What are the reasons for dark periods during menstruation?

Patient's question:

I got my period on October 27th! On November 25th, the first day was a bit red, and the next four days were dark and dry like dried blood. By the 30th, it was clean! I didn't have any stomach pain. I went to the hospital for a urine test, and it came back positive! But I'm worried it might be an ectopic pregnancy! The doctor said to do an ultrasound. When I went, the female nurse said it was too small to see and told me to come back in a week for another check-up! I feel it's better to find out earlier! I'm afraid of any danger, so I want to know if a B can detect something like this in the first 30 days??/
Urgent!!!!!

Doctor's answer:

It is recommended to buy a test kit and conduct a self-examination first. If the test results are negative for two consecutive days, the possibility of pregnancy is unlikely, and you can temporarily rest assured and wait. Often, menstruation is influenced by psychological factors. If your mood relaxes, it may naturally come. If a positive result occurs and symptoms appear, you must go to the hospital for confirmation. If your period is delayed by more than half a month now, it is still advisable to visit the hospital. If pregnancy is not confirmed, a delay of more than half a month is also abnormal and requires identifying the reason for the delay before treating the cause accordingly.

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