Patient's question:
Gender: FemaleAge: 25
Menstruation has not stopped from October 19 to November 9. On October 29, I went to a hospital in Shenzhen for a blood test, which was normal, and an ultrasound did not show any obvious gestational sac. A week later, a follow-up blood test was normal, but a urine test showed a weak positive HCG. Subsequently, the human chorionic gonadotropin (hCG) level was 124.84, indicating a pregnancy of 1-3 weeks. However, there is still bleeding and a sensation of lower abdominal heaviness and distension. Could the baby have miscarried? Is there a possibility of an ectopic pregnancy?
Looking forward to your reply!
Thank you
Doctor's answer:
Cannot determine whether it is an intrauterine or ectopic pregnancy based solely on a single lab value, as this is highly likely to be an inevitable miscarriage or a complete miscarriage. It is recommended to continuously monitor hCG levels. If the abdominal pain is very severe, consider performing a posterior cul-de-sac puncture to determine whether blood is drawn without coagulation to confirm if it is ectopic. There are many factors that can cause ectopic pregnancy, and patients need to be treated promptly. It is recommended to seek treatment at a Class III-A hospital for your condition. Pay attention to the development of your condition and avoid treating it indiscriminately. Also, pay attention to self-care, maintain a balanced diet, and keep clean. I wish you a speedy recovery!