Patient's question:
I got my period on March 10, but it hadn't arrived by April 10. So, I waited until April 14 and bought a pregnancy test, which came back weakly positive. Then on April 15, I went to the hospital for an ultrasound, but the results showed no fetus in the uterus. The doctor suggested I come back in a few days for a more thorough check. However, a couple of days later, I started bleeding with a brownish color but not much. Then on April 17 and 23, I went to the hospital for transvaginal ultrasounds, but the results showed nothing. Now, the blood I'm bleeding is red and not much, and it only appears when I urinate. Could you please tell me if I might be experiencing an ectopic pregnancy?Doctor's answer:
According to the situation you described, it cannot be completely ruled out as ectopic pregnancy at this time. Generally, if it is a normal early pregnancy, the blood HCG can double within three days, and the progesterone will continue to decline. Since you now have vaginal bleeding, this could be a possible recurrence of threatened miscarriage after pregnancy. It is recommended that you retest your blood HCG and progesterone in one week. If the levels rise normally, ectopic pregnancy can be ruled out. Additionally, you can have an ultrasound. If a gestational sac and fetal pole with a primitive heartbeat can be seen within the uterine cavity, this can also rule out ectopic pregnancy.When patients face the dangers of ectopic pregnancy, we should promptly implement symptomatic treatment principles and avoid delaying medical consultation. If ectopic pregnancy is not treated effectively, it is important to promptly switch to a new treatment plan.