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Hello doctor,
Around October 2020, I did IUI but it didn't work, in November 2020 I got my period and on January 19 I started bleeding but very little showed my underwear and out a few days. On February 25, I took a test and got 2 lines 1 dark and 1 light, on February 28 I went for a beta test and got 306 U/L and did an ultrasound but the doctor said that I haven't seen the gestational sac and have possibility of an ectopic pregnancy. I want to ask the doctor to advise me on the beta HCG test results, what is the risk of ectopic pregnancy? Thanks for the advice doctor.
Nguyen Thi Nga (1996)
Trắc nghiệm: Sự thay đổi nồng độ beta HCG thay đổi theo tuổi thai
hCG là một hormon quan trọng được tiết ra khi phụ nữ mang thai. Nồng độ beta hCG được tính theo đơn vị mUI/ml. Hãy cùng theo dõi bài trắc nghiệm sau đây để biết được Nồng độ beta HCG thay đổi theo tuổi thai như thế nào?Answered by Master. Resident Doctor Nguyen Thi Tam - Reproductive Support Center, Vinmec Times City International General Hospital. Hello, With the question "How is the beta HCG test result at risk of ectopic pregnancy? ", the doctor would like to answer as follows: The pregnancy test strip is up 2 lines and the beta hCG result is 306 U/l, so you are pregnant. However, the threshold of beta HCG for visualization of the intrauterine gestational sac by transvaginal ultrasound is 1000 - 1500 U/l. In addition, an ectopic pregnancy has the same symptoms as a normal pregnancy such as: missed period, breast tenderness or abdominal pain. After that, there will be other signs such as:
Abnormal vaginal bleeding: The patient may have bleeding before menstruation and it lasts so long that she does not think she is pregnant, or sometimes it stops when it is not called seaweed. blood. The bleeding is usually black in color and does not clot in small amounts. Abdominal pain: It can be difficult to distinguish between normal pregnancy and ectopic pregnancy symptoms in the early stages. During an ectopic pregnancy, the patient presents with pain in the lower abdomen, unilateral pain, dull pain and sometimes sharp pain. As an ectopic pregnancy develops, more severe symptoms may develop. Especially in the case of ruptured fetal mass, the patient will suddenly present with severe abdominal pain, c When a patient is suspected of having an ectopic pregnancy, the doctor can use some of the following tests to diagnose: Accurate diagnosis is:
Quantitative blood test of βhCG: This test helps diagnose pregnancy or not, but cannot know if the pregnancy is in the uterus or not. Ultrasound: On the ultrasound image, there is no gestational sac in the uterus. In some cases, a tumor can be seen in the parauterine area with mixed echo. Or sometimes a gestational sac is seen in the fallopian tube, this case can always be diagnosed as an ectopic pregnancy. However, this image is very difficult to see. When an ectopic pregnancy ruptures, there will be blood in the abdomen, in the same region on ultrasound. Laparoscopy: This is a modern method to quickly and accurately diagnose 100% of cases of ectopic pregnancy. Therefore, in your case, the current position of the fetus is not conclusive and the ectopic pregnancy cannot be ruled out due to signs of menstrual disorders, for an accurate diagnosis, you should re-examine after 2 days. for ultrasound and beta hCG test again. If you still have questions about the beta HCG test results, there is a risk of ectopic pregnancy, you can go to the hospital of Vinmec Health System to get checked. . Thank you for trusting and sending questions to Vinmec. Wish you a lot of health. Best regards!
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