It's been a month, what should I do?

Patient's question:

On November 9th, my period has not stopped until now. Today, the hCG test result was 224. The doctor said I might be pregnant, possibly ectopic pregnancy or miscarriage. He suggested checking again in three days. If the level increases, it would be ectopic pregnancy; if it decreases, it would be miscarriage. But I had my period on October 13th. Why could I still get pregnant? What should I do?

Doctor's answer:

Considering it may be menstrual irregularity, there are generally two main categories of menstrual irregularity. One category is caused by neuroendocrine dysfunction, and the other is primarily due to organic lesions in the reproductive organs, including inflammation of the reproductive organs. Based on your description, the possibility of endocrine abnormalities is more likely. For the specific cause, you can go to the hospital for an ultrasound and endocrine examination to identify the reason and receive targeted treatment.

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