Patient's question:
11.01 Co-habitation, irregular menstrual cycle.11.13 HCG 22.4, 11.18 HCG 93, 11.18 Transvaginal ultrasound showed no gestational sac in the uterine cavity or adnexal region, nor any cystic structures. There was a minimal amount of pelvic fluid.
11.21 Midday cramping, similar to menstrual cramps, with dark red discharge when urinating, and dark red blood on toilet paper when wiping after urination. Is it ectopic pregnancy or natural miscarriage? Currently experiencing intermittent lower abdominal pain, similar to menstrual cramps with a cold, but it does not affect movement. When needing to use the bathroom for a bowel movement, I may say nonsensical things.
Doctor's answer:
Generally after pregnancy, the levels of human chorionic gonadotropin (hCG) and progesterone in the body can be harmful, especially during the first ten weeks of pregnancy when they double. Based on the pregnancy duration you mentioned and your relatively low hormone levels, there is a possibility of repeated early miscarriages or ectopic pregnancies. According to your numerical values, the likelihood of repeated early miscarriages is significantly higher. It is recommended that you visit the hospital for a blood test to check your hormone levels and undergo a color Doppler ultrasound to examine the condition of the uterus and pelvic cavity. Treatment should be based on the specific examination results. If repeated early miscarriages occur, special intervention is generally not required, but close monitoring of the amount of bleeding is necessary. However, if ectopic pregnancy with repeated bleeding occurs, the risk is higher, and it may be necessary to [proceed with treatment].