Patient's question:
All symptoms: Onset time and cause: 7:30 check positive urine test, ultrasound did not find gestational sac. August 5th menstruation came again, continue to review positive urine test, blood HCCG1304, color ultrasound did not find gestational sac, right adnexal mass size 18x12mm, doctor suggested review after menstruation is clean. Onset time and cause: 7/25 got a cold, pregnancy treatment. Treatment condition: The cold has subsided, recommended review. Help needed: Whether pregnant,? If pregnant, why did menstruation come again? If not pregnant, how could the test results be positive. Treatment condition: Help needed: What is going on?Doctor's answer:
Hello, your blood HCG level has increased, indicating pregnancy, but no gestational sac was found, making it impossible to determine whether it is an intrauterine miscarriage or an ectopic pregnancy. You have been bleeding for nearly 20 days now, and prolonged bleeding can induce inflammation. You can currently take oral hemostatic medication along with some anti-inflammatory drugs.Generally, blood tests at one week of pregnancy can detect both progesterone and HCG, both of which indicate pregnancy. Therefore, if you want to see a gestational sac in the uterine cavity, it usually takes about 50 to 60 days. So, don’t be too anxious—wait a few days for a follow-up ultrasound.
If you experience abdominal pain accompanied by bleeding, you must seek medical attention promptly, as it may indicate threatened miscarriage and require treatment to support the pregnancy.