Patient's question:
Last menstrual period on March 3rd, test showed weak positive, blood test on April 7th, progesterone P>20, human chorionic gonadotropin 1392. On April 10th, abdominal pain and began to bleed, bright red in color, followed by vaginal ultrasound, a small cyst 0.50.40.4 was found in the uterine cavity, with echogenicity of intrauterine blood collection, and no abnormal echoes were observed in bilateral adnexa. On April 11th, right lower side vaginal pain, blood was brown. On April 12th, the cyst measured 0.80.5, with echogenicity of pelvic effusion. On April 12th, bleeding stopped, with pale yellow fluid discharge. The doctor said it was still not possible to diagnose. On April 12th, blood test showed HCG 4497. Is it an ectopic pregnancy or threatened miscarriage?Doctor's answer:
Your condition is considered to be an intrauterine early pregnancy. Generally, in ectopic pregnancy, the blood HCG level is low. MRI and intrauterine cavity showed no gestational sac. In your case, MRI and intrauterine cavity showed a gestational sac, but you have again experienced signs of miscarriage, so you need active treatment to preserve the pregnancy. It is recommended that you receive treatment to preserve the pregnancy, rest in bed, adjust your emotions, maintain good deep sleep, and strictly prohibit sexual activity. Regular follow-up with MRI and HCG tests is necessary. If the embryo's growth and development are abnormal, it is recommended to terminate the early pregnancy. If the embryo's growth and development are good and there are no symptoms of bleeding, it is recommended to focus on the early pregnancy. There are several treatment methods for ectopic pregnancy, but because the patient's condition is different, the diagnostic methods used are also different. Therefore, it is recommended that patients receive early diagnosis and treatment after discovering symptoms.