Patient's question:
On September 4th was the last menstrual period, usually delayed by 7-10 days. This time, on October 8th, an early pregnancy test confirmed pregnancy. On October 14th, blood HCG was 1361, progesterone was 24.8, but ultrasound did not detect anything. On October 25th, blood HCG increased to 2900, and progesterone was 12.4. The ultrasound doctor still said they couldn't see a gestational sac, but did see something inside the uterus, though they didn't know what it was. The doctor is relatively young and suggested I have a transvaginal ultrasound. No abnormalities were found in either ovary. I'm afraid to have a transvaginal ultrasound, as it might cause a miscarriage, and the radiation is strong.Doctor's answer:
According to the last menstrual period, it has been 50 days since the last period. Under normal circumstances, at 5 weeks of pregnancy, a gestational sac can be seen in the uterine cavity on ultrasound. Before 8 weeks of pregnancy, blood HCG rises rapidly, doubling every two days. Your blood HCG rise is slow, and no gestational sac is seen in the uterine cavity on ultrasound, suggesting a high possibility of ectopic pregnancy. It is recommended to be hospitalized for close observation and treatment, and surgery may be necessary if needed. The main clinical manifestations of ectopic pregnancy are amenorrhea, abdominal pain, and vaginal bleeding. When an ectopic pregnancy mass ruptures, it can lead to intra-abdominal bleeding, even hypovolemic shock. The doctor inquired: Ectopic pregnancy is a very serious condition, and it is recommended that patients receive timely and symptomatic treatment, hoping that patients can follow the doctor's advice for symptomatic treatment.