Am I experiencing an ectopic pregnancy or a miscarriage in this situation?

Patient's question:

The last menstrual period was on January 12th. I have been undergoing ovulation induction treatment. On February 15th, I found out I was pregnant. The first HCG test result was over 400. Three days later, the test result dropped to over 300. Over the past two days, I have been experiencing spotting. Is this ectopic pregnancy or miscarriage?

Doctor's answer:

General non-pregnant women: Blood HCG < 100 IU/L in the first 3 months of early pregnancy, the HCG level decreases by about half every 2.2 ± 0.5 days.
Urine-HCG (HCG semi-quantitative method): Non-pregnant women < 25 IU/L, pregnant women at 40 days > 5000 IU/L, it may be possible to have threatened miscarriage. Please regularly re-examine with ultrasound, and it may also be possible to save the pregnancy.
If patients are troubled by ectopic pregnancy, we should actively implement careful examinations and treatments, and avoid avoiding medical visits. If ectopic pregnancy is not cured after prolonged treatment, it is necessary to change the treatment plan in a timely manner.

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