What is the cause of bilateral tubal thickening?

Patient's question:

Patient Gender: Hello, I am 43 days pregnant, but the ultrasound did not show a gestational sac. Both fallopian tubes are thickened, with the right fallopian tube having an unclear object and no echoes, often accompanied by abdominal pain.
Detailed Medical History and Purpose of Consultation: Is it ectopic pregnancy?
Duration of Current Illness: The pain lasts for 1 to 2 minutes.
Current General Condition: Severe pain in the left lower abdomen, accompanied by lower back pain.
Medical History: None.
Previous Diagnoses, Treatments, and Outcomes: Diagnosed with an 80% chance of ectopic pregnancy. Follow-up is recommended.
Ancillary Examinations: An ultrasound examination will be performed in 8 days.

Doctor's answer:

??????If there is no gestational sac seen on ultrasound at 43 days of pregnancy, and the blood test shows a human chorionic gonadotropin (hCG) level of 607 and a progesterone level of over 7, this situation could be a case of biochemical pregnancy. In other words, the fertilized egg stopped developing after implantation. Generally, doctors recommend that women with risk signs of prenatal examination maintain a balanced diet, avoid spicy, stimulating, and cold foods. Additionally, patients should also pay attention to a comfortable environment, which is beneficial for rest. Wishing the patient a healthy delivery.

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