Breast tenderness, hard nipples, what is the cause?

Patient's question:

Breast tenderness, hard nipples, what could be the cause? Is it a symptom of pregnancy? Morning urine test showed weak positive, but ultrasound showed no gestational sac in the uterine cavity, but there was a cystic mass in the adnexal area. The doctor asked for a follow-up in five days. Can this confirm an ectopic pregnancy?

Doctor's answer:

Hello, ectopic pregnancy, also known as tubal pregnancy, refers to the implantation and development of a fertilized egg outside the uterine cavity, such as in the fallopian tubes, uterine angles, abdomen, ovaries, etc., due to certain influencing factors. Symptoms may include missed periods, irregular vaginal bleeding, abdominal pain, fainting, and shock.
It is recommended to undergo a blood β-HCG test and a follow-up ultrasound to aid in diagnosis.

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