Patient's question:
Last menstrual period was on October 22nd, with irregular intervals, mostly delayed. Starting from November 27th, the pregnancy test showed positive for three consecutive days. The reaction was slower on the first day but became more obvious on the following two days. On December 2nd, a thorough blood hCG test at the hospital confirmed early pregnancy with hCG 2200 and progesterone 124.62. On December 7th, a vaginal ultrasound was performed, with the results as shown in the image. How did she get pregnant? How can the baby be healthy? How can an ectopic pregnancy occur?Doctor's answer:
The blood test results show pregnancy, but the color Doppler ultrasound has not yet detected the development of the gestational sac, embryo, and fetal heartbeat. It is recommended that you have another color Doppler ultrasound check after one week to assess the development of the gestational sac, embryo, and fetal heartbeat. Additionally, you can start taking folic acid tablets. However, since your menstrual cycle is usually delayed, and considering the short time since conception, there is no yolk sac. It is advised to wait another 7 to 10 days before rechecking the color Doppler ultrasound to see if there is a yolk sac and embryo. If there is, it can be diagnosed as an intrauterine pregnancy.