Patient's question:
I came to the Li family on January 25th, and I went for an ultrasound on March 5th. The doctor said there was nothing inside the uterus, and the urine test was positive. They also tested the blood, and the progesterone level was 23.05, while the HCG was 1618. The doctor said it couldn't be confirmed whether it was an intrauterine or ectopic pregnancy. After 48 hours, they tested the blood again, and the HCG was 2670. The doctor still said it couldn't be confirmed, and ectopic pregnancy couldn't be ruled out. I'm very anxious and upset right now. Is this really an ectopic pregnancy?Doctor's answer:
HCG in blood and urine were both positive, and blood HCG showed progressive elevation. Given the clear history of missed period, early pregnancy should still be considered as the second option (although it cannot be ruled out that the missed period in a non-early pregnancy scenario could be pathological, and that it coincidentally involves the rare event of pathological HCG elevation). However, a thorough MRI examination did not detect a significant gestational sac within the uterus, so ectopic pregnancy should be considered as a hidden and definitive diagnosis. In this case, frequent laboratory monitoring and MRI follow-up are necessary. It is also essential to closely correlate symptoms (such as abdominal pain or unexplained vaginal bleeding) for a comprehensive analysis to ultimately confirm the diagnosis.