Patient Question:Disease:Confirmed pregnancy, bleeding on 35 days of menopause. Description:28 days of menopause, hcg 45, progesterone 27. estradiol 128. 35 days of menopause bleeding, bright red. Hcg 258, progesterone 6.5. estradiol 78. slight abdominal pain at night and a feeling of falling. After taking progesterone, the bleeding decreased and the abdominal pain disappeared. Is the doubling of hcg value bad for the embryo quality? Do you want to keep the fetus? What does Luo Ran of the Fertility Center of Xiyuan Hospital of the Chinese Academy of Traditional Chinese Medicine want to help:Please ask the doctor if my hcg is so low and doubling is not good, does it mean that the embryo is not of good quality? Although I cherish this baby, I am also worried, should I keep it or not? Please give me some advice. Department of hospital: Dalian Medical University Second Hospital Obstetrics and Gynecology Medication: Drug name: Folic acid Instructions: 400MG per day Drug name: Progesterone Instructions: 2 days, 2 times a day, 4 tablets each time Luo Ran, Infertility Center, Xiyuan Hospital, Chinese Academy of Traditional Chinese Medicine, replied: The growth is a little slow, but it is okay. It is recommended to continue with the current medication and recheck the blood and ultrasound after a week to see what happens. If there is a lot of bleeding and abdominal pain during the period, you can see the emergency room at any time. I just took an early pregnancy test and it has changed from a weak positive to a weak positive. Does the lower value mean it’s hopeless? Response from Luo Ran of the Fertility Center of Xiyuan Hospital, Chinese Academy of Traditional Chinese Medicine: Biochemical pregnancy is very likely. It is suggested that we should go to the hospital tomorrow to draw blood to see the hcg, if it has dropped, progesterone can be stopped. Patient’s question: Dr. Luo, you are so nice! I’m in a special situation, if I go to the hospital tomorrow to check, only hcg? Is progesterone not important? If the HCG has dropped compared to before, then stop taking progesterone and let it abort naturally, right? No need to do abortion? If I don’t stop progesterone and continue to take progesterone and birth control pills, what will be the result? Will it be dangerous to force the embryo to keep the fetus from developing? Secondly, if I go for hcg test tomorrow and the result is not decreasing, but the growth is slow, then what should I do? Thirdly, if the hcg doubles well, is there any hope to keep the baby? I’m leaving the country in 5 days, so if I’m sure I can’t keep the pregnancy, then I have to finish it all at home, so that it won’t be more difficult to go abroad to a foreign country. So, if the embryo is really bad, do I let him abort himself? Or should I have an abortion? Please? Reply from Luo Ran, Fertility Center of Xiyuan Hospital, Chinese Academy of Traditional Chinese Medicine: Hello. If this is the case, we should check the hcg+ progesterone at the hospital tomorrow. Theoretically, if the hcg increases or remains the same, the color of the test paper will not become lighter (of course, we must exclude the effect of the concentration error of the test specimen) If the hcg decreases, it indicates a biochemical pregnancy, which is not a pregnancy in the actual sense. After stopping progesterone, your period will come naturally, but it may take longer than normal, with more blood clots and more menstrual cramps. Because there is no substantial fetal sac, it is usually not necessary to remove the uterus. If the embryo itself is not developing well (early hcg doubling is not good or decreasing), it is not necessary to use similar drugs. The above are speculations, we suggest that you send up the results after the examination tomorrow to compare, and then determine the later treatment and recuperation plan Patient Question: Thank you for your reply! It’s the first time I’ve met a doctor as enthusiastic and responsible as you! I went for a checkup today. According to the last menstrual day 39, the ultrasound showed no echo like a gestational sac in the uterus or outside the uterus. hcg has dropped to 145 and progesterone 60 (due to progesterone). I’ve decided to give up on the birth control. But I don’t understand, what is this? Ectopic pregnancy? Or a biochemical pregnancy? Or a preterm miscarriage? There is no abdominal pain, no bleeding, and the gestational sac has not been expelled, so where is it? I am confused ~ how many months can I have another baby in this case? Reply from Luo Ran, Fertility Center of Xiyuan Hospital, Chinese Academy of Traditional Chinese Medicine: Hello! Biochemical pregnancy, also known as “unexplained one-off pregnancy”, can be caused by many reasons, such as the location of implantation, embryo quality, uterine factors, maternal factors, external environment, etc., which may or may not be the cause. It is a normal phenomenon in the human reproduction process. Generally, bleeding three to seven days after stopping the drug, which will be slightly longer than normal menstruation, may have small blood clots and abdominal pain slightly more pronounced than usual, are normal and not to be worried. It is clinically recommended to adjust for a period of time (about 3 months) before preparing for pregnancy. However, we have encountered some patients who have successfully conceived in the next month.