Patient's question:
My last menstrual period was on December 9th. Ovulation occurred on January 13th. I had a thorough examination on January 30th, with progesterone levels at 26.19 and HCG at 1000. Currently, I have no symptoms of abdominal pain or bleeding. However, I had a previous ectopic pregnancy 10 years ago. How could this be an ectopic pregnancy this time?Doctor's answer:
Clinical manifestations: The clinical manifestations of ectopic pregnancy are related to the site of fertilized egg implantation, whether there is a miscarriage or rupture, and the amount and duration of bleeding.1. Symptoms: History of missed periods, irregular vaginal bleeding, mild lower abdominal pain or aching sensation, nausea, vomiting, shock, and fainting.
2. Signs: Significant tenderness and rebound tenderness in the lower abdomen, especially on the affected side, but with mild abdominal muscle tension. The posterior fornix is rounded, and there is obvious cervical motion pain or elevation pain. When there is significant internal bleeding, a floating sensation of the uterus may be observed upon careful examination.
Recommendation: Ultrasound examination can help determine how the gestational sac is located within the uterus. In fact, ectopic pregnancy is not as as it may seem. Patients should believe in their ability to overcome the illness. As long as treatment is timely in the early stages, the chances of stabilizing the condition and recovery are very high.