(Disclaimer: This article is for scientific purposes only. In order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: The main character of this case is a 33-year-old Ms. Li, who came to the hospital due to the self-consciousness of vaginal bleeding different from the previous menstruation, accompanied by mild abdominal pain and a positive pregnancy test. Examining the low blood HCG level, no gestational sac was seen in the uterus on ultrasound, the patient asked for abortion preservation, and during the process of abortion preservation there was an increase in vaginal bleeding, and again examining the blood HCG revealed a significant decrease, diagnosing a biochemical pregnancy. Because of the heavy bleeding, the patient was given medication to promote uterine contraction and hemostasis. After treatment, the vaginal bleeding stopped and the body gradually returned to normal. Basic information] Female, 33 years old [Type of disease] Biochemical pregnancy [Hospital] Jiangbin Hospital of Guangxi Zhuang Autonomous Region [Time of consultation] May 2022 [Treatment plan] Medication (progesterone capsules, new biochemical granules, blood flow-control granules) [Period of treatment] Outpatient treatment for 12 days [Effect of treatment] Vaginal bleeding stopped after the use of medication, and the body gradually recovered I. Initial interview The patient came to our hospital in May 2022 and was given medication to promote uterine contraction and stop bleeding. The patient came to our hospital in May, 2022. She reported that she had had one abortion, one abortion with removal of the uterus, and one normal delivery in the past. She usually had irregular menstruation, mild dysmenorrhea, and did not use contraception. Her last menstrual period was on April 17, 2022, and she had a small amount of vaginal bleeding on May 19, which was thought to be her menstrual period, so she did not pay much attention to it, and she still had a small amount of vaginal bleeding on May 21, accompanied by mild abdominal pain, and she did not see any fleshy tissues, which made her feel that she was different from her usual menstruation, and she went to the hospital because she had a positive result of urinary HCG test in the morning. Blood was drawn in the outpatient clinic for three pregnancy tests, blood HCG: 375.6 mIU/ml, progesterone: 11.76 ng/ml, estradiol: 426.63 pmol/L. Ultrasound was performed, suggesting: thickening of the uterine lining, with no obvious abnormality in both adnexal areas. She was told that she might be in early pregnancy or biochemical pregnancy. The patient understood and hoped to continue the pregnancy, and strongly demanded fertility preservation treatment, so she was given progesterone capsules orally, and was advised to return to the clinic in 5 days. (May 21 outpatient pregnancy test three) Second, the treatment After the patient went home, follow the doctor’s advice to take progesterone capsules treatment, and to the pharmacy to buy the fetal pills to take. May 24, the patient increased vaginal bleeding, abdominal pain symptoms have worsened, so again to the hospital for follow-up. She was given three pregnancy tests, HCG: 164.5mIU/ml, progesterone: 13.76pmol/ml, and estradiol: 310.25pmol/L. After comparing the results of the two blood tests, the patient was informed of the specifics of the situation: the diagnosis of biochemical pregnancy was clear, and biochemical pregnancy belongs to the category of latent miscarriage, which occurs at a very early stage of pregnancy, and is a very common occurrence. It occurs at a very early stage of pregnancy, the blood HCG level is low, and the pregnancy cannot be detected by ultrasound. In this case, there is no need to remove the uterus, and it is recommended that the blood HCG be rechecked in the clinic after one week until it becomes negative. The patient went home for observation and continued to go to work normally. On May 26th, the patient was forced to drink a small amount of alcohol during the unit dinner, and the amount of vaginal bleeding increased significantly on the second day, so she went to the hospital for follow-up, and the doctor gave her New Biochemistry Granules to promote uterine regeneration, and Blood Stemming Granules to stop the bleeding orally, and also suggested that she should take more rests, do not exert herself too much and do not eat food that activates the blood circulation. After the 3rd outpatient follow-up, the doctor suggested the patient to take the new biochemical granules and blood flow particles, the patient’s vaginal bleeding gradually decreased, and the abdominal pain symptoms gradually reduced. on June 2, the patient went to the outpatient clinic for re-examination, the blood HCG turned negative, the vaginal bleeding had stopped, there was no abdominal pain, fever, abnormal vaginal discharge, vaginal itching and other symptoms, and the patient felt that there was no abnormality in her body, which suggested that the treatment was effective, and her body had The patient’s consciousness is not abnormal, suggesting that the treatment is effective and the body has recovered its health. Regretting the occurrence of biochemical pregnancy, but agreeing with the patient’s careful observation of her own condition and noticing the abnormal menstruation, the patient is pleased that she can resume her normal work and life after active treatment. However, it is important to note that since she has already had 2 abnormal abortions, if she plans to have another pregnancy, it is recommended to go to the hospital to complete the preparation for pregnancy and chromosome test for both spouses. Although biochemical pregnancy does not need to clear the uterus, it is also a kind of miscarriage, do not overwork in daily life, and avoid having sex too early to minimize the chance of infection. In daily life, it is recommended to have a light and nutritious diet, mix meat and vegetables scientifically, eat more fruits and vegetables, and avoid consuming foods containing alcohol and activating blood. If patients are depressed due to biochemical pregnancy, they can communicate with their friends and relatives, and if necessary, communicate with doctors to relieve psychological pressure. V. Personal perception Biochemical pregnancy occurs in the very early stage of pregnancy, and most of them occur before menstruation, so some women will mistake biochemical pregnancy for menstruation, but for careful women will find that the vaginal bleeding is different from the usual menstruation, and further pregnancy test is positive to know the existence of biochemical pregnancy, just as the patient in this case, timely discovery, timely medical care, and a clear diagnosis. In general, biochemical pregnancy without the need to clear the uterus, and relatively little harm to the female body, but after all, it is an abnormal abortion, so we should also pay attention to life, it is recommended to pay special attention to rest and diet, appropriate exercise, enhance physical fitness, and improve the chances of conception. If there is another pregnancy hospital, you need to go to the hospital to improve the relevant examination, scientific preparation for pregnancy.