Patient's question:
I found out that I have an ectopic pregnancy. I underwent many careful examinations but without any effect. Recently, I've been experiencing severe abdominal pain, and there's bleeding again in my lower abdomen. When I went to the hospital for a re-examination, the doctor said that I need to have a surgery.What kind of assistance is needed: How many hCG levels indicate ectopic pregnancy?
Doctor's answer:
For the diagnosis of ectopic pregnancy, a comprehensive evaluation can be based on menstrual history, symptoms, physical signs, and MRI, as well as laboratory tests. Blood HCG alone cannot diagnose ectopic pregnancy; in ectopic pregnancy, blood HCG levels are low. According to the last menstrual period, the current pregnancy duration is 31 days. If the fertilized egg has not yet implanted, the possibility remains. An MRI examination shows no gestational sac within the uterine cavity. Most women experience menopause about 14 days before their next menstrual period, so the likelihood of ectopic pregnancy is considered low. The current bleeding is likely due to luteal phase deficiency, and it is necessary to draw blood to test progesterone, HCG, and thyroid function. This will help determine the appropriate medication for maintaining the pregnancy. A follow-up MRI and laboratory tests are scheduled for one week later.