Patient's question:
I have a regular monthly period, but this month it has lasted for over 20 days without ending. A careful HCG test shows it is positive, but a careful ultrasound examination shows only a very small amount of fluid. No abnormalities were found during the procedure. Could it be an ectopic pregnancy? The doctor asked me to wait and see for a while. Am I likely to have an ectopic pregnancy?Doctor's answer:
HCG positive indicates pregnancy, irregular vaginal bleeding suggests a high possibility of ectopic pregnancy. Under normal circumstances, at around 5 weeks of pregnancy, a transvaginal ultrasound can reveal a gestational sac within the uterine cavity. The main clinical manifestations of ectopic pregnancy include amenorrhea, abdominal pain, and vaginal bleeding. If the ectopic pregnancy mass ruptures, it can lead to intra-abdominal bleeding, even resulting in hypovolemic shock. It is recommended to monitor changes in blood HCG levels. If HCG is significantly higher than expected for the additional gestational weeks and rises slowly, it suggests ectopic pregnancy, requiring hospitalization for close observation and treatment. The daily treatment for ectopic pregnancy patients primarily involves medication, supplemented with some vitamins, along with attention to self-care, proper diet, and avoiding cold foods.