Is it menstruation or an ectopic pregnancy?

Patient's question:

My girlfriend said that this month's menstrual flow is significantly lower than the previous one. The interval between this and the last menstrual period is about 40 days. During this period, she took emergency contraception. Now she is very worried whether it is an ectopic pregnancy or a normal menstrual period, as there are no obvious abdominal pain or other symptoms.

Doctor's answer:

Taking emergency contraception pills can itself cause a delay or advancement in the menstrual cycle. Whether it is an ectopic pregnancy should be determined based on the confirmation of pregnancy, which should be the normal onset of menstruation. You can have your girlfriend take a test a few times using a test paper. Make sure to use urine that is not contaminated with blood products. Whether it is an early miscarriage in the uterus or an ectopic pregnancy, as long as the delivery has occurred and the bleeding is not too prolonged, a positive reaction should still be detectable.

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