Patient's question:
40 days pregnant, ultrasound hasn't shown a fetal pole yet, intermittent spotting, initially it started with brown discharge, then turned to bright red blood, with a relatively large flow but not as much as a menstrual period. I've already been resting in bed. The recent blood hCG test result was over 10,000, doubling normally, progesterone level was 63, and the gestational sac measured 0.9 x 0.6. The doctor said to recheck on Friday. I'm very worried now. It hasn't been spotting for two days, but suddenly started bleeding today. There's no obvious abdominal pain, but I have some lower back pain, and diarrhea pain. I want to ask if this is normal, and whether the baby can be saved.Doctor's answer:
I'm glad to help clarify this for you. Clinically, this situation is not uncommon. It is recommended to use hemostatic and fetal preservation medications simultaneously, along with progesterone capsules. Even if the test results are not low, it is still advisable to use them. Additionally, closely monitor with ultrasound. If the ultrasound finds no issues with the gestational sac, you can focus on preserving the pregnancy. This is the advice for the question "Pregnant for 45 days, but no fetal pole seen on ultrasound." I hope it helps you. Wishing you good health!