Patient's question:
Medical Description: 50 days of amenorrhea, still experiencing vaginal bleeding symptoms (around 9 days now). Had a transvaginal ultrasound today, but no gestational sac was observed. The anterior uterus measures 46x37x39mm, with regular shape, clear margins, and uniform. The left and right ovaries measure 24x20mm and 27x16mm respectively, with regular shape, clear margins, and uniform. A 7mm deep dark area was observed in the pelvic cavity. Blood HCG level is 2225, showing exponential growth. Emergency contraception was taken after intercourse!History of Treatment and Effect: Currently none, just undergoing follow-up examinations.
Desired Help: I want to know the likelihood of an ectopic pregnancy and whether it could be due to the emergency contraception.
Doctor's answer:
Hello, according to your description, under normal circumstances, a gestational sac should be visible after a 50-day delay in menstruation. If the gestational sac is not visible, it may be necessary to consider the possibility of an ectopic pregnancy. Regular follow-up is recommended.Since you have been experiencing vaginal bleeding and, based on your hCG levels, the most likely consideration is threatened miscarriage, while the possibility of ectopic pregnancy is reduced. Therefore, it is recommended that you have another follow-up in a week to see if the gestational sac is still not visible. If it is still not visible, it could be considered a natural miscarriage. A blood test can then be conducted for confirmation.
Wishing you health and happiness!