Patient's question:
The patient has been dizzy this month. Her period should have arrived on the 4th, but she started experiencing persistent bleeding on the 6th. Initially, it was just slightly bloody discharge before her period, but now she has started bleeding and it has lasted for 12 days. The hospital conducted a thorough examination of her uterus and abdomen, but no gestational sac was found. Could this be an ectopic pregnancy?Doctor's answer:
It may be a menstrual disorder issue caused by the side effects of birth control pills. Since it's not the ovulation period, there's no possibility of pregnancy. If it should have come on the 4th, then by now it would have been 20 days late. If it were early pregnancy, the pregnancy test should have been positive, but it's negative, which can rule out the possibility of a normal pregnancy. If it's an ectopic pregnancy, HCG is usually positive as well. Based on your situation, it should be possible to rule out pregnancy and ectopic pregnancy. However, for safety, it's recommended to have a blood HCG test. If the results are normal, it can further rule out pregnancy and ectopic pregnancy. Ectopic pregnancy is a serious condition, and it's advised that the patient seek immediate medical treatment.