Patient's question:
In April 2011, I had some spotting during my period and thought it was my period, but it lasted for half a month with one day of no bleeding. Later, I found out it was an ectopic pregnancy, with a blood HCG level of over 2,000. I then received conservative treatment.In June 2012, my period arrived ten days late. I used a pregnancy test and got two red lines, but one was very faint, almost invisible. After waiting for a few more days, I went to the hospital for a check-up. The doctor said I needed to hold my urine for the ultrasound. After doing so, I had some spotting when I went to the restroom. The ultrasound did not show anything, but my HCG level was over 1,000. The doctor said it might be too early to see anything and suggested waiting a bit longer while taking some progesterone injections. Three days later, my blood HCG level dropped to just a few hundred. The doctor said the pregnancy could not be saved and advised stopping the injections and undergoing an abortion procedure. However, since nothing could be seen on the ultrasound, this was done at a private hospital. Later, I decided to go to a tertiary hospital for treatment. The HCG levels at the private hospital were very different and much lower, but since the pregnancy could not be saved, I was treated conservatively to control the HCG levels again.
In 2011, I was treated at the General Hospital of Beijing Military Region. In 2012, I was treated at the United American and Chinese Hospital before returning to the military hospital for further treatment.
Doctor's answer:
It may be necessary to go to the hospital for tubal occlusion recanalization, which can be performed using the hysteroscopic COOK catheter recanalization technique or partial tubal resection and anastomosis. Hysteroscopic catheter recanalization involves inserting the COOK catheter into the interstitial part of the fallopian tube under the hysteroscope to perform tubal irrigation. Through the separation, dilation effect of the catheter and the impact of the liquid, the interstitial and isthmus parts of the fallopian tube are recanalized.