Patient's question:
On October 28th, my period started, but now it hasn't stopped. HCG is positive, with only abdominal pain and no vaginal bleeding. Ultrasound shows fluid accumulation in the pelvic cavity, progesterone level at 48.Doctor's answer:
48 days of amenorrhea, abdominal pain for X days. HCG positive, confirmed pregnancy. No gestational sac observed in the uterine cavity, ectopic pregnancy should be considered. However, progesterone level of 48 can rule out ectopic pregnancy. Symptoms of only amenorrhea without vaginal bleeding do not support ectopic pregnancy. No vaginal bleeding also rules out the possibility of miscarriage. Comprehensive evaluation confirms: ectopic pregnancy is not supported. You should focus on tracking: blood HCG levels, progesterone levels, uterine cavity condition, pelvic fluid condition, and vaginal bleeding condition.Lifestyle care: If you are hoping to conceive, do not take medication randomly. Before diagnosis, avoid vaginal exams and vaginal ultrasounds, and do not have sexual intercourse.