Patient's question:
Patient: Female, 24 years old. Last menstrual period was on October 28th, with a cycle of 35 days. On December 6th in the morning, a weak positive result was detected using the ZZY test. However, on the same day, pinkish discharge appeared, accompanied by a persistent feeling of lower abdominal fullness and the urge to defecate. This continued until December 10th in the afternoon, when sudden black blood was expelled. The bleeding was not consistent, and it was also accompanied by lower back pain and leg soreness. On December 14th, the patient went to the hospital for a thorough examination. After returning home, she experienced excessive peeling at night, resembling menstruation, with dark red blood and small blood clots in the sanitary pads.Doctor's answer:
Hello, an ectopic pregnancy rupture with bleeding may cause symptoms such as missed periods, abdominal pain, vaginal bleeding, and pelvic masses. Generally, when the bleeding reaches the uterosacral pouch, it stimulates the rectum, causing a constant urge to defecate. A careful ultrasound examination did not reveal any masses, making the likelihood of ectopic pregnancy relatively lower. Your condition is considered a possible miscarriage, and confirmation will require waiting for the results of a follow-up blood HCG test.