Is it a miscarriage or an ectopic pregnancy?

Patient's question:

I haven't had my period for a while. On the 15th, I tested positive weakly. On the 18th, there was a very small amount of vaginal bleeding. On the 21st, I had an ultrasound, and there were no gestational sacs found either inside or outside the uterus. I'm also worried it might be an ectopic pregnancy, so I had a posterior fornix puncture. I'd like to ask if it's a miscarriage or an ectopic pregnancy?

Doctor's answer:

Your condition can be ruled out as ectopic pregnancy, posterior fornix puncture, and the removal of stagnant blood does not indicate signs of ectopic pregnancy. A mass similar to meat is an early pregnancy product, which means it's a natural miscarriage. It is recommended to go to the hospital for testing. If the villi are incomplete, immediate dilation and curettage (D&C) is necessary. In addition to timely treatment for ectopic pregnancy, patients should also pay attention to their diet, such as eating light meals and avoiding spicy and irritating foods. At the same time, patients should also pay attention to choosing a reputable hospital for diagnosis to obtain good treatment results.

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