Patient's question:
I am very scared when this happens. I often experience lower abdominal pain and don't know how to solve it, so I came here to consult. Could you please tell me how to distinguish between threatened miscarriage and ectopic pregnancy?Doctor's answer:
I'm glad to help you clarify your questions. The difference between threatened miscarriage and ectopic pregnancy is based on the following: During a threatened miscarriage and ectopic pregnancy, there is usually vaginal bleeding. However, a threatened miscarriage is often accompanied by abdominal pain and the expulsion of the gestational sac. A careful ultrasound examination may reveal an intrauterine gestational sac or signs of incomplete miscarriage. In contrast, with ectopic pregnancy, there are typically no significant changes in the uterine cavity. Occasionally, there may be endometrial thickening with a focus on the extrauterine adnexa. The level of human chorionic gonadotropin (hCG) is indicative of pregnancy, but in a threatened miscarriage, the hCG level is usually lower than in ectopic pregnancy.