Patient's question:
First progesterone level was 6.4 (B-HCG) 838.74. Three days later, the follow-up test results showed progesterone 12.4 (B-HCG) 815.00. On the evening of the follow-up test day, there was some spotting, which lasted for one day. The amount of spotting was not significant. On the third day, I was scheduled for a D&C, but the doctor suggested waiting to confirm whether the baby had passed. The third test results showed progesterone 18.00 (B-HCG) 874.12. The doctor said it was still uncertain whether the baby was inside the uterus or ectopic. He asked me to come back for another test in three days. The doctor asked me, "Did the baby pass? Is it still there?"Doctor's answer:
Your two values are both very low. Did you have an MRI? It's indeed difficult to confirm whether it's an ectopic pregnancy or an intrauterine pregnancy. The doctor is right. If it's an ectopic pregnancy, it's meaningless to perform a D&C. It should be confirmed with an MRI before any action is taken. Confirming whether it's a miscarriage or an ectopic pregnancy cannot be determined solely through blood tests. Fusion color Doppler ultrasound and menstrual history are necessary. Based on the blood test results you uploaded, there is indeed a possibility of an ectopic pregnancy. Further careful examination and observation are required to confirm.