Patient's question:
I took birth control pills in late February. My period came on March 4th, but it has been continuous ever since. When I went to the hospital for a thorough examination, the urine test showed a weak positive result, and the ultrasound revealed nothing significant. The human chorionic gonadotropin (hCG) level was over 400 mIU/ml. The hospital suspected an ectopic pregnancy, but I currently have no abdominal pain or bleeding, and my period has stopped. Is it ectopic pregnancy? I want to know if I have an ectopic pregnancy or if I have had a miscarriage.Doctor's answer:
Human chorionic gonadotropin (HCG) is over 400, but there was no gestational sac found in the ultrasound. Your condition should be considered as pregnancy, but ectopic pregnancy cannot be ruled out. In normal intrauterine early pregnancy, HCG levels double. If the doubling is not ideal, it may be due to problems with the embryo quality or ectopic pregnancy. It is difficult to distinguish between early miscarriage and early ectopic pregnancy in the early stages. The key in your case is to dynamically and carefully observe the changes in blood HCG levels, and then decide on treatment accordingly. In addition to treating ectopic pregnancy, it is recommended that patients pay attention to their diet in daily life and maintain a cheerful mood at all times to enhance their physical condition and slow down the pace of treatment.