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Hello doctor! My menstrual cycle is irregular and recently had a test with 2 lines, 1 dark line and 1 light line. I had a blood test and a transvaginal ultrasound, the doctor diagnosed me as pregnant, but the beta HCG test index was a bit low at 259.7 and the gestational sac was not found. After 2 days, I had a blood test again, and the beta HCG was still low at 239.7. The doctor said the possibility of underdevelopment or an ectopic pregnancy asked me to follow up and schedule a follow-up visit in 1 week. After that, I had brown blood with coffee grounds and a little pain in the left side of the abdomen, sometimes dull, sometimes painful. I continued to go to another doctor, the beta decreased to only 150.6 and still no gestational sac. So the doctor let me ask if the beta HCG test is low and gradually decreases later, if I have brown bleeding, left abdominal pain, is it an ectopic pregnancy or a miscarriage? Ask your doctor for advice and answers. Thank you sincerely!
Linh (Hai Phong)
Reply
Hello! Symptoms of ectopic pregnancy depend on many factors such as: gestational age, ruptured or unbroken,... Accordingly, ectopic pregnancy symptoms include:
Signs of pregnancy: morning sickness, fatigue, Delayed menstrual period Abnormal vaginal bleeding that does not coincide with the menstrual period, prolonged bleeding, abnormal blood characteristics such as: less quantity than usual, darker color, thinner than usual. If pregnancy has been diagnosed, the fetus has not entered the uterus but has abnormal vaginal bleeding, it is an important sign of an ectopic pregnancy. Abdominal pain: Usually abdominal pain at the site of implantation, often lower abdominal pain, or pain throughout the abdomen in cases where the ectopic pregnancy has ruptured. Systemic signs: There may be signs of blood loss shock such as fatigue, dizziness, lightheadedness, fainting In case of rupture of the gestational sac, you will feel severe abdominal pain, continuous cramping pain, shoulder pain. , sweating, weak limbs, dizziness, dizziness, difficulty breathing, even fainting.
Miscarriage symptoms also depend on many different factors, depending on the miscarriage status, the most common are: watery discharge with pain, bleeding or fever.
In your case, it is advisable to visit the treating doctor for the most accurate conclusion. You can go to a hospital under Vinmec Health System to be examined, consulted and explained more thoroughly by specialist doctors. Thank you for trusting and submitting the question of low and gradually decreasing beta HCG test, brown bleeding, left abdominal pain, is it an ectopic pregnancy or a miscarriage? to Vinmec. Wish you all the best. Best regards!
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