Is a sensation of heaviness in the lower abdomen ectopic pregnancy?

Patient's question:

I tested positive for pregnancy with a pregnancy test last week, but recently I've been feeling a downward pressure in my lower abdomen. There's a little bit of dark brown blood in my underwear. My friend said that these symptoms might be a sign of an ectopic pregnancy. I want to consult, is this really an ectopic pregnancy?

Doctor's answer:

You have confirmed pregnancy through a pregnancy test, and you are experiencing a sensation of lower abdominal heaviness again, along with dark brown blood in your underwear. The first consideration is threatened miscarriage, but ectopic pregnancy is also a possibility. Therefore, you should first go to a local hospital for an ultrasound to rule out ectopic pregnancy. Additionally, blood tests for hCG and progesterone should be conducted to confirm the diagnosis. If ectopic pregnancy is not the cause, you can proceed with treatment to prevent miscarriage.

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