Patient's question:
28 years old. Came on her period on December 18th. Left on December 23rd. Tested positive on January 18th and 19th. Pregnant. Started bleeding at night on January 23rd. By January 24th, it was still bleeding. Blood test showed hCG at around 36. Today, January 25th, bleeding like mucus—could it be endometrial hematoma? Can the baby be saved?Doctor's answer:
Menstruation stopped for 35 days, vaginal bleeding for two days, blood HCG around 36, still bleeding now, it may not necessarily be intrauterine fluid blood. First, it's important to rule out ectopic pregnancy. It's recommended that you go to a local regular hospital for re-examination of blood HCG and progesterone, and have a detailed ultrasound check. If there is no gestational sac in the uterine cavity, a significant drop in blood HCG indicates a possible ectopic pregnancy. If there is a gestational sac in the uterus and progesterone is low, you should receive progesterone injections to support the pregnancy. Rest and take good care of the pregnancy.