Patient's question:
On Monday, ectopic pregnancy was detected. On that day, HCG was 1425, and the gestational sac was 1.91.04. Yesterday, a thorough examination revealed HCG at 919 and a gestational sac size of 2.61.8. The past two days, I experienced abdominal pain and some bleeding. Today, there is no abdominal discomfort, and the bleeding is minimal but still present. During the ultrasound on that day, it was mentioned that there was black blood, but it seems like the black blood is almost gone now, and there are small clumps. What could this be? Will it definitely require surgery? Since I am hospitalized, the doctor said they need to wait and see with further observation.Doctor's answer:
From your medical records, the blood hCG levels are continuously rising, indicating that the embryo has stopped growing and developing. However, the gestational sac has not enlarged, so surgical intervention cannot be completely ruled out. Therefore, we must wait and see for now. It is recommended to stay in the hospital and carefully monitor the situation, paying attention to any changes in your condition. If there are any abnormalities, please inform the on-call doctor promptly. Rest well and maintain a positive mindset. It is suggested that you wait and see first, and then retest your blood hCG and the size of the gestational sac. If the abdominal pain subsides, surgery can be performed.