG test showed it had dropped to 48. The vaginal ultrasound revealed a size similar to the previous one. The doctor advised me that I could go home.
Doctor's answer:
According to the patient's description, the patient suffers from ectopic pregnancy and has undergone rigorous treatment. The MRI examination is measured in millimeters. The size of the patient's mass should be approximately 4 centimeters. The current hCG level is 10.8, which is a relatively ideal indicator, but it still needs careful follow-up until it drops below 5. The abdominal mass needs to gradually resolve. The patient is facing the challenge of ectopic pregnancy, and we should actively adopt treatment measures and not avoid seeking medical attention. If the ectopic pregnancy is not treated effectively, it is necessary to promptly switch to an alternative treatment plan.