Patient's question:
I came on my period around November 8th, but it hasn't arrived yet. I used a pregnancy test myself and it was negative. Later, I went to the hospital for a check-up, and they also used a pregnancy test, which was also negative. They gave me some medicine, including Xiaoyao Pill and Chorionic Gonadotropin, but my period still hasn't come. I want to ask if these medications could affect the fetus if I were really pregnant.Could I have an ectopic pregnancy?
Can a pregnancy test detect ectopic pregnancy?
Doctor's answer:
Most ectopic pregnancy patients have a history of missed periods, with most experiencing a delay of 6 to 8 weeks, varying in duration. Some patients may not have a clear history of missed periods but experience persistent vaginal bleeding.Abdominal pain is the most common symptom of ectopic pregnancy, with over 90% of patients reporting it. The pain can be dull,,,, or even tearing-like, often sudden in onset and intermittent or continuous. The pain is caused by the rupture of the fallopian tube, typically presenting as sharp, tearing-like pain in one lower abdomen, accompanied by nausea, vomiting, and a sensation of rectal fullness. If there is excessive bleeding, the pain becomes unbearable.
The typical bleeding in ectopic pregnancy is light, intermittent, and dark red, either continuous or intermittent. Some patients may experience bleeding similar to menstrual flow, while others with ectopic pregnancy may have no vaginal bleeding at all. The bleeding is usually dark brown, minimal in quantity, and does not exceed menstrual flow, often persisting without stopping.