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 showed only 300. The past two days, besides spotting, could this be an ectopic pregnancy or a miscarriage?Doctor's answer:
General non-pregnant women: Blood HCG < 100 IU/L in the first 3 months of early pregnancy, HCG levels decrease 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 re-examine ultrasound regularly, and treatment to preserve the pregnancy can also be provided.
If patients are troubled by ectopic pregnancy, we should actively implement careful examinations and treatments, without avoiding medical visits. If ectopic pregnancy does not improve with treatment, the treatment plan should be adjusted promptly.