Why is it that irregular periods make it difficult to determine the exact gestational age?

Patient's question:

Irregular menstruation counts for how many weeks, checked progesterone at November 17th, 24.7, hCG 77.4, nine days later checked hCG value 1330, ultrasound did not see gestational sac, hello, is this situation normal? Can ectopic pregnancy be ruled out?

Doctor's answer:

I'm glad to have met you. Based on the materials you purchased, the chance of ectopic pregnancy in this case is not high. Don't be too nervous and relax your mind. In your situation, normal hCG doubling is expected, and the chance of ectopic pregnancy is not high. However, since you've been pregnant for a short time, MRI may not yet detect it. You can wait for another 7 to 10 days and then re-examine with MRI. If you experience abdominal pain or bleeding, seek medical attention promptly. For gynecological patients, in addition to taking medication, it is also important to pay attention to self-care training. For example, pay attention to maintaining cleanliness, avoid sexual intercourse, and eat less spicy and irritating foods.

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