Patient's question:
Urine test showed pregnancy, color Doppler ultrasound revealed uneven endometrial echoes, no gestational sac image was observed in the uterine cavity or adnexa, no fluid or mass was found in the pelvis; vaginal bleeding for 3 days without stopping, bright red in color, with no abdominal pain. Vitamin E supplementation showed no effect. Is this symptom indicative of miscarriage or ectopic pregnancy? Can the pregnancy be saved? If it is ectopic pregnancy, how can it be detected and treated early? Thank you!First follow-up question: The first day of the last menstrual period was October 27th, 48 days pregnant, and nothing was seen on the ultrasound examination.
Doctor's answer:
Hello:The ultrasound examination showed uneven endometrial echoes, and no gestational sac was observed in the intrauterine or extrauterine regions, suggesting the possibility of ectopic pregnancy. Taking vitamin E is more likely to indicate a higher probability of miscarriage. An ultrasound of the adnexa can be performed to confirm the diagnosis of ectopic pregnancy and provide active treatment. If ectopic pregnancy is ruled out, continue with the treatment to preserve the pregnancy.