What is the cause of lower abdominal pain during early pregnancy?

Patient's question:

Medical Description: I have been amenorrheic for 35 days. The hospital examination confirmed pregnancy, with progesterone levels over 5,000. However, during the ultrasound, only a 6mm dark area was observed in the uterus. I have experienced lower abdominal bloating and pain. The doctor is unsure if it could be an ectopic pregnancy. Even if it is an intrauterine pregnancy, the area is too small, and they said we can only wait a few days for another ultrasound to monitor the situation. I am so frustrated. I really want to have a child. If it is truly a pregnancy, does it mean that the egg did not develop properly? I have always had poor blood and qi deficiency. In this case, can I still carry the pregnancy?
History of Treatment and Effects: I have undergone tests at the hospital that confirm pregnancy. I have not taken any medication and am experiencing lower abdominal bloating and pain.
Help Needed: Please help me understand this. Thank you.

Doctor's answer:

Hello, based on the information you provided, this could be due to the uterus growing too quickly, causing pressure symptoms. It is recommended that you pay attention to your condition and monitor it. If you don't feel any discomfort, there is no problem. However, if you experience worsening discomfort, you should seek medical attention at the hospital.
According to your description, during the early stages of pregnancy, you have experienced lower abdominal pain, which may be related to threatened miscarriage or the stretching of pelvic organs due to the enlarged uterus. It is recommended to have a check-up at the best hospital. If there are no abnormalities, it is likely the latter. It is advised to eat less spicy and irritating foods and avoid getting cold.

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