Patient's question:
About 2 days after the menstrual period, there was intrauterine insemination. 5 days later, the ultrasound results were: 1. The uterus size is normal, 2. Small cyst in the right adnexa measuring 1.6x1.4 cm, no abnormalities in the left adnexa, 3. Mixed echo mass in the lower left posterior of the uterus measuring 3.2x1.2 cm.Currently, there are no obvious discomforts. Sitting or squatting for a long time may cause slight lower back pain, and occasionally some fullness in the right lower abdomen, but without pain. The previous menstrual period was normal, without menstrual cramps or blood clots.
I would like to ask if there is a possibility of ectopic pregnancy? The cyst should be caused by inflammation, right?
Doctor's answer:
The clinical manifestations of ectopic pregnancy first involve a history of missed periods. In the early stages, there are no obvious abnormalities. If the ectopic pregnancy cyst ruptures, early symptoms may include a small amount of vaginal bleeding that is intermittent and accompanied by mild abdominal pain. If it is in the late stage, there may be severe abdominal pain, intra-abdominal bleeding, leading to shock and endangering life.Regarding the issue of early symptoms of ectopic pregnancy, you must take it seriously. Regarding the question you asked about the early symptoms of ectopic pregnancy, I will answer for you: Ectopic pregnancy is also a form of pregnancy and will secrete human chorionic gonadotropin (HCG). In the urine of non-pregnant women, HCG is almost absent. Early pregnancy test strips use a double-antibody sandwich one-step technology with colloidal gold as the indicator to detect the concentration of HCG in urine, thereby confirming whether a woman is pregnant. Therefore, although early pregnancy test strips cannot determine if it is an ectopic pregnancy, they can detect whether pregnancy has occurred. Thus, if you test negative for pregnancy using an early pregnancy test strip, it cannot be an ectopic pregnancy.