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 ultrasound did not show any obvious gestational sac. A week later, the follow-up blood test was also normal, but the urine test showed a weak positive HCG. Subsequently, the human chorionic gonadotropin level was measured as 124.84, with a gestational age 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 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 test result, as it is highly likely to be inevitable miscarriage or complete miscarriage. It is recommended to continuously monitor hCG levels. If abdominal pain is very severe, consider performing a posterior cul-de-sac puncture to determine whether clotted blood is drawn 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. Pay attention to the development of the condition and avoid indiscriminate treatment. Also, pay attention to self-care, maintain a balanced diet, and keep clean. Best wishes for your recovery!