How should ectopic pregnancy be diagnosed

Patient's question:

On June 23rd, I had my period. Around July 15th, I experienced irregular spotting with a small amount of blood. On July 25th, I had a normal period with a normal flow. Since then, I have had irregular spotting with dark brown discharge and very little blood. Today, I went to the hospital for a thorough check-up. The blood HCG test result was 200, the urine test was negative, and the ultrasound showed: no echoes in the uterus, but there were 2cm x 3cm echoes in the right adnexa, accompanied by a small amount of sloughing. After a vaginal puncture, no blood was drawn, and there were no abdominal pain symptoms. How could it be an ectopic pregnancy?

Doctor's answer:

Your HCG level has decreased, indicating pregnancy, but it is necessary to monitor its dynamic changes. If it continues to decline, it is a normal pregnancy. If it gradually rises, it could be a biochemical pregnancy or a natural miscarriage. In your case, ectopic pregnancy cannot be ruled out. It is recommended to have a transvaginal color Doppler ultrasound to examine the blood flow of the right adnexal mass. If the blood flow is rich, it may be an ectopic pregnancy mass, and the changes in HCG values should be monitored. In addition to medication treatment for ectopic pregnancy, the patient also needs to pay attention to nursing care, such as maintaining a light diet and engaging in outdoor activities. At the same time, the patient should also pay attention to choosing a top-tier hospital for treatment to achieve good therapeutic effects.

📌 Related Posts