Patient's question:
My girlfriend went for an ultrasound five weeks after her last menstrual period on October 24th, but the ultrasound did not show a gestational sac in the uterus. The size of the uterus was 4.6×6.8. However, the blood test confirmed pregnancy with HCG levels of 485. Additionally, my girlfriend has been experiencing occasional lower abdominal pain recently. I'm not sure if it could be an ectopic pregnancy. But the doctor advised us to wait a few more days for a follow-up check-up. Three days later, a vaginal ultrasound revealed no fluid in the pelvis, but a cystic lesion measuring 4.5mm×5 was found on the uterine wall.Doctor's answer:
Sometimes, when the symptoms are not obvious, one needs to wait. The premise is that it does not harm the body. Only in this way. Only in this way is the best. At 43 days, an ultrasound can already distinguish whether it is an intrauterine pregnancy, and blood tests to check HCG can also determine it. In the case of an ectopic pregnancy rupture, there may be unbearable mild abdominal pain and a sensation of heaviness in the rectum. If there is a history of natural miscarriage, it is recommended to undergo a detailed screening. Currently, it is still recommended to seek medical attention nearby and handle it promptly.