Patient's question:
I am twenty-nine years old this year. I had a one-time sexual encounter at the beginning of this month and took emergency contraception afterward. By the fourteenth of this month, my period did not arrive, and I tested positive for a weak pregnancy. Five or six days later, on the nineteenth of this month, I experienced bleeding similar to my period. An ultrasound revealed no abnormalities, and my period ended after three days. I then took an HCG test, which showed a level of 63.85, higher than normal. Three days later, I experienced abdominal bloating with some pain, followed by a small amount of vaginal bleeding. The doctor said there was no possibility of anything being expelled, and that taking emergency contraception should have prevented pregnancy. There was nothing in my uterus—could it be an ectopic pregnancy? The doctor advised me to wait and see, but I am really confused. I hope the doctor can give me an answer. Thank you.Doctor's answer:
Hello: The main manifestations of ectopic pregnancy are:1? Menstrual delay The menstrual period is delayed by several to dozens of days, often without being noticed.
2? Abdominal pain A dull pain in the lower abdomen, with a sensation of needing to defecate, sometimes severe pain accompanied by cold sweat.
3? Vaginal bleeding Usually a small amount of bleeding.
4? Other symptoms May include nausea, vomiting, and frequent urination.
5? Examination A positive pregnancy test, ultrasound scan, or laparoscopy can assist in diagnosis.
It is recommended to perform an ultrasound examination of the adnexa. Elevated HCG levels are seen in normal pregnancy, early pregnancy, choriocarcinoma, molar pregnancy, ectopic pregnancy, cervical cancer, ovarian cancer, testicular tumors, gastric cancer, liver cancer, pancreatic cancer, breast cancer, pregnancy-induced hypertension, and other conditions.
It is recommended that gynecological examinations be combined with other clinical symptoms to make a diagnosis and provide treatment.