Patient's question:
On June 21st, the last menstrual period; menstrual cycle of 28 days. On July 19th, blood test showed progesterone greater than 40, hCG 175, estrogen 445; On July 28th, brownish discharge appeared, July 29th, blood test showed progesterone 13, hCG 552, estrogen 243. Transvaginal ultrasound showed no gestational sac in the uterusDoctor's answer:
Hello: There is a history of amenorrhea, and the blood HCG level is elevated, suggesting a possible pregnancy. Ultrasound examination: No gestational sac was observed in the uterus. ~. Was there any mention of pelvic masses or fluid accumulation? Is the endometrium thickened? (Or is there a dark area in the uterine cavity?) Please provide a detailed description of the ultrasound report or send the report. Additionally, blood HCG needs to be monitored dynamically, with follow-up tests every 2-3 days. Progesterone should also be checked. If the blood HCG level does not increase significantly (the value does not double), a follow-up ultrasound should be performed to assess the uterine cavity and pelvic condition. If there is still no reliable diagnostic evidence, maintaining the pregnancy would be pointless. If the uterine cavity does not contain a gestational sac, there is pelvic fluid accumulation, or an adnexal mass is present, along with abdominal pain and slight vaginal bleeding, ectopic pregnancy should be suspected. Only if the blood HCG level doubles and a gestational sac-like echo is visible in the uterine cavity can maintaining the pregnancy be meaningful. That~