Patient's question:
The last menstrual period was on July 14th. On August 22nd, bleeding had already started. On September 1st, a careful check of the blood hCG level was 310. On September 5th, the blood hCG level was 491, and the vaginal ultrasound showed an uneven echo mass of 1.9 cm in diameter on the right ovary, with an inner diameter of 0.3 cm and a rectal pouch fluid depth of about 2.8 cm. On the 7th, the blood hCG level was 181. On the 8th, the abdominal ultrasound showed an uneven echo mass of 2.41.9 cm on the right ovary and a rectal pouch fluid depth of 1.2 cm. On the 9th, the blood hCG level increased again to 222. Over the past two days, there has been some mild in the right ovary, but it's not particularly painful. On the 11th, the blood hCG level was 194, and the ultrasound showed a 2.62.0 cm mass in the ovary and a rectal pouch fluid depth of 2.1 cm?Doctor's answer:
Ectopic pregnancy, which may involve bleeding, is a gynecological emergency. If it ruptures, it can lead to severe bleeding that may be fatal. It is recommended to seek follow-up care at a gynecological clinic and undergo surgical treatment. The bleeding from a ruptured ectopic pregnancy occurs rapidly, and it is essential to pay sufficient attention. When a patient faces the challenge of ectopic pregnancy, we should actively adopt treatment measures and not avoid seeking medical attention. If the ectopic pregnancy does not improve with treatment, it is important to promptly adjust the treatment plan.